Sr Analytics Consultant - Medical Drug Pricing

Senior Analytics Consultant

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The Senior Analytics Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge support medical drug pricing and reimbursement strategies, with a focus on facility-based fee schedules. This role combines strong analytical expertise, healthcare domain knowledge, and technical proficiency to deliver actionable insights that drive cost management, pricing optimization, and strategic decision-making. In addition, the role is responsible for developing, maintaining, and automating reporting processes to support pricing operations, ensure data accuracy, and provide timely insights to stakeholders.

This includes producing regular and ad hoc reports, validating data integrity, and collaborating with cross-functional teams to enhance reporting capabilities and support business needs.

• Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field
• Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.
• Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.
• Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
• High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.
• Experience leading an analytic initiative to success.
• Excellent communication and presentation skills.
• Ability to work independently and as part of a team.
• Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.
• Ability to work under pressure and deliver high quality output to senior leadership to decision making within short timeline.

• Intermediate to advanced expertise in:
  Medical drug landscape, including biologics, biosimilars, and coding systems (HCPCS, NDC) Drug reimbursement methodologies (e.g., ASP-based pricing, fee schedules, contracting strategies) Healthcare claims data (medical and/or pharmacy)
• Demonstrated experience working within a managed care or health insurance environment
• Strong understanding of line-of-business distinctions, including Commercial, Individual and Family Market, Medicare, and Medicaid, and their respective analytical and reimbursement approaches
• Demonstrated success in leading analytical initiatives from concept through execution and delivery
• Experience developing, maintaining, and automating recurring and ad hoc reports to support pricing operations and business decision-making
• Excellent communication and presentation skills, with the ability to clearly convey complex findings to both technical and non-technical audiences, including senior leadership
• Experience utilizing transparency data sources and industry benchmarks (e.g., machine-readable files, CMS ASP data) to support pricing and reimbursement analysis
• Ability to apply benchmarking methodologies to assess reimbursement rates and identify optimization opportunities
• Experience supporting or developing preferred drug strategies
• Proven experience working with large-scale healthcare datasets using Teradata or similar data platforms

This is a Flex (Hybrid) role: 3 days in office, 2 days work from home.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.

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The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of…