MEDICA HEALTH PLANS logo

Lead Pharmacy Analyst

MEDICA HEALTH PLANS

MADISON, WIJobSeen todaySeen in employer's feed today

Most applications go out cold — see where you stand first. No sign-up to start.

Watch jobs like this.

At a glance

Compensation
No compensation found
Location
MADISON, WI
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

Medica is a nonprofit health plan serving members across several states. The Pharmacy Analytics Analyst evaluates pharmacy data to identify trends and opportunities, develops reporting standards and metrics, and provides quantitative and statistical analysis with explanatory and predictive modeling to support decision-making. The role also develops reports and processes, supports team training, and collaborates with clinical, financial, actuarial, provider, network, and operations stakeholders.

Skills & qualifications

RequiredNice to have

Skills

Pharmacy Data AnalysisStatistical AnalysisExplanatory ModelingPredictive ModelingPharmacy ClaimsPharmacy Drug PricingPharma RebatesDrug Life CycleDrug PipelinePBM ContractingHealthcare LandscapePBM LandscapeAnalytical Skills

Full job description

JOB REQUIREMENTS: Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. In this position, the Pharmacy Analytics Analyst will evaluate and assess pharmacy data to identify trends and opportunities. This specialized pharmacy healthcare analyst role will possess an understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline, and PBM contracting elements. The Pharmacy analyst will determine requirements, create standards and/or define metrics to ensure complete and accurate pharmacy reporting. The analyst will provide Insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making. The ideal candidate will possess strong analytical skills, and an understanding of the healthcare and PBM landscape. Key Accountabilities Data Mining and Report Development Leverage analytical tools in the collection, analysis and reporting of pharmacy data, pharmacy trends, and key performance metrics Data Analysis and Report Development Utilize statistical methods and data analysis tools to identify trends in pharmacy claims and other pharmacy data and key performance indicators Demonstrate knowledge of components of trend for pharmacy and medical reporting and turn into actionable insights Create and present comprehensive reports that summarize findings, highlight trends and provide actionable insights to stakeholders Documentation Document report development and data processes into formal process and procedure artifacts Continuous Improvement & Training and Development Stay informed about industry trends, emerging technologies, and best practices in pharmacy healthcare to drive continuous improvement within the pharmacy trend management processes Provide training and support to team members on data analysis tools and methodologies, fostering a culture of learning and professional development Cross Department Collaboration Facilitate collaboration with various stakeholders including, clinical, financial, actuary, provider, network, and operations Specific types of experience or skills required: Technical Skills: Proficiency in data analysis tools and software (e.g. Microsoft... For full info follow application link. Equal Opportunity Employer including Veterans and Disabled Individuals ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D6AD2F1C59454480

Similar jobs, posted recently

Open roles like this one, listed in the last 30 days.

You've read the whole posting — now see how you match it.