Director, Pharmacy Data and Analytics

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Blue Shield of California is seeking a Director, Pharmacist - Pharmacy Data & Analytics to lead the analytics strategy for the pharmacy portfolio exceeding $5 billion annually. The role translates complex pharmacy data into insights that drive affordability, outcomes, and member experience improvements across lines of business.

The role partners with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendors to develop advanced analytical solutions,

Qualifications

• Active California RPh license is required.
• Doctor of Pharmacy (PharmD) degree from a U.S. accredited school is required.
• 10 years of experience in healthcare, pharmacy analytics, BI, reporting, or data science.
• 6 years of people management with direct reports.
• Experience with large healthcare datasets incl. pharmacy/medical claims, eligibility, provider, and financial data.
• Experience with data visualization and BI tools such as PowerBI, Tableau, or Business Objects.
• Experience with SQL and healthcare data warehousing environments.
• Experience with cloud data environments such as Azure, Snowflake, Databricks, AWS, or Google Cloud.
• Understanding of healthcare quality measures, STAR, HEDIS, and regulatory reporting.
• Excellent presentation, verbal and written skills; ability to convey complex ideas to diverse audiences.
• Detail-oriented with a fast-paced work style.
• Proactive, solution-oriented mindset.

Responsibilities

• Lead pharmacy data, analytics, and BI strategy across the organization.
• Translate complex healthcare data into actionable insights to improve affordability, outcomes, and member experience.
• Provide strategic leadership for enterprise pharmacy analytics and partner with multiple stakeholders.
• Develop performance measurement frameworks and conduct trend/cost analyses.
• Oversee regulatory reporting and data transfer solutions as needed.
• Foster high-performing teams and continuous learning within the analytics function.

Skills

SQL

Data visualization

Healthcare analytics

Leadership

Communication

Presentation

Education

PharmD

Tools

PowerBI

Tableau

Business Objects

Job description

Your Role

The Blue Shield of California (BSC) Pharmacy team comprises more than 350 dedicated professionals who are passionate about transforming pharmacy care and improving the health and well-being of the members we serve. Ensuring every member has safe, equitable access to high-quality and sustainably affordable pharmacy benefits is at the core of everything we do.

As the Director, Pharmacist - Pharmacy Data & Analytics, you will lead the pharmacy organization's data, reporting, analytics, and business intelligence strategy to support informed decision-making across a pharmacy spend portfolio exceeding $5 billion annually. This role is responsible for translating complex pharmacy and healthcare data into actionable insights that drive affordability, clinical outcomes, operational performance, and member experience improvements across all lines of business. You will provide strategic leadership for enterprise pharmacy analytics, partnering closely with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendor partners to develop advanced analytical solutions, reporting, or data transfers that support key business priorities. This includes responsibility for developing performance measurement frameworks, leading trend and cost-of-healthcare analyses, evaluating data, and regulatory reporting.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires a Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
• Requires 10 years of prior relevant experience in healthcare, pharmacy, analytics, business intelligence, reporting, or data science
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Experience working with large healthcare datasets, including pharmacy claims, medical claims, eligibility, provider, and financial data
• Experience with data visualization and business intelligence tools such as PowerBI, Tableau, Business Objects, or similar platforms
• Experience with SQL and healthcare data warehousing environments
• Experience with cloud-based data environments such as Azure, Snowflake, Databricks, AWS, or Google Cloud
• Understanding of healthcare quality measures, STAR ratings, HEDIS, and/or regulatory reporting
• Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds
• Detail-oriented with the ability to work in a fast-paced environment
• Exhibit a "can do" attitude and solution-oriented approach to resolve challenges

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.