HEOR Analyst - Hybrid (Health Economics & Outcomes)

Wellmark Blue Cross and Blue Shield; Des Moines (IA); Hybrid; USD 100,000 - 140,000; Full time

Job summary

Wellmark Blue Cross Blue Shield in Des Moines, IA is growing its Pharmacy team with a newly created Clinical Pharmacy Analyst role. You will translate clinical insights and data-driven analyses into clear, actionable recommendations that impact health care delivery and business value.

You will collaborate with Business Analytics, Actuarial, and Health Services, perform HEOR/CER literature reviews, develop predictive models, and communicate findings to decision makers.

Qualifications

• Bachelor’s degree in a clinical or health care-related discipline.
• 4+ years of relevant clinical, health care, or health services research experience.
• Proven ability to organize and analyze clinical data and build predictive models.
• Excellent written and verbal communication skills.
• Strong Excel skills including pivot tables and trend analysis.
• Ability to manage multiple projects and meet deadlines.
• Interpersonal skills to build stakeholder relationships.

Responsibilities

• Support evaluation of pharmacy solutions by collecting, validating, and organizing clinical and economic data.
• Perform opportunity sizing analyses and contribute to data-driven recommendations for pharmacy initiatives.
• Develop business cases by quantifying benefits, costs, risks, and trade-offs; perform scenario analyses.
• Conduct literature reviews and summarize HEOR/CER findings focusing on data quality.
• Participate in evidence-based value assessments including ROI, health outcomes, and impact.
• Perform modeling and reporting to support formulary decisions and maintenance.
• Develop tools and templates for tracking outcomes and communicating impact.
• Conduct cost-effectiveness, cost-utility, and budget impact analyses.
• Research pharmacy reimbursement initiatives and translate findings into strategy.
• Compile HEOR and CER materials for presentations and decision-making.
• Maintain relationships with internal teams and external partners.
• Develop skills in evolving data analytics and consultative communication.
• Other duties as assigned.

Skills

Data analysis

Predictive modeling

Communication skills

Cross-functional collaboration

Attention to detail

Time management

Interpersonal skills

Education

Bachelor’s degree in a clinical or health care-related discipline

Tools

SAS

SQL

Excel

Job description

Wellmark Blue Cross Blue Shield in Des Moines, IA is growing its Pharmacy team with a newly created Clinical Pharmacy Analyst role. You will translate clinical insights and data-driven analyses into clear, actionable recommendations that impact health care delivery and business value.

You will collaborate with Business Analytics, Actuarial, and Health Services, perform HEOR/CER literature reviews, develop predictive models, and communicate findings to decision makers.