Medical Informatics Analyst, Consultant - Pharmacy

Blue Shield of CA; Miami (FL); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Blue Shield of CA is seeking a Pharmacy Financial Analytics professional to advance analytical capabilities by supporting network and rebate reporting, reconciliation, model development, and automation initiatives. You will empower leadership with data-driven insights for strategic decisions and operational excellence.

The role emphasizes applying analytics to pharmacy data across cost, utilization, and outcomes, with experience in enterprise-scale projects and collaboration with

Qualifications

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 7 years of relevant experience delivering analytics (cost, quality, utilization, and/or outcomes) with enterprise impact
• Requires 5 years of prior pharmacy experience
• Requires SAS Certified Advanced Programmer credential (or equivalent) or advanced analytics certification (e.g., R, Python)

Responsibilities

• Support network and rebate reporting, reconciliation processes, model development, and automation initiatives.
• Provide data-driven insights to leadership with tools, insights, and data to inform strategic decisions and drive operational excellence.

Skills

Analytics delivery

Pharmacy knowledge

SAS programming

Advanced analytics

Education

Bachelor’s degree / HS diploma ± 4 yrs exp

Tools

SAS Advanced Programmer

R/Python analytics

Job description

Your Role

The Pharmacy Financial Analytics team.The Medical Informatics Consultant will report to the Sr. Principal Medical Informatics Analyst of Pharmacy Financial Analytics. In this role, you will play a key part in advancing our organization's analytical capabilities by supporting network and rebate reporting, reconciliation processes, model development, and automation initiatives. Your work will directly empower leadership with the tools, insights, and data needed to make informed strategic decisions, drive operational excellence, and support the continued growth and success of the organization through innovative, data-driven solutions.

Your Knowledge and Experience

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 7 years of relevant experience delivering analytics (cost, quality, utilization, and/or outcomes) with enterprise impact
• Requires 5 years of prior pharmacy experience
• Requires SAS Certified Advanced Programmer credential (or equivalent) or advanced analytics certification (e.g., R, Python)

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.