Pharmacy Analyst III

Medica Services Company LLC; Minnetonka (MN); On-site; USD 78,700 - 134,900; Full time

Job summary

Medica Services Company LLC in Minnetonka, MN, is seeking a Pharmacy Analytics Analyst to evaluate and assess pharmacy data, identify trends, and provide actionable insights to drive decision making.

The role requires experience in pharmacy claims, PBM contracting elements, and reporting automation; you will develop standards, train teammates, and collaborate with clinical, financial, and operations stakeholders.

Qualifications

• Experience: Minimum 5 years in pharmacy healthcare analytics with a focus on data analysis or trend management.
• Technical Skills: Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
• Strong analytical skills with ability to interpret complex data sets and generate actionable insights.
• Proficient in report development and automation tools; ability to create comprehensive, visually engaging reports.

Responsibilities

• Data Mining and Report Development: leverage analytical tools to collect, analyze, and report on pharmacy data, trends, and key performance metrics.
• Analyze pharmacy claims and other data to identify trends and key performance indicators.
• Create and present comprehensive reports that summarize findings and provide actionable insights to stakeholders.
• Document report development and data processes into formal process and procedure artifacts.
• Stay informed about industry trends, emerging technologies, and best practices in pharmacy healthcare to drive continuous improvement in trend management.
• Provide training and support to team members on data analysis tools and methodologies.
• Facilitate collaboration with clinical, financial, actuarial, provider, network, and operations stakeholders.

Skills

Data analysis

Pharmacy analytics

Statistical analysis

Tools

Microsoft Excel

Tableau

SQL

SAS

Job description

Overview

Medica is a nonprofit health plan serving communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner with providers to ensure members are genuinely cared for. We are a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration to achieve success as a team. Our mission is to be there in the moments that matter most for our members and employees.

In this position, the Pharmacy Analytics Analyst will evaluate and assess pharmacy data to identify trends and opportunities. This role requires understanding of pharmacy and medical claims, pharmacy drug pricing, rebates, drug life-cycle, drug pipeline, and PBM contracting elements. The analyst will determine requirements, create standards and metrics to ensure complete and accurate pharmacy reporting and provide insight and recommendations using quantitative and statistical analysis to drive decision making. The ideal candidate will have strong analytical skills and knowledge of the healthcare and PBM landscape.

Responsibilities

• Key Accountabilities
• Data Mining and Report Development: leverage analytical tools to collect, analyze, and report on pharmacy data, 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 data and key performance indicators
• Demonstrate knowledge of trend components for pharmacy and medical reporting and translate into actionable insights
• Create and present comprehensive reports that summarize findings 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 in trend management
• Provide training and support to team members on data analysis tools and methodologies

• Collaboration
• Facilitate collaboration with clinical, financial, actuarial, provider, network, and operations stakeholders

Qualifications

• Experience: Minimum 5 years in pharmacy healthcare analytics with a focus on data analysis or trend management
• Technical Skills: Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar)
• Strong analytical skills with ability to interpret complex data sets and generate actionable insights
• Proficient in report development and automation tools; ability to create comprehensive, visually engaging reports

Work Arrangement

This is an on-site office role requiring an average of 3 days per week in the office. Locations: Minnetonka, MN, or Madison, WI.

Compensation and Benefits

The full salary grade for this position is $78,700 - $134,900. The typical hiring salary range is $78,700 - $118,020. Salary is influenced by education, experience, certifications, scope of responsibility, internal pay equity, and external market data. Medica offers a comprehensive benefits package including medical, dental, vision, PTO, holidays, volunteer time off, 401(k) contributions, caregiver services, and other benefits.

Compensation and benefits information is provided as of the posting date and may change at any time.

Eligibility and EEO

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer. All qualified candidates receive consideration regardless of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. For further information, please review the Know Your Rights notice from the Department of Labor.