Pharmacy Analytics Consultant

Excellus BCBS; Jamestown (NY); On-site; USD 90,000 - 130,000; Full time

Job summary

Excellus BCBS in Jamestown, NY is seeking a Pharmacy Analytics Consultant to provide direct support for Pharmacy and Medical drug information using analytic tools and applications. You will work with internal and external stakeholders to support strategy, growth, compliance, and affordability across the enterprise.

You will collaborate with clinical, financial, sales, and business leaders to recommend actionable items that improve pharmacy financial performance and help management and customers

Responsibilities

• Perform data analyses to identify business problems, trends, and opportunities for process improvements.
• Provide analytic support to Pharmacy and Health Plan departments to optimize cost and quality.
• Develop and deliver actionable insights to leadership and stakeholders.
• Contribute to development of standardized reports, dashboards, and data visualizations.
• Collaborate with external partners and internal teams to drive affordability and savings initiatives.
• Engage in CMS and health plan compliance considerations and audits.
• Manage multiple projects with competing deadlines and clear prioritization.
• Stay current with health plan data sources and analytics best practices.

Job description

Job Description

The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management, as required, to achieve Pharmacy Markets strategy, growth, compliance, and affordability objectives across the enterprise. The analyst collaborates with a multidisciplinary team (e.g., clinical, financial, sales, and Line of Business Leaders) to recommend actionable items leading to positive pharmacy financial performance. This position prepares and presents information to enable both senior management and our customers to better understand, evaluate, and support their goals.

Job Description

The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management, as required, to achieve Pharmacy Markets strategy, growth, compliance, and affordability objectives across the enterprise. The analyst collaborates with a multidisciplinary team (e.g., clinical, financial, sales, and Line of Business Leaders) to recommend actionable items leading to positive pharmacy financial performance. This position prepares and presents information to enable both senior management and our customers to better understand, evaluate and support their goals.

Essential Accountabilities

Level I

• Perform research on projects and manage and lead projects to successfully meet business objectives from across the enterprise.
• Analyzes data to determine business problem, trends or opportunities for process improvements.
• Provide consultation and analytic support within the Pharmacy Division, other Health Plan departments and external vendors to ensure the most effective and affordable Pharmacy Benefit.
• Identify needs to develop new and innovative Pharmacy products, perform appropriate research, analyses, and evaluate feasibility of the administration and implementation of products.
• Communicate effectively with all levels of the organization related to, but not limited to, health plan cost, utilization trends and savings strategies. Articulate results, insights and recommendations to management, steering committees and/or project sponsors.
• Develop and deliver actionable insights to key enterprise stakeholders. Actively participating in collaborative meetings with internal and external partners.
• In partnership with Sales, Finance and Actuarial conduct comparative pricing analyses for pharmacy benefit Requests for Proposal.
• Provide analytics to support strategy development and innovative programs that align with enterprise and pharmacy goals and objectives.
• Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines, regulations, and policies and procedures. Participate in all CMS and DOH compliance audits.
• Develop and establish standardized reporting and processes to support maintenance of business activities.
• Stay current with knowledge of Health Plans tools and data sources/structures to accurately pull and deliver data. Regularly review trends and best practices related to healthcare analytics
• Compiles complex data sets tailored to customers needs. Evaluates and processes raw data for user friendly and provides actionable insight (visual and otherwise) to end users.
• Consults with other specialized analytic units (i.e. Business Intelligence) to develop automated production reports, dashboards and cubes for efficiency when appropriate.
• Engage with external partners and customers (i.e. Employer Groups, Brokers, Consultants, Providers, and Vendors) to help drive the success of Health Plan partnerships and goals.
• Enhance Pharmacy knowledge and consulting skills to contribute to affordability and savings for the Enterprise and our customers.
• Creates unified strategies with internal departments that target reducing costs of healthcare.
• Manages, organizes and prioritizes tasks for multiple projects with competing deadlines to successful completion.
• Collaborates with team members, leveraging skill sets across the team and aiding in growth and development as needed.
• Proactively problem solves, investigates and brings forward concerns to management and/or business partners with relation to data pulls and analyses, as appropriate.
• Builds collaborative relationship across functional teams and other analytic teams across the organization.