Pharmacy Analytics & Quality Performance Consultant

Blue Shield of CA

Springfield Meadows (CA)

Hybrid

USD 110,000 - 165,000

Full time

9 days ago

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Job summary

The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department at Blue Shield of CA leads strategies to improve clinical quality, member experience, and affordability of prescription medications for members.

The Business Analyst, Consultant, Rx Quality Performance Management reports to the Senior Manager, Rx Member Experience & Quality Performance and supports development, measurement, and continuous improvement of Pharmacy initiatives across Commercial and Medicare

Qualifications

Bachelor's degree or equivalent experience.
7+ years of relevant experience.
3+ years in managed care preferred.
Strong analytics using pharmacy data and related standards.
Excellent written and verbal communication skills.
Independent thinker in a fast-paced environment.

Responsibilities

Support development, measurement, and continuous improvement of Pharmacy initiatives across Commercial and Medicare lines of business.
Perform analytics, program management, and provider/member experience insights to identify opportunities.
Prepare executive reporting and dashboards to track outcomes and drive member-centered improvements.
Collaborate with cross-functional teams to implement improvements.