Pharmacy Data & Analytics Director — Strategy & Insights

Blue Shield of CA; San Diego (CA); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Blue Shield of California's Pharmacy Data & Analytics team seeks a Director to lead analytics strategy across a $5+ billion spend portfolio, translating complex pharmacy and health data into actionable insights that improve affordability, outcomes, and member experience.

You will partner with Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and vendors to develop reporting and data transfers, establish performance measures, and oversee regulatory reporting.

Qualifications

• Requires a Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
• Requires 10 years of prior relevant experience in healthcare, pharmacy, analytics, business intelligence, reporting, or data science
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Experience with large healthcare datasets, including pharmacy claims, medical claims, eligibility, provider, and financial data
• Experience with data visualization and business intelligence tools such as PowerBI, Tableau, Business Objects, or similar platforms
• Experience with SQL and healthcare data warehousing environments
• Experience with cloud-based data environments such as Azure, Snowflake, Databricks, AWS, or Google Cloud
• Understanding of healthcare quality measures, STAR ratings, HEDIS, and/or regulatory reporting
• Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds
• Detail-oriented with the ability to work in a fast-paced environment
• Exhibit a "can do" attitude and solution-oriented approach to resolve challenges

Responsibilities

• Lead the pharmacy organization's data, reporting, analytics, and business intelligence strategy to support informed decision-making across a portfolio exceeding $5 billion annually
• Translate complex pharmacy and healthcare data into actionable insights that drive affordability, clinical outcomes, operational performance, and member experience
• Develop enterprise analytics frameworks, performance metrics, and regulatory reporting capabilities
• Partner with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendors to deliver analytics solutions and data transfers

Skills

Leadership & management

Healthcare analytics

Data storytelling/communication

Education

PharmD degree

Tools

PowerBI

Tableau

Business Objects

SQL

Job description

Blue Shield of California's Pharmacy Data & Analytics team seeks a Director to lead analytics strategy across a $5+ billion spend portfolio, translating complex pharmacy and health data into actionable insights that improve affordability, outcomes, and member experience.

You will partner with Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and vendors to develop reporting and data transfers, establish performance measures, and oversee regulatory reporting.