Pharmacy Data Insights Analyst

The Health Plan (THP); Wheeling (WV); On-site; USD 65,000 - 90,000; Full time

Job summary

The Health Plan is seeking a Pharmacy Data Analyst to improve operations by analyzing data from sources like Express Scripts and Ipro, extracting trends, and delivering insights for commercial, exchange, Medicaid, and Medicare lines. Role includes support for benefit management and coding within the pharmacy benefit adjudication platform.

Responsibilities include integrating data across sources, preparing analyses for management, and ensuring data quality to guide improvements.

Qualifications

• Bachelor’s or master’s degree related to data analytics.
• Experience in data collection, analysis, and visualization methods.
• Proficiency with Excel pivot tables, graphs, and formulas.
• Working knowledge of quality improvement principles, study design and statistical modeling.

Responsibilities

• Integrate data from multiple sources to produce data elements supporting continuous quality improvement.
• Assist pharmacy team with complex data needed for projects.
• Interpret and analyze data quality and collection processes; provide recommendations.
• Identify data quality issues and work with partners to resolve them.
• Develop new data information processes and tools; improve reporting processes.
• Prepare data for presentations to management and committees; tailor to internal/external audiences.
• Assist in defining and delivering report deliverables to meet requirements.
• Reconcile daily PBM eligibility data with PBM reporting and ensure alignment with measures.
• Understand client drug price guarantees, admin fees, rebates, and related terms.
• Review PBM data files for compliance and assist in report development and testing.

Skills

Excel

PowerBI

SQL

Data analysis

Teamwork

Multi-tasking

Education

Bachelor's degree in data analytics

Master's degree in data analytics

Tools

PBM platform

Data mapping tool

Job description

The Health Plan is seeking a Pharmacy Data Analyst to improve operations by analyzing data from sources like Express Scripts and Ipro, extracting trends, and delivering insights for commercial, exchange, Medicaid, and Medicare lines. Role includes support for benefit management and coding within the pharmacy benefit adjudication platform.

Responsibilities include integrating data across sources, preparing analyses for management, and ensuring data quality to guide improvements.