Pharmacy Performance & Quality Analytics Lead

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Blue Shield of CA is seeking a Business Analyst, Consultant, Rx Quality Performance Management to support development, measurement, and improvement of Pharmacy initiatives. You will combine performance analytics, program management, member experience insights, and executive reporting to identify opportunities and drive member-centered improvements.

The role emphasizes cross-functional collaboration within the Clinical Pharmacy Programs team and reports to the Senior Manager, Rx Member Experience

Qualifications

• Bachelor's degree or equivalent experience.
• At least 7 years of prior relevant experience.
• Minimum of 3 years in managed care preferred.
• Strong analytics and problem-solving with pharmacy data elements.
• Experience with HEDIS, CAHPS, NPS and Medicare Stars data preferred.
• Advanced proficiency in MS Office: Word, Excel, PowerPoint, OneNote, SharePoint.
• Excellent written, verbal, and interpersonal communication.
• Ability to work independently in a fast-paced environment.

Responsibilities

• Support development, measurement, and improvement of Pharmacy initiatives across Commercial and Medicare.
• Utilize performance analytics, program management, and executive reporting to drive improvements.
• Provide member-experience insights to inform decisions and actions.
• Collaborate with the Rx Strategy & Operations teams to enable data-driven outcomes.

Skills

Analytical skills

Problem-solving

Microsoft Office

Communication

Independent worker

Pharmacy data familiarity

Education

Bachelor's degree or equivalent experience

Tools

SharePoint

Job description

Blue Shield of CA is seeking a Business Analyst, Consultant, Rx Quality Performance Management to support development, measurement, and improvement of Pharmacy initiatives. You will combine performance analytics, program management, member experience insights, and executive reporting to identify opportunities and drive member-centered improvements.

The role emphasizes cross-functional collaboration within the Clinical Pharmacy Programs team and reports to the Senior Manager, Rx Member Experience