Senior Director, Pharmacy Data & Analytics

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Blue Shield of California is seeking a Director, Pharmacist - Pharmacy Data & Analytics to lead the analytics strategy for the pharmacy portfolio exceeding $5 billion annually. The role translates complex pharmacy data into insights that drive affordability, outcomes, and member experience improvements across lines of business.

The role partners with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendors to develop advanced analytical solutions,

Qualifications

• Active California RPh license is required.
• Doctor of Pharmacy (PharmD) degree from a U.S. accredited school is required.
• 10 years of experience in healthcare, pharmacy analytics, BI, reporting, or data science.
• 6 years of people management with direct reports.
• Experience with large healthcare datasets incl. pharmacy/medical claims, eligibility, provider, and financial data.
• Experience with data visualization and BI tools such as PowerBI, Tableau, or Business Objects.
• Experience with SQL and healthcare data warehousing environments.
• Experience with cloud data environments such as Azure, Snowflake, Databricks, AWS, or Google Cloud.
• Understanding of healthcare quality measures, STAR, HEDIS, and regulatory reporting.
• Excellent presentation, verbal and written skills; ability to convey complex ideas to diverse audiences.
• Detail-oriented with a fast-paced work style.
• Proactive, solution-oriented mindset.

Responsibilities

• Lead pharmacy data, analytics, and BI strategy across the organization.
• Translate complex healthcare data into actionable insights to improve affordability, outcomes, and member experience.
• Provide strategic leadership for enterprise pharmacy analytics and partner with multiple stakeholders.
• Develop performance measurement frameworks and conduct trend/cost analyses.
• Oversee regulatory reporting and data transfer solutions as needed.
• Foster high-performing teams and continuous learning within the analytics function.

Skills

SQL

Data visualization

Healthcare analytics

Leadership

Communication

Presentation

Education

PharmD

Tools

PowerBI

Tableau

Business Objects

Job description

Blue Shield of California is seeking a Director, Pharmacist - Pharmacy Data & Analytics to lead the analytics strategy for the pharmacy portfolio exceeding $5 billion annually. The role translates complex pharmacy data into insights that drive affordability, outcomes, and member experience improvements across lines of business.

The role partners with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendors to develop advanced analytical solutions,