Sr Analytics Consultant - Medical Drug Pricing

Health Care Service Corporation•Chicago, IL

1d•$84,400 - $152,300•Hybrid

About The Position

The Senior Analytics Consultant’s primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support medical drug pricing and reimbursement strategies, with a focus on facility-based fee schedules. This role combines strong analytical expertise, healthcare domain knowledge, and technical proficiency to deliver actionable insights that drive cost management, pricing optimization, and strategic decision-making. In addition, the role is responsible for developing, maintaining, and automating reporting processes to support pricing operations, ensure data accuracy, and provide timely insights to stakeholders. This includes producing regular and ad hoc reports, validating data integrity, and collaborating with cross-functional teams to enhance reporting capabilities and support business needs.

Requirements

Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master’s degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field
Understanding and high proficiency in querying a wide variety of internal and external data sources to get meaningful insights.
Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.
Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.
Experience leading an analytic initiative to success.
Excellent communication and presentation skills.
Ability to work independently and as part of a team.

Nice To Haves

Intermediate to advanced expertise in the medical drug landscape, including biologics, biosimilars, and coding systems (HCPCS, NDC)
Intermediate to advanced expertise in drug reimbursement methodologies (e.g., ASP-based pricing, fee schedules, contracting strategies)
Intermediate to advanced expertise in healthcare claims data (medical and/or pharmacy)
Demonstrated experience working within a managed care or health insurance environment
Strong understanding of line-of-business distinctions, including Commercial, Individual and Family Market, Medicare, and Medicaid, and their respective analytical and reimbursement approaches
Demonstrated success in leading analytical initiatives from concept through execution and delivery
Experience developing, maintaining, and automating recurring and ad hoc reports to support pricing operations and business decision-making
Excellent communication and presentation skills, with the ability to clearly convey complex findings to both technical and non-technical audiences, including senior leadership
Experience utilizing transparency data sources and industry benchmarks (e.g., machine-readable files, CMS ASP data) to support pricing and reimbursement analysis
Ability to apply benchmarking methodologies to assess reimbursement rates and identify optimization opportunities
Experience supporting or developing preferred drug strategies
Proven experience working with large-scale healthcare datasets using Teradata or similar data platforms

Responsibilities

Leverage strong technical skills and healthcare industry knowledge to support medical drug pricing and reimbursement strategies, with a focus on facility-based fee schedules.
Develop, maintain, and automate reporting processes to support pricing operations, ensure data accuracy, and provide timely insights to stakeholders.
Produce regular and ad hoc reports.
Validate data integrity.
Collaborate with cross-functional teams to enhance reporting capabilities and support business needs.
Lead an analytic initiative to success.
Champion initiatives and collaborate with multiple stakeholders to bring the initiative to life.
Work under pressure and deliver high-quality output to senior leadership for decision-making within short timelines.