Associate Director, Data Strategist

Brillio•New York, NY

12d

About The Position

We are seeking a highly skilled Data Strategist with deep experience in the Pharmacy Benefit Management (PBM) domain and strong expertise across transactional and analytical data stores, both on cloud and on-prem. This role enables data-driven transformation across PBM operations by bridging business teams, product teams, and engineering. The ideal candidate combines PBM domain understanding with strong strategic data architecture literacy—particularly across Mainframe/legacy adjudication systems, Teradata, Postgres, and Databricks.

Requirements

7–12+ years of experience in healthcare with 4–5+ years in PBM or specialty pharmacy.
Strong familiarity with PBM data domains: o NCPDP claims o Formulary & benefit design o PA/UM data o Network & pharmacy data o Specialty/hub workflows o Rebate & financial/reconciliation data
Ability to work across mainframe, Teradata, Postgres, and Databricks ecosystems.
Strong SQL proficiency and experience guiding data modeling conversations.
Experience collaborating with product, engineering, business operations, and compliance.

Nice To Haves

Experience modernizing PBM data & analytics ecosystems.
Familiarity with ML/AI enablement on Databricks.
Knowledge of NCPDP, HL7, FHIR standards.
Experience working in fast-paced consulting or digital product environments.

Responsibilities

Develop end-to-end data strategy across PBM functional areas (claims adjudication, formulary, PA/UM, specialty, clinical programs, network operations).
Translate business goals into data capabilities, including transactional readiness, analytical models, and AI/insight enablement.
Define the North Star architecture centered on: o Databricks for analytics & AI enablement o Postgres for modern operational/transactional workloads o Teradata as the existing enterprise analytical backbone o Mainframe–based adjudication and operational systems
Drive alignment between business leads, pharmacy operations, product management, data engineering, and architecture teams.
Capture and refine data requirements tied to real PBM workflows and regulatory needs.
Create clear data documentation: canonical models, lineage, definitions, integration patterns, domain mappings.
Guide design of transactional data structures (claims, member, provider, formulary, PA, specialty).
Partner with engineering to shape analytical datasets in Teradata and Databricks for cost, quality, adherence, and operational insights.
Shape migration paths from legacy/mainframe data to modern analytical or operational stores.
Establish governance models around ownership, metadata, critical data elements, and stewardship.
Lead data quality and observability initiatives across PBM domains.
Ensure compliance with PHI rules, HIPAA, and audit expectations.
Enable analytics and AI use cases such as: o Real-time PA insights o Cost optimization / formulary alignment o Fraud, Waste, Abuse o Adherence prediction & member targeting o Pharmacist enablement & specialty workflows
Support product teams in defining data-driven roadmaps and measurable value outcomes.