Director, Pharmacy Data and Analytics

Blue Shield of California•Long Beach, CA

11h•Hybrid

About The Position

The Director, Pharmacy Data and Analytics leads the pharmacy organization’s data, reporting, analytics, and business intelligence strategy in support of a pharmacy spend portfolio exceeding $5 billion annually. The role translates complex pharmacy and healthcare data into actionable insights to improve affordability, clinical outcomes, operational performance, and member experience across all lines of business. The Director provides strategic leadership for enterprise pharmacy analytics and partners with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendors. The role develops performance measurement frameworks; leads trend and cost-of-healthcare analyses; evaluates data; and supports regulatory reporting. The position also oversees a multidisciplinary team and presents strategic recommendations to senior executives and cross-functional leaders. This is a hybrid role. For most teams, the workplace model calls for in-office work two days each week. Employees who live more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Requirements

Currently active and unrestricted California Registered Pharmacist (RPh) license.
Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
10 years of prior relevant experience in healthcare, pharmacy, analytics, business intelligence, reporting, or data science.
6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
Experience working with large healthcare datasets, including pharmacy claims, medical claims, eligibility, provider, and financial data.
Experience with data visualization and business intelligence tools such as PowerBI, Tableau, Business Objects, or similar platforms.
Experience with SQL and healthcare data warehousing environments.
Experience with cloud-based data environments such as Azure, Snowflake, Databricks, AWS, or Google Cloud.
Understanding of healthcare quality measures, STAR ratings, HEDIS, and/or regulatory reporting.
Excellent presentation, verbal, and written skills, with the ability to understand and convey complex ideas to audiences with diverse backgrounds.
Detail-oriented, with the ability to work in a fast-paced environment.
Can-do attitude and solution-oriented approach to resolving challenges.

Responsibilities

Oversee a team of Pharmacists, Business Analysts, Data Analysts, and Program Managers.
Develop and execute the pharmacy data and analytics strategy to support enterprise objectives, pharmacy affordability initiatives, clinical programs, and operational excellence.
Lead the design and delivery of executive dashboards, performance reporting, predictive analytics, forecasting models, and strategic insights.
Partner with business leaders to identify opportunities, measure performance, and evaluate the effectiveness of pharmacy programs and interventions.
Drive pharmacy trend analysis, cost-of-healthcare reporting, specialty drug analytics, utilization monitoring, and financial performance measurement.
Develop analytical frameworks to support formulary strategy, utilization management, specialty pharmacy management, provider-administered drug programs, and emerging pharmacy initiatives.
Collaborate with enterprise data, technology, and digital teams to enhance data infrastructure, reporting capabilities, and self-service analytics solutions.
Ensure data quality, integrity, governance, and compliance across pharmacy analytics and reporting functions.
Present findings, recommendations, and strategic insights to senior executives and cross-functional leadership teams.
Recruit, coach, mentor, and develop a high-performing analytics team while fostering innovation, continuous learning, and accountability.