Health Economics & Outcomes Research (HEOR) Analyst

Wellmark, Inc.•Des Moines, IA

7h•Hybrid

About The Position

Wellmark is hiring for a newly created role on its growing Pharmacy team, also known internally as a Clinical Pharmacy Analyst. The position evaluates pharmacy solutions that affect health care delivery by gathering, validating, and interpreting clinical and economic evidence. It develops analyses and models to quantify expected benefits, costs, risks, and business value, then turns complex findings into concise recommendations for decision makers. Recommendations consider business and financial impact, member and provider experience, and health outcomes. The analyst works in a collaborative, matrixed environment with Business Analytics, Actuarial, Health Services, internal teams, and external partners. The role supports formulary maintenance, conducts HEOR and CER literature reviews, and helps prepare presentations that communicate business value and opportunities to improve health and financial outcomes. It also involves ongoing development of analytical and evaluation methods, clinical expertise, and consultative communication skills. The position is hybrid, with at least three days (Tuesday through Thursday) in Wellmark’s Des Moines office and remote work available on Mondays and Fridays.

Requirements

Bachelor’s degree in a clinical or health care-related discipline, such as pharmacy, nursing, public health, epidemiology, or health sciences, or a related field.
At least 4 years of relevant clinical, health care, health plan, PBM, health services research, or related industry experience, including evaluating clinical, health, and financial outcomes. Relevant internships and experience in comparative effectiveness research, medication use evaluation, real-world evidence, or quality improvement may count.
Ability to organize and analyze clinical data, develop predictive models to drive business decisions, interpret model results, turn data into actionable insights, and communicate model results effectively.
Proficiency in Microsoft Office and advanced Excel skills, including pivot tables, trend analysis, and formulas.
Technical aptitude to learn new data management and analysis tools or methodologies quickly.
Strong analytical and data management skills, attention to detail, and ability to review data and provide measurable outcomes and trend measures to support and influence business decisions.
Curiosity and ability to devise solutions.
Strong written and verbal communication skills, including the ability to accurately and effectively summarize clinical literature.
Effective organization and prioritization skills, including managing multiple projects, meeting deadlines, and adapting to changing priorities and business needs.
Strong interpersonal skills and ability to build rapport, credibility, and collaborative partnerships with peers, leaders, and stakeholders.

Nice To Haves

Direct and applicable experience in data analytics or a related field, including use of SAS, SQL, Excel, or similar analytical tools.
Strong clinical literature review and analytical writing skills.

Responsibilities

Collect, validate, and organize clinical and economic data to support evaluation of pharmacy solutions.
Perform opportunity-sizing analyses and contribute to data-driven recommendations for pharmacy initiatives.
Develop business cases by quantifying expected benefits, implementation and ongoing costs, risks, and trade-offs; perform scenario and sensitivity analyses to inform prioritization and investment decisions.
Conduct literature reviews and summarize clinical trials, cost-of-care studies, and health economic evaluations, with attention to data quality and relevance.
Help create and maintain evidence-based value assessments that estimate, measure, and communicate business value, including ROI, health outcomes, and member and provider impact.
Perform modeling and reporting to support formulary decisions and ongoing formulary maintenance.
Develop and maintain tools and templates for tracking outcomes, assessing realized business value, and communicating the impact of clinical interventions.
Conduct cost-effectiveness, cost-utility, and budget-impact analyses to evaluate the clinical and economic value of health care interventions.
Research, monitor, and evaluate pharmacy reimbursement initiatives and methodologies through claim and financial analysis, and translate findings into recommendations for pharmacy strategy and decision-making.
Compile and organize HEOR and CER materials for presentations and decision-making.
Maintain positive working relationships with internal teams and external partners, supporting collaborative clinical and economic evaluations.
Continue developing data analytics, clinical, and consultative communication skills through team projects and training.
Perform other duties as assigned.