Health Economics & Outcomes Research (HEOR) Analyst

Wellmark•Des Moines, IA

4d•Hybrid

About The Position

This role, also known internally as a Clinical Pharmacy Analyst, is a newly created opportunity within the Pharmacy team. The analyst will utilize foundational clinical pharmacy knowledge and analytical skills to evaluate pharmacy solutions impacting healthcare delivery. Responsibilities include gathering, validating, and interpreting clinical and economic evidence in a collaborative, matrixed environment. The role involves translating complex data into clear, meaningful insights and contributing to analyses and models that quantify expected benefits, costs, and risks to optimize healthcare resources. The analyst will transform data into concise, actionable recommendations communicating financial impact, member and provider experience, and health outcomes to decision-makers. Collaboration with Business Analytics, Actuarial, and Health Services teams is key for solution performance measurement, data integrity, and documentation. The role also supports formulary maintenance, conducts literature reviews (HEOR/CER), and helps develop presentations. Continuous learning in pharmacoeconomic methods and consultative communication skills is encouraged.

Requirements

Bachelor’s degree in pharmacy or related clinical discipline.
4+ years of clinical pharmacy experience in health plan, PBM, or related industry which includes ability to conduct pharmacoeconomic reviews.
Experience may include relevant internship(s) and pharmacy-based health system roles such as medication use evaluation and pharmacy quality improvement roles.
Proven ability to organize and analyze clinical data, develop predictive models to drive business decisions, interpret the model results, turn data into actionable insights, and effectively communicate model results.
Proficient in Microsoft Office & advanced Excel skills – e.g. pivot tables, trend analysis, and formulas.
Technical aptitude to learn new data management and analysis tools or methodologies quickly.
Excellent analytical skills, data management capabilities, and strong attention to detail.
Ability to review data and provide measurable outcomes and trend measures to support and influence business decisions.
Possesses natural curiosity and able to influence business decisions and devise solutions.
Strong written and verbal communication skills with the ability to accurately and effectively summarize clinical literature.
Effective organization and prioritization skills.
Ability to manage multiple projects simultaneously and consistently meet deadlines while also adapting to changing priorities and business needs.
Strong interpersonal skills to quickly build rapport, credibility and collaborative partnerships with peers, leaders and stakeholders.

Nice To Haves

Direct and applicable experience in data analytics or related field that includes experience with data tools (i.e. SAS, SQL, Excel, etc.).
Strong clinical literature review and analytical writing skills.
Proficiency in HRORF preferred.

Responsibilities

Support the evaluation of pharmacy solutions by collecting, validating, and organizing clinical and economic data.
Participate in opportunity sizing analyses and contribute to the preparation of data-driven recommendations for pharmacy initiatives.
Conduct literature reviews and summarize findings from clinical trials, cost of care studies, and health economic evaluations, focusing on data quality and relevance.
Participate in the creation and maintenance of pharmacy value stories, articulating return on investment (ROI), health outcomes, member, and provider impact.
Perform data entry, modeling, and reporting to support formulary decisions and ongoing formulary maintenance activities.
Develop and maintain tools and templates for tracking outcomes and value associated with clinical pharmacy interventions.
Contribute to cost-effectiveness, cost-utility, and budget impact analyses by preparing data sets and supporting calculations.
Compile and organize Health Economics Outcomes Research (HEOR) and Comparative Effectiveness Research (CER) materials for presentations and decision-making.
Maintain positive working relationships with internal teams and external partners, supporting collaborative pharmacoeconomic evaluations.
Continuously develop skills in evolving data analytics, clinical pharmacy, and consultative communication through active participation in team projects and training.
Other duties as assigned.