Pharmacy Analyst III
About The Position
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. In this position, the Pharmacy Analytics Analyst will evaluate and assess pharmacy data to identify trends and opportunities. This specialized pharmacy healthcare analyst role will possess an understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline, and PBM contracting elements. The Pharmacy analyst will determine requirements, create standards and/or define metrics to ensure complete and accurate pharmacy reporting. The analyst will provide Insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making. The ideal candidate will possess strong analytical skills, and an understanding of the healthcare and PBM landscape.
Requirements
- A minimum of 5 years of experience in pharmacy healthcare analytics, with a focus on data analysis or trend management.
- Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
- Strong analytical skills with the ability to interpret complex data sets and generate actionable insights.
- Proficient in report development and automation tools.
- Demonstrated ability to created comprehensive, visually engaging reports that effectively communicate data insights.
- Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
Nice To Haves
- Understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline, and PBM contracting elements.
- Understanding of the healthcare and PBM landscape.
Responsibilities
- Leverage analytical tools in the collection, analysis and reporting of pharmacy data, pharmacy trends, and key performance metrics
- Utilize statistical methods and data analysis tools to identify trends in pharmacy claims and other pharmacy data and key performance indicators
- Demonstrate knowledge of components of trend for pharmacy and medical reporting and turn into actionable insights
- Create and present comprehensive reports that summarize findings, highlight trends and provide actionable insights to stakeholders
- Document report development and data processes into formal process and procedure artifacts
- Stay informed about industry trends, emerging technologies, and best practices in pharmacy healthcare to drive continuous improvement within the pharmacy trend management processes
- Provide training and support to team members on data analysis tools and methodologies, fostering a culture of learning and professional development
- Facilitate collaboration with various stakeholders including, clinical, financial, actuary, provider, network, and operations
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
