Title: Pharmacy Data Analyst (Contract)- Job#5235
Location: Charlestown, MA
Job Description:
Our client located in Charlestown, MA area has an immediate opening for a Pharmacy Data Analyst to join their team. The Data Analyst will be reporting directly to the Manager of Pharmacy Contracting and Reporting, works autonomously to apply analytical expertise and deliver a comprehensive analysis of pharmacy data, encompassing key performance indicators, member demographics, drug utilization, and other relevant metrics. This role is pivotal in providing actionable insights to support strategic decision-making within the Pharmacy Department using effective communication to drive positive outcomes for the organization. The incumbent will showcase exceptional analytical acumen, with a mastery of SAS and SQL, along with a sophisticated command of the Microsoft suite, enabling seamless data processing and dynamic presentation of insights. As a Pharmacy Data Analyst, this role embodies the highest level of proficiency in analyzing complex pharmacy data, providing strategic insights, and driving actionable recommendations to optimize pharmacy operations and enhance member outcomes.
Responsibilities
- Develop and maintain a centralized dashboard for tracking pharmacy financial, operational, and clinical performance measures.
- Lead the process of regulatory reporting from development, validation, and submission collaborating with vendor partners to ensure data accuracy.
- Conduct data queries to monitor performance metrics, including Medicare STAR measures and quality improvement initiatives.
- Oversee PBM submission of all Part D claims to CMS as PDEs, identifying discrepancies and resolving errors to ensure 100% alignment.
- Assume the leadership role of Pharmacy Data Steward, advising cross-functional departments on data exchange specifications and serving as the subject matter expert for pharmacy data integrity.
- Support program processes by conducting User Acceptance Testing (UAT) and Quality Assurance (QA) testing.
- Collaborate with Pharmacy Department team members to identify, prioritize, and analyze customer needs and requests to include the development and execution of sophisticated data-driven strategies that are closely aligned with the company's overarching mission and strategic objectives
- Communicate effectively with internal cross-functional areas regarding pharmacy programs, formulary management, and pharmacy processes.
- Document workflows, perform analysis, and contribute to the design of systems to meet Pharmacy data needs.
- Deliver compelling presentations of findings and insights to internal stakeholders, effectively communicating complex concepts in a clear, concise, and persuasive manner using Utilize leading BI tools such as Tableau or Power BI.
- Architect and implement intricate data models, data flows, and data integration processes to ensure the accuracy, reliability, and efficiency of data collection, storage, and retrieval mechanisms.
- Engage collaboratively with cross-functional teams, including business stakeholders, data scientists, and developers, to identify optimization opportunities and develop innovative, data-driven solutions.
- Utilize leading BI tools such as Tableau or Power BI to create dynamic, visually compelling reports and distribute actionable insights effectively.
- Harness advanced tools such as Excel (including VBA), Python, or R to manipulate, analyze, and visualize data with precision and sophistication.
Required
- Bachelor's degree in mathematics, information management, information systems, statistics, or an equivalent combination of education, training, and experience. Master's degree preferred.
- Minimum of 5 years of healthcare experience.
- Working knowledge of industry coding standards (e.g., generic product indicators, national drug codes, GPI’s, etc.).
- Proficiency in Microsoft Office applications, particularly MS Outlook, MS Word, and MS Excel, along with proficiency in other data processing applications.
- Intermediate level of proficiency in SQL programming language.
- Firm understanding of IT business processes and the ability to articulate business requirements.
- Demonstrated leadership and consultative skills in engaging with key business partners.
- Strong analytical and clinical problem-solving skills.
- Proficient in queries, report writing, and presentation of findings.
- Aptitude for quickly learning new systems and databases.
- Ability to organize, synthesize, and analyze large volumes of information.
- Capable of managing multiple projects and delivering high-quality products within established timelines.
Preferred
- 5+ years of prior managed care experience, particularly with Medicaid/Medicare Managed Care/Part D.
- Experience with pharmacy benefit managers (PBMs) or direct pharmacy experience.
About Delphi-US
Delphi-US is a national recruiting firm based in Newport, Rhode Island. We specialize in IT, Engineering and Professional Staffing services for premier corporations and a multitude of industries across the United States. We are the Peacemakers In The Talent War – bringing the best and brightest talent to Employers of Choice, enabling critical project success, fostering progressive employment relationships, and promoting competitive advantages for our Clients and the Talent Marketplace we serve. Delphi accomplishes this with a proprietary skill-based and cultural matching process that results in higher qualified submissions along with increased interviews and offer rates. You’ll find our team is highly experienced, friendly, professional and ready to advocate on your behalf, armed with industry trends, and an understanding of employer expectations.
