Your Role

The Pharmacy Cost of Health Care and Outcome Evaluation team provides pharmacy cost of health modeling, projection, financial and clinical outcome evaluation, clinical program monitoring, and rebate reporting analytics. The senior Health Analyst will report to Medical Informatics Senior Manager. In this role you will support internal and external needs for pharmacy data and rebate reporting/analytics, including but not limited to, report automation, in-depth drill down on report reconciliations, research and development of rebate allocation methodologies, and customized reporting solutions.

Your Work

In this role, you will:

• Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
• Assist in identifying systems and operational problems and recommend solutions and changes to streamline procedures for more effective reporting
• Interact with internal and external customers to define complex reporting needs and specifications; design and implement complex report programming according to specifications
• Present effectively to internal and external customers on analytics/reports/presentations that are critical for their business continuity and decision making
• Participate in internal and external task forces and committees to provide analytical insights and support for the implementation of new programs, applications, products, and services and enhancement of existing applications/systems
• Support the principal analyst and work in the team environment to support day to day data processing, reporting and analytics, and validations
• Work closely with customers on report development and automation, in-depth drill down on the report reconciliations, research, and development of rebate allocation methodologies
• Apply an analytical mindset to review and investigate the report and analytical outputs, summarize key findings, and communicate and propose solutions if needed
• Provide overall analyses support pertaining to the pharmacy and medical drug rebates for partner departments and help stakeholders understand the caveats and impacts
• Contribute to the research and development of new analyses, operation process improvement, and internal quality control and perform other analytics duties as required

Your Knowledge and Experience

• BA/BS with demonstrated equivalent work experience required. MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business preferred.
• Requires at least 5 years of prior relevant experience
• At least 3 years of experience in Health Care (managed care, academic, or gov't payer) strongly preferred
• Prior experience and demonstrated ability to work with large datasets strongly preferred
• Prior experience with pharmacy claims and familiarity with pharmacy metrics for analysis preferred
• Capability to follow the guidance and work closely with the lead consultant on daily operations
• Exhibits a "can do" attitude and solution-oriented approach to resolving challenges
• Capability to deliver accurate work under tight deadlines

Pay Range:

The pay range for this role is: $ 99000.00 to $ 148500.00 for California.

Notes:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

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