Elite Technical is seeking a Senior Healthcare Informatics Analyst to support our client within a Pharmacy centric environment. The selected candidate must know Databricks, SQL and SAS along with Pharmacy Analytics.
The selected candidate will independently provide advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, quality, and clinical outcomes. This role develops analytic attributes related to pharmacy utilization management, drug cost optimization, formulary performance, medication adherence, and provider/member pharmacy engagement. In collaboration with Pharmacy, Clinical, Actuarial, Finance, and IT partners, this position leads complex problem solving, solution development, and data driven strategic decision making. Accountable for compliance with all applicable laws and regulations associated with pharmacy data and analytics responsibilities.
The Senior Healthcare Informatics Analyst - Pharmacy Analytics independently designs and delivers analytics that improve how pharmacy services are valued, utilized, and provided. This role develops patient and provider level analytics including pharmacy utilization and outcomes, medication adherence and persistence, formulary and rebate optimization, pharmacy cost management, and pharmacy driven quality measures.
The analyst supports enterprise initiatives across Pharmacy Operations, Medical Management, Actuarial, and Clinical teams, serving as a subject matter expert in pharmacy analytics and translating complex business questions into actionable insights.
Required Skills
-Bachelors degree in healthcare administration, pharmacy, public health, statistics, economics, analytics, computer science, or related field required. Master-s degree in a related field preferred. Four years of related experience may substitute for a Bachelor-s degree. A Master-s degree may substitute for two years of required experience; a Doctorate may substitute for an additional two years
-4 years of healthcare analytics experience, with pharmacy or PBM analytics experience
-Experience analyzing pharmacy claims, formulary performance, drug mix, utilization trends, rebates, and adherence metrics (PDC/MPR)
-Strong critical thinking, analytical, and problem solving skills
-Experience building predictive and explanatory models related to pharmacy utilization, cost, and outcomes
-Knowledge of pharmacy outcomes research, utilization management, and drug trend analysis preferred
-Advanced knowledge of SAS (including Enterprise Miner)
-Strong working knowledge of the U.S. healthcare system in a payer setting, with specific understanding of pharmacy benefits and PBM operations
- Ability to translate complex pharmacy analytics into clear insights for executive, clinical, and technical audiences
Technical Skills:
-Proficiency with SQL, SAS, R, Python, Tableau, or similar analytic/visualization tools
-Domain Expertise (Desired): Pharmacy pricing and payment methodologies (AWP, WAC, MAC, rebates, trend drivers)
-Population health and pharmacy driven interventions
-Risk adjustment concepts and pharmacy-s role in total cost of care
-Clinical groupers and classification systems including GPI, NDC, therapeutic class, DRG, HCC, and related models
-Pharmacy related quality metrics (HEDIS medication measures, STAR ratings)
-Knowledge of commercial and Medicare Advantage pharmacy optimization is a plus
