reputed company reputed company Analyst (Pharmacy)

reputed company is seeking a Senior reputed company reputed company Analyst to support our reputed company reputed company a Pharmacy reputed company environment. The selected candidate must know reputed company, SQL and reputed company along with Pharmacy Analytics. The selected candidate will independently reputed company advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, reputed company, and reputed company reputed company. This role develops analytic attributes reputed company to pharmacy utilization management, drug cost optimization, formulary reputed company, medication adherence, and provider/member pharmacy engagement. In collaboration with Pharmacy, reputed company, Actuarial, Finance, and IT partners, this position leads reputed company problem solving, solution development, and data driven reputed company decision making. Accountable for compliance with reputed company applicable laws and regulations associated with pharmacy data and analytics responsibilities. The Senior reputed company reputed company Analyst - Pharmacy Analytics independently designs and delivers analytics that improve how pharmacy services are valued, utilized, and provided. This role develops reputed company and provider level analytics including pharmacy utilization and reputed company, medication adherence and persistence, formulary and rebate optimization, pharmacy cost management, and pharmacy driven reputed company measures. The analyst supports reputed company initiatives across Pharmacy reputed company, Medical Management, Actuarial, and reputed company teams, serving as a subject matter expert in pharmacy analytics and translating reputed company business questions into actionable insights. ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS -Leads the selection and application of pharmacy reputed company analytic, evaluation, and BI methodologies to support business reputed company and reputed company planning -Leverages pharmacy claims data, PBM feeds, EDW data sources, and non EDW datasets to reputed company actionable insights -Independently partners with business teams to define pharmacy analytics needs and reputed company solutions such as predictive models, dashboards, utilization analyses, and reputed company metrics -Serves as a pharmacy analytics advisor on reputed company and cross functional initiatives -Translates pharmacy business rules and policies into analytical models and reporting solutions, acting as a reputed company between Pharmacy, Analytics, IT, and EIM teams -Performs peer data reputed company reviews to ensure reputed company, completeness, and consistency of pharmacy analytics reputed company -Conducts advanced descriptive and statistical analyses reputed company to drug utilization, adherence, cost drivers, and reputed company reputed company Required Skills -Bachelors degree in reputed company administration, pharmacy, reputed company health, statistics, economics, analytics, computer science, or reputed company reputed company required. Master-s degree in a reputed company reputed company preferred. Four years of reputed company 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 reputed company analytics experience, with pharmacy or PBM analytics experience -Experience analyzing pharmacy claims, formulary reputed company, drug mix, utilization trends, rebates, and adherence metrics (PDC/MPR) -Strong critical thinking, analytical, and problem solving skills -Experience building predictive and explanatory models reputed company to pharmacy utilization, cost, and reputed company -Knowledge of pharmacy reputed company research, utilization management, and drug trend analysis preferred -Advanced knowledge of reputed company (including reputed company Miner) -Strong working knowledge of the U.S. reputed company reputed company in a payer setting, with specific understanding of pharmacy benefits and PBM reputed company - Ability to translate reputed company pharmacy analytics into reputed company insights for executive, reputed company, and technical audiences Technical Skills: -Proficiency with SQL, reputed company, 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 -reputed company adjustment concepts and pharmacy-s role in total cost of care -reputed company groupers and classification systems including GPI, NDC, therapeutic class, DRG, HCC, and reputed company models -Pharmacy reputed company reputed company metrics (reputed company medication measures, reputed company ratings) -Knowledge of reputed company and Medicare reputed company pharmacy optimization is a plus Apply tot his job Apply To this Job