Excellus BCBS

Pharmacy Analytics Consultant I/II

Rochester, New York, United States of America · Mid

Sponsorship not specifiedDetected 35 days ago

SQLData AnalysisData ScienceStatisticsForecastingExcelSASSPSSResearchLeadershipCommunicationProblem SolvingMentoringAdaptabilityMicrosoft OfficeActuarial Science

About the role

Analyzes data to determine business problem, trends or opportunities for process improvements.
Communicate effectively with all levels of the organization related to, but not limited to, health plan cost, utilization trends and savings strategies.
Articulate results, insights and recommendations to management, steering committees and/or project sponsors.

Responsibilities

Level I Perform research on projects and manage and lead projects to successfully meet business objectives from across the enterprise.
Identify needs to develop new and innovative Pharmacy products, perform appropriate research, analyses, and evaluate feasibility of the administration and implementation of products.
Develop and deliver actionable insights to key enterprise stakeholders.
Actively participating in collaborative meetings with internal and external partners.
Provide analytics to support strategy development and innovative programs that align with enterprise and pharmacy goals and objectives.
Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines, regulations, and policies and procedures.
Develop and establish standardized reporting and processes to support maintenance of business activities.

Requirements

In lieu of a degree, a minimum of two related years' experience in data or information analyses and reporting.
Ability to approach data analysis with different data mining techniques, statistical techniques (when applicable).
Working knowledge of Microsoft Office Suite.
Knowledge of basic statistical concepts and have strong analytical and problem-solving skills with attention to detail.
Demonstrated analytic abilities combined with capabilities for completing projects with minimum degree of supervision.
In depth knowledge of product and member desirable.
High degree of initiative, proactive attitude and commitment to teamwork.
Knowledge of advance statistical concepts and has strong analytical and problem-solving skills.
Must have the ability to work with large datasets (2TB or greater) and integrate large data across multiple sources (structured and unstructured).
Strong PC/programming skills including Microsoft Office Suite, VBA, SQL, Power Play and Impromptu and moderate proficiency in SAS required.
A minimum of three years' analytic experience in Healthcare industry.
Demonstrated ability to effectively interact with internal and external customers with particular strength translating user information needs into requirements and delivering high quality results.
Strong analytical, diagnostic, and problem-solving abilities with attention to detail.
Ability to quickly develop expertise in new application domains and analytic tools.
Consistently demonstrated high quality and accuracy of work.
Self-motivation, initiative, and an ability to perform under pressure with little supervision.
A minimum of five years' experience using statistical concepts and tools.
Master's Degree with at least two years of statistical analysis preferred.
Demonstrated expertise in relational database concepts.
Demonstrates advanced statistical capabilities, data mining, forecasting and predictive modeling skills, and/or actuarial techniques.

Benefits

Provide consultation and analytic support within the Pharmacy Division, other Health Plan departments and external vendors to ensure the most effective and affordable Pharmacy Benefit.
In partnership with Sales, Finance and Actuarial conduct comparative pricing analyses for pharmacy benefit Requests for Proposal.
Stay current with knowledge of Health Plans tools and data sources/structures to accurately pull and deliver data.

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This listing is sourced directly from Excellus BCBS's careers page and normalized into a canonical job model.