Medica Health Plans

Pharmacy Analyst III

Medica Health Plans$78K — $118K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience in pharmacy healthcare analytics focusing on data analysis or trend management.
  • Proficient in data analysis tools such as Microsoft Excel, Tableau, SQL, SAS, or similar.
  • Strong analytical skills to interpret complex data sets and generate actionable insights.
  • Experience in report development and automation with ability to create visually engaging reports.
  • Understanding of pharmacy and medical claims, drug pricing, and PBM contracting elements.

Responsibilities

  • Evaluate pharmacy data to identify trends and opportunities.
  • Utilize analytical tools for data collection, analysis, and reporting.
  • Create comprehensive reports summarizing findings and actionable insights.
  • Document report development and data processes for standardization.
  • Collaborate with clinical, financial, and operational stakeholders to drive decisions.
  • Stay updated on industry trends and best practices for continuous improvement.
  • Provide training and support to team members on data analysis methodologies.

Benefits

  • Competitive medical, dental, and vision insurance.
  • Generous paid time off (PTO) and holidays.
  • Paid volunteer time off to support community engagement.
  • 401K contributions for retirement savings.
  • Caregiver services and additional support benefits.
Full Job Description
In this position, the Pharmacy Analytics Analyst will evaluate and assess pharmacy data to identify trends and opportunities. This specialized pharmacy healthcare analyst role will possess an understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline, and PBM contracting elements. The Pharmacy analyst will determine requirements, create standards and/or define metrics to ensure complete and accurate pharmacy reporting. The analyst will provide Insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making. The ideal candidate will possess strong analytical skills, and an understanding of the healthcare and PBM landscape.

Key Accountabilities

  • Data Mining and Report Development
    • Leverage analytical tools in the collection, analysis and reporting of pharmacy data, pharmacy trends, and key performance metrics

  • Data Analysis and Report Development
    • Utilize statistical methods and data analysis tools to identify trends in pharmacy claims and other pharmacy data and key performance indicators
    • Demonstrate knowledge of components of trend for pharmacy and medical reporting and turn into actionable insights
    • Create and present comprehensive reports that summarize findings, highlight trends and provide actionable insights to stakeholders

  • Documentation
    • Document report development and data processes into formal process and procedure artifacts

  • Continuous Improvement & Training and Development
    • Stay informed about industry trends, emerging technologies, and best practices in pharmacy healthcare to drive continuous improvement within the pharmacy trend management processes
    • Provide training and support to team members on data analysis tools and methodologies, fostering a culture of learning and professional development

  • Cross Department Collaboration
    • Facilitate collaboration with various stakeholders including, clinical, financial, actuary, provider, network, and operations


Specific types of experience or skills required:

  • Technical Skills: Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
  • Strong analytical skills with the ability to interpret complex data sets and generate actionable insights.
  • Proficient in report development and automation tools. Demonstrated ability to created comprehensive, visually engaging reports that effectively communicate data insights.


Required Qualifications

  • A minimum of 5 years of experience in pharmacy healthcare analytics, with a focus on data analysis or trend management.


Specific types of experience or skills required

  • Technical Skills: Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
  • Strong analytical skills with the ability to interpret complex data sets and generate actionable insights.
  • Proficient in report development and automation tools. Demonstrated ability to created comprehensive, visually engaging reports that effectively communicate data insights.


This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

About Medica Health Plans

Medica Health Plans is a non-profit health insurance company based in Minnesota. It was founded in 1975 and provides health insurance to individuals, families, and employers in Minnesota, North Dakota, South Dakota, and Wisconsin. Medica offers a variety of health plans, including HMO, POS, PPO, and Medicare Advantage plans. The company also offers dental, vision, and pharmacy benefits. Medica has received high ratings for customer satisfaction and quality of care. The company is committed to improving the health of its members and the communities it serves.
Learn more about Medica Health Plans
Size
1,700 employees
Industry
Founded
1975

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