Manager, Medical Informatics

Your Role

The Data & Analytics (D&A) team partners with enterprise-wide business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes.  Reporting to the Senior Manager of Pharmacy Analytics, the Manager of Pharmacy Analytics is responsible for working with the key stakeholders from Pharmacy and Health Solutions, and others to be the Data & Analytics partner in accelerating achieving business objectives and operations.  This critical analytics team collaborates with other analytical and business teams and delivers analytical insights to power the business forward.  This role requires not only in-depth knowledge of pharmacy claims data domain, but also a broad understanding of the business and business levers that matter.   Being able to act as a “two-in-a-box” partner with business stakeholders is critical.  You will be leading a group of analysts, managing against multiple competing deadlines, supporting stakeholders and D&A to achieve their goals. 

This role must be adept at “translating” the business problem and/or requirements into an analytical approach, driving the team of consultants, and bringing in other specialties from within the D&A team such as data engineering, visualization, predictive modeling, and data governance as appropriate.  The Manager of Pharmacy Analytics leads a team of analysts, has in-depth understanding of how information is consumed, and how analytics support these key business functions in the organization.  Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building, and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

 

Your Work

  • Partner with pharmacy operations team as a data analytics subject matter expert to address data needs to support pharmacy operational and compliance needs.
  • Manage data operations to support pharmacy claims and rebate programs.
  • Design, develop and lead analytical solutions to support client growth and retention, pharmacy performance measurement for ACO provider partnerships.
  • Lead a team of analysts who provide data support for pharmacy cost of healthcare, clinical programs, Medicare, and Medicaid mandated regulatory reporting needs and data extracts. 
  • Implement data quality rules necessary to ensure timely and accurate delivery of reports.
  • Provide pharmacy data expertise to cloud migration teams.
  • Partner with other Data and Analytics teams like advanced analytics and data services to provide scalable analytical solutions to pharmacy operation.
  • Work closely with senior manager of pharmacy analytics and pharmacy management to drive adoption of analytical products developed.
  • Lead the transition of current ETL process to Data Services team.
  • Perform other functions as needed.

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We’re excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Area’s top companies in volunteering & giving, and one of the world’s most ethical companies. Here at Blue Shield of California, we’re striving to make a positive change across our industry and the communities we live in , Join us!

Related Post