The Health Business Analyst within the Commercial Pharmacy Analytics team will assist in a diverse range of analytical projects with a focus on targeting, investigating and quantifying cost and utilization drivers within pharmacy claims data. The ideal candidate will have strong technical skills, with a combination of pharmacydata experience(e.g., knowledge of therapeutic drug classes, formulary concepts, manufacturer rebates and industry drug trends, etc.), great communication skills and a natural curiosity to understand health insurance informatics.
The Skills You Bring:
Analyze pharmacy claims, authorization and/or formulary data to identify areas of opportunity and provide analyses, conclusions and recommendations in support of Pharmacy business stakeholders
Monitor and evaluate pharmacy patterns, costs and trends as they relate to member utilization of prescription drugs and pharmacy program initiatives and outcomes
Assist in the evaluation of pharmacy program ROI and cost savings using analytical methods and techniques
Investigate and discover areas of opportunity and provide analyses and recommendations to Pharmacy business team stakeholders
Produce basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., Excel, PowerPoint, Tableau)
Modify existing programs and write basic SAS, SQL or R programs for data extraction
Proactively seeks training and builds knowledge/experience of technical tools, coding languages and data sources
2+ years related analytical work experience with a focus in the pharmacy industry or equivalent combination of transferable experience and education
Master's degree in relevant filed can be substituted for work experience requirement.
Bachelor's degree required
Experience with analytics and inferential statistics.
Experience writing SQL/SAS/R code or related code
Working knowledge of pharmacy claims data and their nomenclatures, including NDC, AWP, GPI, WAC, J Codes
Bachelor's degree Business Analytics, Statistics, Data Science, Health Economics or similar program
Master's degree in a related field
Experience with pharmacy formulary evaluation and analysis
Experience with Pharmacy Benefit Managers (PBMs)
We are an Equal Opportunity Employer/Protected Veteran/Disabled.
Florida Blue is an Equal Opportunity Employer - Protected Veteran/Disabled