Pharmacy Data Analytics Jobs in Rochester, NY (NOW HIRING)

• Provide direct support for Pharmacy and Medical Drug information needs using analytic tools and applications
• Work with internal and external stakeholders and management to achieve Pharmacy Markets strategy, growth, compliance, and affordability objectives
• Analyze data to identify business problems, trends, and process-improvement opportunities
• Provide consultation and analytic support for the Pharmacy Division, Health Plan departments, and external vendors
• Research, analyze, and evaluate feasibility of new Pharmacy products and programs
• Communicate health plan costs, utilization trends, and savings strategies to management, steering committees, and project sponsors
• Develop and deliver actionable insights to enterprise stakeholders
• Conduct comparative pricing analyses for pharmacy benefit Requests for Proposal with Sales, Finance, and Actuarial
• Support strategy development and innovative programs aligned with enterprise and pharmacy goals
• Support compliance with governmental, contractual, and corporate guidelines and participate in CMS and DOH compliance audits
• Develop standardized reporting and processes
• Compile and process complex datasets and provide user-friendly, actionable insights
• Collaborate with Business Intelligence teams to develop automated reports, dashboards, and cubes
• Engage external partners and customers, including employer groups, brokers, consultants, providers, and vendors
• Create strategies to reduce healthcare costs
• Manage multiple projects with competing deadlines
• Collaborate with team members and support their growth and development
• Investigate data issues and proactively communicate concerns to management and business partners
• Level II: train and mentor analysts, serve as a subject matter expert, and develop data strategies and process efficiencies
• Level III: optimize reporting tools, connect claims and healthcare management data, and develop predictive cost-savings models with Data Science
• Level IV: recommend advanced analytic models, perform data mining, conduct complex performance analysis, improve visual analytics, interpret model outputs, assess analytic product upgrades, and prepare studies for publication or national meetings
• Maintain member privacy, uphold the Corporate Code of Conduct and Lifetime Way values, and meet attendance requirements

• Bachelor’s degree in Mathematics, Statistics, Medical Informatics, Economics, or related field preferred; alternatively, two (2) related years’ experience in data or information analyses and reporting
• Knowledge and applicable use of analytic tools including SAS, Cognos, Excel, Access, SPSS, DataFlux, AQT, WinSCP, and PuTTY
• Proficiency in SAS and/or Cognos and Microsoft tools
• Working knowledge of Microsoft Office Suite
• Knowledge of basic statistical concepts and strong analytical and problem-solving skills
• Ability to simplify complex datasets for varied audiences through visual interpretation and highlighting impactful data points
• Intermediate understanding of healthcare products and operational business knowledge
• Demonstrated analytic abilities and ability to complete projects with minimal supervision
• Knowledge of the healthcare system and experience with physician or hospital claims/group data preferred
• Excellent oral and written communication skills
• Ability to work collaboratively with internal and external customers and business partners
• Level II: minimum three years’ analytic experience in the healthcare industry
• Level II: ability to work with datasets of 2TB or greater and integrate structured and unstructured data across multiple sources
• Level II: Microsoft Office Suite, VBA, SQL, Power Play, Impromptu, and moderate SAS proficiency
• Level III: minimum five years’ experience using statistical concepts and tools
• Level III: demonstrated expertise in relational databases, data mining, forecasting, predictive modeling, and/or actuarial techniques
• Level IV: minimum three years’ healthcare-specific predictive modeling experience or seven years’ experience in health informatics
• Level IV: ability to create, develop, and validate models independently
• Level IV: SAS Base Certification required
• Level IV: advanced analytic software programming proficiency, including SAS EBI Suite, Information Maps, Stored Processes, Web Report Studio, and Information Delivery Portal
• Ability to work prolonged periods at a workstation and use a computer
• Ability to travel across the Health Plan service region for meetings and/or training as needed

Demonstrates expertise in data analysis and reporting, utilizing tools such as SAS and Cognos to provide actionable insights for healthcare strategies. Proficient in statistical concepts and capable of simplifying complex datasets for diverse audiences while ensuring compliance with healthcare regulations.

• SAS Proficiency
• Cognos Expertise
• Data Analysis
• Healthcare Industry Knowledge
• Predictive Modeling

• Data Analysis
• Statistical Concepts
• Predictive Modeling
• Data Mining
• Relational Databases
• Analytic Tools
• Reporting
• Process Improvement
• Healthcare Claims Analysis
• Project Management

• Excellent Communication Skills
• Collaborative Teamwork
• Problem-Solving Skills
• Mentoring
• Analytic Abilities

• SAS Base Certification

• Healthcare
• Pharmacy
• Compliance
• Data Strategy
• Cost-Savings Models
• Health Informatics
• CMS Compliance
• DOH Compliance
• Healthcare Products
• Analytic Support

• SAS
• Cognos
• Microsoft Office Suite
• Excel
• Access
• SPSS
• DataFlux
• AQT
• VBA
• SQL