Principal Pharmacy Analytics Lead

🕒 Junho 3

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Lumeris

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

Healthcare Insurance • SaaS

Lumeris é uma empresa focada em fornecer soluções de cuidados baseados em valor na indústria de saúde. Com mais de uma década de liderança neste campo, a Lumeris faz parcerias com sistemas de saúde para melhorar os resultados dos pacientes e impulsionar o sucesso financeiro por meio de soluções habilitadas por tecnologia. Sua plataforma apoia a gestão da saúde populacional, a transformação da prestação clínica e a contratação de pagadores, oferecendo soluções abrangentes para gestão de pacientes agudos, pós-agudos e de alto risco. A Lumeris é reconhecida por criar economias de custo significativas e alcançar excelentes resultados para os pacientes, incluindo uma classificação de 5 estrelas do CMS para seu Plano de Medicamentos sob Prescrição do Medicare Advantage.

Descrição

• Design, build, and maintain pharmacy analytic assets, including dashboards, data extracts, recurring performance views, and executive-ready reporting products across medication adherence, Part D quality, and cost trends. • Translate pharmacy business requirements into auditable analytic logic, including adherence calculations, drug hierarchy assumptions, and opportunity sizing. • Analyze multi-source data (PBM/Rx claims, medical claims, eligibility, clinical) to establish baselines, detect trends, and uncover root causes of performance gaps in areas like medication adherence and 90-day prescription adoption. • Partner with Pharmacy, Clinical, Finance, and Operations stakeholders to prioritize high-impact opportunities and convert analytic insights into intervention targeting and measurable performance improvement. • Automate and scale recurring pharmacy reporting to reduce manual effort through scalable dashboards, reusable SQL, documented logic, and repeatable processes. • Create and manage validation routines, QA checks, and reconciliation processes to ensure pharmacy reporting is accurate, trusted, reproducible, and audit-ready. • Translate complex pharmacy, PBM, and financial logic into clear, decision-ready performance narratives for non-technical stakeholders and health plan leadership. • Serve as a senior subject matter expert on Medicare Advantage pharmacy analytics, PBM/Rx claims data, Part D quality measures, and formulary concepts.

🎯 Requisitos

• Bachelor's degree in Mathematics, Computer Science, Data Analytics, Public Health, Pharmacy, Health Informatics, or a related field; equivalent experience may be considered. • 7+ years of healthcare analytics experience, with direct experience in pharmacy claims analytics, PBM/Rx data, Medicare Part D, medication adherence, or pharmacy performance analytics. • Hands-on experience writing complex SQL and extracting data from large, multi-layered health plan data environments. • Experience building dashboards, recurring reports, or automated reporting processes using Tableau, Power BI, or similar business intelligence tools. • Experience with PBM data, Medicare Part D operations, medication adherence measures, pharmacy quality measures, or drug cost/utilization trends. • Ability to translate pharmacy business questions into analytic rules, including member cohorts, adherence calculations, and stratification. • Experience working with healthcare datasets such as PBM/Rx claims, medical claims, eligibility, or provider data. • Demonstrated ability to self-direct analyses, manage ambiguity, structure complex problems, and deliver actionable insights with limited direction. • Experience using AI-enabled analytics, automation, or natural language tools to accelerate insight generation. • Strong communication skills with the ability to explain technical concepts and recommended actions to non-technical stakeholders. • Advanced degree in Pharmacy, Public Health, Health Informatics, Analytics, Healthcare Administration, or a related field (e.g., PharmD, MPH, MS Analytics, MBA).

🏖️ Benefícios

• Medical, Vision and Dental Plans • Tax-Advantage Savings Accounts (FSA & HSA) • Life Insurance and Disability Insurance • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) • Employee Assistance Program • 401k with company match • Employee Resource Groups • Employee Discount Program • Learning and Development Opportunities • And much more...