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Senior Healthcare Informatics Analyst - Pharmacy

United States, Baton Rouge · Job Posted May 05, 2026
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Job Description

The Senior Healthcare Informatics Analyst – Pharmacy Analytics role focuses on providing advanced analytics to enhance pharmacy benefit utilization and clinical outcomes. Candidates should have at least 4 years of healthcare analytics experience, particularly in pharmacy or PBM analytics, and be proficient in tools like SAS, SQL, R, and Tableau. A bachelor's degree in a relevant field is required, with a master's preferred. Responsibilities include leading analytic methodologies, leveraging pharmacy claims data, and conducting statistical analyses. This position offers an opportunity to collaborate with various departments to drive data-driven decision-making.

Job Responsibility

  • Leads the selection and application of pharmacy-focused analytic, evaluation, and BI methodologies to support business decisions and strategic planning
  • Leverages pharmacy claims data, PBM feeds, EDW data sources, and non-EDW datasets to deliver actionable insights
  • Independently partners with business teams to define pharmacy analytics needs and develop solutions such as predictive models, dashboards, utilization analyses, and performance metrics
  • Serves as a pharmacy analytics advisor on enterprise and cross-functional initiatives
  • Translates pharmacy business rules and policies into analytical models and reporting solutions, acting as a liaison between Pharmacy, Analytics, IT, and EIM teams
  • Performs peer data quality reviews to ensure accuracy, completeness, and consistency of pharmacy analytics output
  • Conducts advanced descriptive and statistical analyses related to drug utilization, adherence, cost drivers, and clinical outcomes

Requirements

  • 4 years of healthcare analytics experience, with pharmacy or PBM analytics experience strongly preferred
  • 3 years experience analyzing pharmacy claims, formulary performance, drug mix, utilization trends, rebates, and adherence metrics (PDC/MPR)
  • 2 years experience/advanced knowledge of SAS (including Enterprise Miner) preferred
  • 3 years experience with SQL, SAS, R, Python, Tableau, or similar analytic/visualization tools
  • Bachelors degree in healthcare administration, pharmacy, public health, statistics, economics, analytics, computer science, or related field required
  • Masters degree in a related field preferred
  • Strong critical thinking, analytical, and problem-solving skills
  • Experience building predictive and explanatory models related to pharmacy utilization, cost, and outcomes
  • Knowledge of pharmacy outcomes research, utilization management, and drug trend analysis preferred
  • Strong working knowledge of the U.S. healthcare system in a payer setting, with specific understanding of pharmacy benefits and PBM operations
  • Pharmacy pricing and payment methodologies (AWP, WAC, MAC, rebates, trend drivers)
  • Population health and pharmacy-driven interventions
  • Risk adjustment concepts and pharmacys role in total cost of care
  • Clinical groupers and classification systems including GPI, NDC, therapeutic class, DRG, HCC, and related models
  • Pharmacy-related quality metrics (HEDIS medication measures, STAR ratings)
  • Knowledge of commercial and Medicare Advantage pharmacy optimization is a plus
  • Excellent verbal and written communication skills
  • Ability to translate complex pharmacy analytics into clear insights for executive, clinical, and technical audiences

Nice to have

Knowledge of commercial and Medicare Advantage pharmacy optimization is a plus

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