UNITE HERE HEALTH
Sr. Pharmacy Data Analyst Manager
UNITE HERE HEALTH, Oak Brook, Illinois, United States, 60523
Overview
Senior Pharmacy Data Analyst Manager role at UNITE HERE HEALTH. The Senior Pharmacy Data Analyst Manager leads the analysis and interpretation of pharmacy benefit management (PBM) data to support clinical, operational, and financial initiatives, enabling data-driven decision-making and strategic planning across the PBM. This role oversees pharmacy data governance, ensures data quality and integrity, and supports the development and delivery of reporting and analytics solutions. Base pay range
$124,900.00/yr - $156,200.00/yr Essential Qualifications
7~10 years or more years’ experience in data analytics, with a specific focus on PBM pharmacy data. 4+ years of experience working at a PBM Bachelor's degree in a quantitative field such as Data Science, Statistics, or Health Policy. Strong understanding of PBM operations, including benefit plan design, formulary management, claims adjudication, and eligibility processing. Experience working with data warehouses, large datasets, and structured/unstructured data sources. Strong understanding of PBM pharmacy claims data and healthcare analytics. Working knowledge of industry coding (revenue codes, ICD-9 or ICD-10, HCPCS, CPT, Medispan, etc.). Working knowledge of Formulary and Drug management concepts (Tiers, Prior Authorization, Quantity Limits, Step Therapy, etc.). Ability to format reports and explain results. Demonstrated ability to manage complex projects. Organizational and time management skills to prioritize workload and meet deadlines. Must be results oriented with the ability to change priorities as needed. Excellent verbal and written communication, client-facing, and organizational skills. Familiarity with claims processing systems (e.g., RxCLAIM) and Medispan or First Databank. Proficiency with project management tools (e.g., MS Project, Jira, Smartsheet) and Microsoft Office Suite. Skills And Abilities
Advanced level Microsoft Office skills (PowerPoint, Word, Access, Outlook) Advanced level Microsoft Excel skills Advanced proficiency in writing complex and optimized SQL queries Advanced skills in data visualization tools like Tableau, Power BI, or Looker Advanced level system(s) skills in SQL Knowledge of SAS, R, or Python for advanced data manipulation or statistical modeling Experience with formulary coding options and pharmacy network configuration and claims adjudication Knowledge of clinical drug information or manufacturer rebates preferred Robust critical thinking and problem-solving abilities to interpret data and identify actionable insights Excellent written and verbal communication skills to effectively present technical information and recommendations to stakeholders Strong understanding of the pharmacy benefits industry, including data structures, analytics, and healthcare regulations Strong organizational, time management, project management, and interpersonal skills Ability to work collaboratively with all levels of staff Ability to provide effective leadership Ability to manage multiple projects and priorities Salary and Benefits
Salary range: $124,900 to $156,200. Actual base salary may vary based on experience, qualifications, certifications, licenses, education or equivalent work experience, location, and market data. Benefits include medical, dental, vision, PTO, holidays, 401(k), disability, life insurance, FSA, commuter benefits, tuition assistance, and EAP. Work Schedule
Monday through Friday, 7.5 hours per day (37.5 hours per week) as a flexible hybrid employee.
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Senior Pharmacy Data Analyst Manager role at UNITE HERE HEALTH. The Senior Pharmacy Data Analyst Manager leads the analysis and interpretation of pharmacy benefit management (PBM) data to support clinical, operational, and financial initiatives, enabling data-driven decision-making and strategic planning across the PBM. This role oversees pharmacy data governance, ensures data quality and integrity, and supports the development and delivery of reporting and analytics solutions. Base pay range
$124,900.00/yr - $156,200.00/yr Essential Qualifications
7~10 years or more years’ experience in data analytics, with a specific focus on PBM pharmacy data. 4+ years of experience working at a PBM Bachelor's degree in a quantitative field such as Data Science, Statistics, or Health Policy. Strong understanding of PBM operations, including benefit plan design, formulary management, claims adjudication, and eligibility processing. Experience working with data warehouses, large datasets, and structured/unstructured data sources. Strong understanding of PBM pharmacy claims data and healthcare analytics. Working knowledge of industry coding (revenue codes, ICD-9 or ICD-10, HCPCS, CPT, Medispan, etc.). Working knowledge of Formulary and Drug management concepts (Tiers, Prior Authorization, Quantity Limits, Step Therapy, etc.). Ability to format reports and explain results. Demonstrated ability to manage complex projects. Organizational and time management skills to prioritize workload and meet deadlines. Must be results oriented with the ability to change priorities as needed. Excellent verbal and written communication, client-facing, and organizational skills. Familiarity with claims processing systems (e.g., RxCLAIM) and Medispan or First Databank. Proficiency with project management tools (e.g., MS Project, Jira, Smartsheet) and Microsoft Office Suite. Skills And Abilities
Advanced level Microsoft Office skills (PowerPoint, Word, Access, Outlook) Advanced level Microsoft Excel skills Advanced proficiency in writing complex and optimized SQL queries Advanced skills in data visualization tools like Tableau, Power BI, or Looker Advanced level system(s) skills in SQL Knowledge of SAS, R, or Python for advanced data manipulation or statistical modeling Experience with formulary coding options and pharmacy network configuration and claims adjudication Knowledge of clinical drug information or manufacturer rebates preferred Robust critical thinking and problem-solving abilities to interpret data and identify actionable insights Excellent written and verbal communication skills to effectively present technical information and recommendations to stakeholders Strong understanding of the pharmacy benefits industry, including data structures, analytics, and healthcare regulations Strong organizational, time management, project management, and interpersonal skills Ability to work collaboratively with all levels of staff Ability to provide effective leadership Ability to manage multiple projects and priorities Salary and Benefits
Salary range: $124,900 to $156,200. Actual base salary may vary based on experience, qualifications, certifications, licenses, education or equivalent work experience, location, and market data. Benefits include medical, dental, vision, PTO, holidays, 401(k), disability, life insurance, FSA, commuter benefits, tuition assistance, and EAP. Work Schedule
Monday through Friday, 7.5 hours per day (37.5 hours per week) as a flexible hybrid employee.
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