Manager, Pharmacy Analytics

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

The Manager, Pharmacy Analytics plays a critical role in driving informed decision-making, optimizing pharmacy operations, and improving patient outcomes through the strategic use of data and analytics.

The incumbent will leverage data to drive insights and strategies within the pharmacy department. This individual will be responsible for leading a team of analysts to gather, analyze, and interpret data related to Pharmacy benefit, formulary, patient outcomes, prescription trends, and financial performance. Additionally, the manager will collaborate with cross-functional teams to develop and implement data-driven initiatives that support the organization's overall goals and objectives.

You Will

The Manager, Data Analytics (aka Manager, Pharmacy Analytics) will lead a team of analysts in collecting, organizing, and analyzing healthcare data from various sources, including electronic health records, claims databases, and internal and external systems.

Develop and maintain robust data models, dashboards, and reports to track key performance indicators (KPIs) related to pharmacy operations, medication adherence, patient outcomes, and financial metrics.

Conduct in-depth analyses to identify trends, drivers, patterns, and opportunities for improvement in pharmacy services, medication utilization, and cost-effectiveness.

Collaborate with pharmacy leadership to define analytics priorities, set performance targets, and establish metrics for measuring success.

Support regulatory compliance efforts by working with internal and external audit teams on providing data for various audits. Stay informed about industry trends, advancements in pharmacy informatics, and emerging technologies to continuously enhance analytical capabilities and drive innovation.

Communicate findings and recommendations to stakeholders through presentations, reports, and data visualization tools to facilitate data-driven decision-making at all levels of the organization.

Mentor and develop team members, providing guidance on analytical techniques, best practices, and professional growth opportunities. Provide oversight and management for projects and analytic activities within the team.

Collaborate with department leadership to anticipate and understand changes in the pharmacy landscape, including, but not limited to, changes in regulations, benefit administration, and quality-related operations.

Lead and/or facilitate quantitative analysis to identify opportunities to enhance programs and processes improving quality of care, cost, and/or utilization.

The Manager, Data Analytics (aka Manager, Pharmacy Analytics) will develop a high functioning team in order to effectively execute the plans developed by the department and organization. Oversee projects/plans from inception to completion.

Facilitate IT Portfolio Requests for the department.

Accomplish staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching and counseling employees; initiating, coordinating, and enforcing systems, policies, and procedures.

Maintain knowledge and understanding of industry and technology trends through literature reviews, participation in webinars/conferences, and review of regulatory and policy guidance.

Actively support the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

Preferred, but not required: Bachelor's degree in Pharmacy, Healthcare Administration, Data Science, Statistics, or a related field; or Master’s Degree preferred in a related field, with an emphasis on quantitative analysis and process design/improvement.

A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.

3-5 years of related experience in healthcare analytics, pharmacy informatics, or a related field.

2-3 years of demonstrated management and leadership experience.

2+ years of prior managed care experience with Part D at a pharmacy benefit manager or health plan.

Excellent analytical skills with the ability to translate complex data into actionable insights and recommendations.

Effective communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders.

Leadership qualities, including the ability to motivate, mentor, and develop a high-performing team.

Detail-oriented with a commitment to accuracy and data integrity.

Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.

Strong organizational and multitasking skills.

Ability to appropriately maintain confidentiality.

Proficiency in understanding and implementing business workflows, preferably in a healthcare setting.

Knowledge of CMS requirements and quality improvement initiatives.

Strong understanding and experience with Health IT – specifically, clinical interoperability and pharmacy data management including, but not limited to, pharmacy claims, prescription drug events (PDE), industry drug databases, and formulary data.

Strong understanding of pharmacy financial data.

What's in it for you?

Base salary range: $125,400 to $200,600 per year Work mode: Mostly Remote Internal title: Manager, Data Analytics An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday Excellent 401(k) Retirement Saving Plan with employer match and contribution Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day

We're always looking for talented people to join our team Qualified applicants are encouraged to apply now

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

#J-18808-Ljbffr