Director of Pharmacy Analytics

United States - Remote R

USD 149K-190K (estimate) Executive-level Full Time

@ S...

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Found 1d ago

Tasks

Analyze formulary and utilization management rules
Contribute to pharmacy offering strategy direction
Develop pharmacy strategies with cross functional teams
Ensure alignment with CMS and payer contract requirements
Integrate payment integrity findings into PBM strategy
Lead or support PBM RFP clinical evaluations
Monitor healthcare regulations and industry standards
Partner with data science on clinical model development
Perform payment integrity anomaly detection
Perform payment integrity trend analysis
Provide working knowledge of PBM operations and claims adjudication
Serve as pharmacy clinical subject matter expert on client calls
Support drug classification and specialty designations
Translate payment integrity findings into actionable analytics stories
Validate clinical logic for pharmacy models

Perks/Benefits

Skills/Tech-stack

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Director of Pharmacy Analytics

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