Manager, Medical Informatics - Pharmacy Strategy and Operations

Your Role

The Pharmacy Markets, Products, Analytics and Strategies (RxMAPS) team is responsible for leading and collaborating cross-functionally with key stakeholders across Pharmacy Strategy and Operations at Blue Shield of California (BSC). The Rx Analytics and Reporting team drives analytic strategy and performs clinical and business analyses to provide consultations and strategic program recommendations. The Manager, Medical Informatics, Operational Analytics will report to the Senior Manager, Rx Analytics and Reporting. In this role you will either lead Line of Business (LOB) and Employer Group Analytics or Operational Analytics.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a college degree or equivalent experience
• Requires 7 years of prior relevant experience, and 5 years of experience as a Health Data Analyst, Medical Economist, or in a related role within a healthcare setting. Additionally, 5 years of experience in pharmacy benefit management and managed care health plan working with large pharmacy and medical claims data sets is required
• Requires 3 years of management experience gained as a team leader, supervisor, or project/program manager
• Experience with other pharmacy data (e.g., pharmacy and medical rebates, pharmacy networks, prior authorization) is preferred
• Data analytic skills with Microsoft Office (e.g., Excel and Access) and other data analytic tools (e.g., SQL, SAS Viya, Snowflake SQL, Tableau)
• Ability to leverage business and data knowledge to interpret health plan benefit utilization
• Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to an audience with diverse backgrounds

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.