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SCAN

Not-for-profit Medicare Advantage plan for seniors

Senior Manager - Pharmacy Analytics

Business IntelligenceUpdated on Nov 11
Full-timeRemote in USARemote

About the Job

Requirements

  • A pharmacy degree, such as a PharmD or RPh, is required.
  • Three to five years of related experience in healthcare analytics, pharmacy informatics, or a related field is required.
  • Two to three years of demonstrated management and leadership experience is required.
  • At least two years of prior managed care experience with Part D at a pharmacy benefit manager or health plan is required.
  • The candidate must be able to translate complex data into actionable insights and recommendations.
  • The candidate must be able to convey technical concepts to non-technical stakeholders through effective communication and presentations.
  • The candidate must be able to motivate, mentor, and develop a high-performing team.
  • The candidate must be detail-oriented and committed to accuracy and data integrity.
  • The candidate must be able to manage multiple priorities in a fast-paced, dynamic environment.
  • The candidate must be able to appropriately maintain confidentiality.
  • The candidate must understand and implement business workflows, preferably in a healthcare setting.
  • Knowledge of CMS requirements and quality improvement initiatives is required.
  • The candidate must understand and have experience with Health IT, including clinical interoperability and pharmacy data management such as pharmacy claims, prescription drug events (PDE), industry drug databases, and formulary data.
  • The candidate must have problem-solving skills.

Responsibilities

  • Partner with Pharmacy leadership and lead analysts in collecting, organizing, and analyzing healthcare data from electronic health records, claims databases, and internal and external systems.
  • Develop and maintain data models, dashboards, and reports that track pharmacy operations, medication adherence, patient outcomes, and financial metrics.
  • Analyze pharmacy services, medication utilization, and cost-effectiveness to identify trends, drivers, patterns, and opportunities for improvement.
  • Collaborate with pharmacy leadership to define analytics priorities, set performance targets, and establish success metrics.
  • Support regulatory compliance by working with internal and external audit teams to provide data for audits.
  • Stay informed about pharmacy informatics trends, advancements, and emerging technologies to enhance analytical capabilities and drive innovation.
  • Communicate findings and recommendations through presentations, reports, and data visualization tools to support data-driven decisions across the organization.
  • Mentor and develop team members by providing guidance on analytical techniques, best practices, and professional growth opportunities.
  • Oversee and manage projects and analytical activities within the team.
  • Collaborate with department leadership to anticipate and understand changes in pharmacy regulations, benefit administration, and quality-related operations.
  • Lead or facilitate quantitative analyses to identify opportunities to improve programs and processes related to quality of care, cost, and utilization.
  • Develop a high-functioning team to execute department and organizational plans.
  • Oversee projects and plans from inception to completion.
  • Facilitate IT Portfolio Requests for the department.
  • Communicate job expectations; plan, monitor, and appraise staff results; coach and counsel employees; and initiate, coordinate, and enforce systems, policies, and procedures.
  • Maintain knowledge of industry and technology trends through literature reviews, webinars, conferences, and reviews of regulatory and policy guidance.
  • Actively support the achievement of SCAN’s vision and goals.
  • Perform other duties as assigned.

Desired Qualifications

  • Curiosity about AI and its potential to transform operations and member service.
  • Experience implementing business workflows in a healthcare setting.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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