RESP & QUALIFICATIONS

PURPOSE The purpose of the Lead Data Analyst Pharmacy is to execute pharmacy business objectives with data and ensure alignment with the goals of Pharmacy and the overall vision of the company. The individual leads the design, development, and delivery of analytics solutions by defining data requirements, analytical approaches, reporting processes, and governance practices needed to address current and future analytics needs of the pharmacy business. This role provides thought leadership and serves as a subject matter expert (SME) in selecting and applying appropriate analytical methods and in translating complex analyses into clear, actionable insights for pharmacy SMEs, business leaders, and executive audiences.

ESSENTIAL FUNCTIONS

• Develop and maintain recurring reporting, executive-ready dashboards, and data presentations that support day-to-day pharmacy operations, key reporting milestones, and leadership decision-making.
• Create clear narratives and visualizations that communicate results, trends, and operational performance.
• Define and interpret statistical and analytical outputs to help pharmacy business leaders derive measurable meaning and value aligned to key pharmacy goals.
• Apply appropriate quantitative, qualitative, or mixed-method approaches to answer business questions and support operational and strategic decisions.
• Based on pharmacy business needs and goals, develop hypotheses and research questions, define scope, and implementation roadmaps to address prioritized analytics needs.
• Ensure analytic work is structured, documented, and aligned to business outcomes.
• Define and develop analytic frameworks, data definitions, and data governance methodologies to achieve pharmacy business data and analytics goals.
• Promote consistency in metric definitions and reporting logic to ensure trusted, reproducible analytics.
• Partner with internal and external stakeholders to understand pharmacy business goals, data requirements, and solution dependencies.
• Coordinate inputs across teams (e.g., Finance, Actuarial, Legal, Compliance, Strategy) and communicate progress, constraints, and key decisions required to deliver analytic tools and insights.
• Partner with internal and external stakeholders to understand pharmacy business goals, data requirements, and any solution dependencies, risks, or issues to develop analytic tools, capabilities, and services such as segmentation modeling, dashboard development, decision aids, and business case analysis to support the organization.
• Support retrospective analysis and reconciliation-oriented workstreams by investigating variances, documenting resolution pathways, and enabling transparency into performance and financial outcomes across pharmacy initiatives.

SUPERVISORY RESPONSIBILITY Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS Education

• Bachelors Degree in Data Science, Mathematics, Computer Science, Statistics, Business, or related field.
• OR in lieu of a Bachelors degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience

• 8 years experience in a progressively responsible analytical/quantitative role.

Preferred Qualifications

• 5 years progressive experience relating to data analytics/data analysis.
• Experience developing dashboards and executive reporting deliverables.
• Experience in healthcare industry.
• Working knowledge of data governance, data modeling, data management, and data curation principles and their practical application.
• Strong project management skills and ability to manage multiple and diverse stakeholders and leadership roles.
• Working knowledge of conceptual data and cloud architecture - understands major native data components in Azure and/or AWS and their relationships and use cases.
• Mastery of relational database theory, including SQL and at least one major RDBMS.
• Experience with multiple analytics delivery tools, methods, and platforms including PowerBI and/or Tableau.
• Hands-on experience with Big Data/NoSQL Platforms with experience delivering production projects at scale.
• Understanding of Advanced Analytics use cases and the applications of AI/ML for predictive analytics.

Knowledge, Skills, and Abilities (KSAs)

• Ability to train others.
• Quantitative analytical and problem-solving skills.
• Knowledge and understanding of analytical tools, languages, applications, platforms such as SAS, Excel, SQL.
• Excellent communication skills, both written and verbal.
• Ability to learn quickly and take direction.

SALARY RANGE 99,144 - 196,911

SALARY RANGE DISCLAIMER The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as, but not limited to, the scope and responsibilities of the position, the candidates work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range as compensation decisions depend on each cases facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans. All benefits/incentives are subject to eligibility requirements.

DEPARTMENT Pharmacy Operations

EQUAL EMPLOYMENT OPPORTUNITY CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran, or disabled status, or genetic information.

WHERE TO APPLY Please visit our website to apply:

FEDERAL DISCLOSURE Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key, and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

SPONSORSHIP IN US Must be eligible to work in the U.S. without Sponsorship.

LI-LJ1

Remote

Skills:
Actuarial Skills, Amazon Web Services (AWS), Analysis Skills, Artificial Intelligence (AI), Big Data, Business Case, Cloud Architecture, Communication Skills, Computer Science, Data Analysis, Data Management, Data Modeling, Data Science, Database Theory, Documentation, Establish Priorities, Finance, Healthcare, Leadership, Legal, Mathematics, Mentoring, Microsoft Windows Azure, NoSQL, Operational Strategy, Operational Support, Pharmacy, Physical Demands, Power BI, Predictive Modeling, Presentation/Verbal Skills, Problem Solving Skills, Project/Program Management, Quantitative Analysis, Reconciliation, Relational Databases (RDBMS), Reporting Dashboards, Requirements Management, SQL (Structured Query Language), Statistical Analysis System (SAS), Statistics, Tableau, Team Lead/Manager, Thought Leadership, Training/Teaching, Use Cases, Writing Skills

About the Company:
Blue Cross and Blue Shield Association

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Company Size:
2,000 to 2,499 employees

Industry:
Insurance

Founded:
0

Website: