What are the responsibilities and job description for the Medical Informatics Analyst, Sr. Principal position at Blue Shield of CA?
Your Role
The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Sr. Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team's strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes, product development, and initiative evaluation.
Your Knowledge and Experience
- Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience.
- PhD or MD strongly preferred.
- Requires a minimum of 10 years of prior relevant experience
- Requires 5 years' experience in Health Care (managed care, academic, or gov't payer)
- Requires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalent
- Requires experience at a Pharmacy Benefit Manager (PBM)
- Requires expertise in pharmacy benefit manager operations and pricing
- Requires expertise in pharmacy rebate and network dynamics to enable financial and pricing modeling
- Requires strong verbal and communication skills
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
