Brillio · 3 hours ago
Associate Director, Data Strategist
Brillio is seeking a highly skilled Data Strategist with deep experience in the Pharmacy Benefit Management (PBM) domain. This role focuses on enabling data-driven transformation across PBM operations by bridging business teams, product teams, and engineering to develop strategic data capabilities.
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Responsibilities
Develop end-to-end data strategy across PBM functional areas (claims adjudication, formulary, PA/UM, specialty, clinical programs, network operations)
Translate business goals into data capabilities, including transactional readiness, analytical models, and AI/insight enablement
Define the North Star architecture centered on: o Databricks for analytics & AI enablement o Postgres for modern operational/transactional workloads o Teradata as the existing enterprise analytical backbone o Mainframe–based adjudication and operational systems
Drive alignment between business leads, pharmacy operations, product management, data engineering, and architecture teams
Capture and refine data requirements tied to real PBM workflows and regulatory needs
Create clear data documentation: canonical models, lineage, definitions, integration patterns, domain mappings
Guide design of transactional data structures (claims, member, provider, formulary, PA, specialty)
Partner with engineering to shape analytical datasets in Teradata and Databricks for cost, quality, adherence, and operational insights
Shape migration paths from legacy/mainframe data to modern analytical or operational stores
Establish governance models around ownership, metadata, critical data elements, and stewardship
Lead data quality and observability initiatives across PBM domains
Ensure compliance with PHI rules, HIPAA, and audit expectations
Enable analytics and AI use cases such as: o Real-time PA insights o Cost optimization / formulary alignment o Fraud, Waste, Abuse o Adherence prediction & member targeting o Pharmacist enablement & specialty workflows
Support product teams in defining data-driven roadmaps and measurable value outcomes
Qualification
Required
7–12+ years of experience in healthcare with 4–5+ years in PBM or specialty pharmacy
Strong familiarity with PBM data domains: NCPDP claims, Formulary & benefit design, PA/UM data, Network & pharmacy data, Specialty/hub workflows, Rebate & financial/reconciliation data
Ability to work across mainframe, Teradata, Postgres, and Databricks ecosystems
Strong SQL proficiency and experience guiding data modeling conversations
Experience collaborating with product, engineering, business operations, and compliance
Preferred
Experience modernizing PBM data & analytics ecosystems
Familiarity with ML/AI enablement on Databricks
Knowledge of NCPDP, HL7, FHIR standards
Experience working in fast-paced consulting or digital product environments
Company
Brillio
Brillio is a technology consulting and technology services company focused on the implementation of digital technologies.
H1B Sponsorship
Brillio has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (258)
2024 (240)
2023 (281)
2022 (314)
2021 (196)
2020 (406)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
The Orogen Group
2023-09-05Private Equity
2019-01-14Acquired
Recent News
Financial Express
2025-03-21
Canada NewsWire
2025-03-12
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