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Medical Mutual · 7 hours ago

Pharmacy Data Analyst

Cleveland, OH 44144, USA

Full-time

Hybrid

Entry, Mid, Senior Level

1+ years exp

Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. They are seeking a Pharmacy Data Analyst to deliver analysis of data and reports that identify actionable opportunities to improve the use of medical and pharmacy benefit drugs.

Health CareHealth InsuranceInsuranceLife Insurance

Culture & Values

H1B Sponsor Likely

Responsibilities

Applies analytics strategy and approach including routine or basic processes and analyses to deliver meaningful and actionable results as it relates to drug data, analytics, and reporting for medical drug and pharmacy management for clients and internal staff

Combines data from the enterprise data warehouse, pharmacy operational systems, and vendor outputs to deliver actionable insights with direct oversight and guidance from leadership

Publishes and communicates results in writing and verbally, ensuring timely and accurate reports are delivered to internal business partners

Creates documentation on all projects to ensure continuity and as a resource for future projects

Participates in internal and external audits and other projects of the Medicare Part D (pharmacy) and Part C (medical drug) programs as assigned by management

Collaborates on the creation and maintenance of tools, procedures, workflow, and data dictionaries

Performs other duties as assigned

Qualification

Data extractionAnalytical programmingData visualizationHealth insurance knowledgeCloud-based analyticsMicrosoft Office skillsBusiness acumenPresentation skillsProject management skills

Required

Bachelor's Degree in statistics, public health, healthcare or business administration, or a related field required

Up to 1 year of professional work or educational project experience in analyzing data and basic statistics, preferably pharmacy data

Bachelor's Degree in statistics, public health, healthcare or business administration, or a related field required

2 years of experience as a Pharmacy Data Analyst or equivalent experience analyzing data and statistics, preferably pharmacy data

Bachelor's Degree in statistics, public health, healthcare or business administration, or a related field required. Master's Degree preferred

3 years progressive experience as a Pharmacy Analyst in health insurance, pharmacy benefit management or a consulting firm, or equivalent experience in various aspects of the healthcare industry (e.g., medical/drug claims processing, provider contracting, medical/ drug policy, utilization management, and reimbursement)

Basic proficiency in data extraction and analytical programming languages (Python, R, SAS, SQL, Spark), data visualization (Power BI, Tableau) and other analytical tools

Basic knowledge of a cloud-based analytics platform (Azure databricks)

Basic to intermediate Microsoft Office skills (word processing, spreadsheets, database reporting, presentation graphics)

Good presentation skills; ability to put together brief deck displaying results

Basic knowledge of data mining, reporting, and reconciliation techniques and methodologies (e.g., machine learning, AI, etc.)

Basic knowledge of the health insurance industry, and benefit and product designs

Basic knowledge of pharmacy claims, medical data, clinical programs

Proficiency in data extraction and analytical programming languages (Python, R, SAS, SQL, Spark), data visualization (Power BI, Tableau) and other analytical tools

Knowledge of a cloud-based analytics platform (Azure databricks)

Intermediate Microsoft Office skills (word processing, spreadsheets, database reporting, presentation graphics)

Good presentation skills; ability to put together brief deck displaying results

Knowledge of data mining, reporting, and reconciliation techniques and methodologies (e.g., machine learning, AI, etc.)

Knowledge of the health insurance industry, and benefit and product designs

Knowledge of pharmacy claims, medical data, clinical programs

Intermediate to advanced skills in data extraction and analytical programming languages (Python, R, SAS, SQL, Spark), and data visualization tools (Power BI, Tableau), and the ability to perform queries and retrieve data from multiple tables and/or sources

Intermediate knowledge of a cloud-based analytics platform (Azure databricks)

Good track record of success with analyzing clinical, claims, pharmacy, program and other administrative data

Solid knowledge of health insurance products and industry, including trends and drivers of medical or pharmacy drug utilization, cost, and quality, and application of that knowledge to drive strategic decision making

Good project management skills

Good business acumen

Ability to interact with internal and external senior leaders

Preferred

Master's Degree preferred

SAS, Tableau, and/or Python Certification preferred

Microsoft Excel Certification preferred

Company

Medical Mutual

Glassdoor4.1

Medical Mutual Provides and administers health benefits for citizens in Ohio.

Founded in 1934

Cleveland, Ohio, USA

1001-5000 employees

http://www.medmutual.com

H1B Sponsorship

Medical Mutual 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 (18)

2024 (18)

2023 (17)

2022 (15)

2021 (24)

2020 (16)