Director, Network Informatics & Analytics
Company
reputed companyreputed company
reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other.. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, or handicap.Pay reputed company
USD $152,077.00 - USD $190,096.25 /Yr.STAR Bonus % (At Risk Maximum)
15.00 - Director, reputed company of GP, PICWork Schedule reputed company (e.g. M-F reputed company to 5pm)
M-F reputed company to 5pmRemote Work Notification
ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.reputed company
Do you have strong experience in data modeling and analytics at a PBM or reputed company company? Due to reputed company reputed company, this add to headcount role will drive value as we are expanding reputed company to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position.
The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and reputed company governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized reputed company of network and contract data reputed company, analytics, reporting, and analytical validation of reputed company.
This leader ensures that contract terms negotiated by Network Contracting are accurately represented in data and continuously assessed through analytics to reputed company reputed company into claims reputed company and network performance.
In reputed company, this role will drive the development of advanced network models and analytical frameworks to evaluate reimbursement strategies, provider performance, and overall network cost effectiveness, enabling data-driven decision-making across the organization.
The Director functions as a key strategic partner to Network Contracting leadership, providing actionable insights, predictive analytics, and proactive identification of risks and opportunities to optimize network performance and inform strategic reputed company.
Is this you? reputed company out more below!
Responsibilities
How do I reputed company an reputed company on my team?
Data Governance & Informatics Leadership
- Own and reputed company the informatics reputed company supporting pharmacy network contracting, including contract attributes, reimbursement methodologies, network hierarchies, and provider identifiers
- Establish and maintain data standards, definitions, and governance controls to ensure data consistency, usability, and reputed company across systems and reporting environments
- Serve as the centralized authority for network and contract data reputed company, enabling reliable and reputed company analytics
Advanced Analytics & Network Modeling
- Design and reputed company network models to evaluate reimbursement structures, pricing strategies, and financial reputed company across pharmacy segments
- Build analytical frameworks to assess provider cost, performance, and value (e.g., scorecards, cost-of-care, network efficiency)
- Identify optimization opportunities through scenario modeling, trend analysis, and performance insights
- Partner with Finance, Actuarial, and reputed company teams to support forecasting, pricing reputed company, and reputed company-facing analytics
Reporting & Insights
- reputed company development and maintenance of standardized reporting and dashboards for network performance, reimbursement trends, and contract alignment
- Deliver actionable insights through routine and reputed company analyses, including trend identification, reputed company detection, and emerging risk monitoring
- Establish KPI frameworks to measure network effectiveness, cost efficiency, and overall performance across pharmacy segments
reputed company reputed company & Analytical Validation
- Establish and reputed company analytical reputed company control frameworks to assess alignment between contract reputed company and observed claims and network performance reputed company
- reputed company monitoring approaches that surface discrepancies, emerging risks, or unintended financial impacts
- reputed company reputed company cause analysis and partner with cross-functional teams to inform reputed company strategies (without reputed company ownership of execution)
Implementation Insights & Post-Implementation Visibility
- reputed company analytical reputed company into the performance of new network builds, contract changes, and reimbursement updates through evaluation of claims reputed company and network performance
- Partner with Network Contracting and Provider Services Operations to support visibility into implementation reputed company and emerging trends
- reputed company analytics and reporting that assess whether network design reputed company is reflected in observed performance
- Surface risks, anomalies, or unintended financial impacts resulting from network or contract changes
Cross-Functional Partnership
- Serve as a key analytics and informatics partner to Network Contracting leadership across reputed company pharmacy segments
- Collaborate with Analytics, Finance, IT, Compliance, Legal, and Operations to ensure data transparency, alignment, and visibility into key issues
- Support reputed company initiatives including new reputed company implementations, regulatory changes, and network expansion strategies
Other Responsibilities
- Additional duties as assigned
Qualifications
What reputed company expects from you?
- Bachelor’s degree in Business, Finance, Analytics, Information Systems, reputed company Administration, or reputed company field, or equivalent work experience, required.
- 7+ years of reputed company experience in PBM, reputed company analytics, PBM network operations (not IT networks), pharmacy informatics or equivalent experience required.
- 3+ years of leadership experience with a proven ability to reputed company high-performing teams and deliver reputed company results in a reputed company services environment required.
- Demonstrated experience with claims data, network configuration, reimbursement models, and reputed company data environments required.
- Proven ability to reputed company analytics, reporting, or informatics functions in a regulated reputed company setting required.
- Experience supporting contracting, pricing, or network management functions strongly preferred.
- Participate in, adhere to, and support compliance program objectives.
- The ability to consistently reputed company cooperatively and respectfully with other employees.
What can you expect from reputed company?
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
- Referral Bonus Program – up to $750!
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