Senior Pharmacy Data Analyst
The Role
We are looking for a detail-oriented Pharmacy Data Analyst to analyze large-scale pharmacy and claims datasets, generate insights, and support data-driven decision making across pharmacy operations and healthcare programs. The role involves managing pharmacy claims, prescription validation, and healthcare data across EHR/Pharmacy Information Systems, with a strong focus on Power BI–based reporting and dashboarding to enable data-driven insights.
Work You’ll Do
- Analyze pharmacy claims datasets to identify trends, anomalies, and cost drivers
- Evaluate pharmacy benefit utilization, including unit cost and trend drivers, rebate impact, and 340B programs
- Partner with internal data and analytics teams to develop standardized processes, reusable queries, and data workflows
- Support pharmacy plan, client, and contract configuration activities through analytic review, testing, and validation of claim outcomes
- Validate data quality, completeness, and reasonableness of results
- Handle pharmacovigilance data management, ensuring alignment with regulatory requirements
- Maintain and manage data within EHR (Electronic Health Records) and Pharmacy Information Systems
- Design, develop, and maintain Power BI dashboards and reports to monitor pharmacy operations, claims trends, compliance metrics, and KPIs
- Lead pharmacy analytics workstreams from data intake through insight delivery and stakeholder presentation
- Provide ongoing regulatory and compliance support, including audits and reporting
- Drive project timelines, key deliverables, and issue resolution across cross-functional teams
- Identify discrepancies between configured logic and paid claim results
- Other duties as assigned
Requirements
- 6+ years of experience in pharmacy data analysis, PBM, payer, or related healthcare roles
- Strong knowledge of pharmacy claims management and payer processes
- Advanced proficiency in Power BI, including dashboard creation, DAX, data modeling, and Power BI Service (workspaces, publishing, refresh schedules)
- Understanding of pharmacovigilance data and healthcare regulatory and compliance requirements
- Strong analytical and problem-solving skills with high attention to detail
- Effective communication skills to interact with internal teams and stakeholders
- Familiarity with major drug compendia and reference databases, including NCPDP, Medi-Span, First Databank, CMS ASP and other public-use files, NPPES and other provider reference sources
- Strong working knowledge of pharmacy claims data and concepts such as formularies, benefit designs, networks, and reimbursement
- Must be legally authorized to work in the United States without the need for employer sponsorship
Preferred Requirements
- Based in Chicago, IL, and flexible to work from our Chicago office as needed
- Preferred experience in major drug compendia and reference databases, including NCPDP, Medi-Span, First Databank, CMS ASP and other public-use files, NPPES and other provider reference sources
- Preferred familiarity with major drug compendia and reference databases, including NCPDP, Medi-Span, First Databank, CMS ASP and other public-use files, NPPES and other provider reference sources
Compensation & Benefits
- Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
- Own Your Day flexible work policy
- Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
- Generous paid parental leave options
- Employer-paid Life Insurance, Short Term Disability, Long Term Disability
- Charitable contribution matching program
- Bike share discount program
Additional Information
The estimated base salary range for this position is $125,000 - $140,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline, and individual total compensation may vary due to numerous factors, including but not limited to experience level, certifications, and other relevant business considerations.