Medical Informatics Analyst, Sr. Principal

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

Pay Range:

The pay range for this role is: $ 176550.00 to $ 264880.00 for California.

The pay range for this role is $160500.00 to $240800.00 for outside of California

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.