Analytics Consultant - Medical Drug Pricing

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Job Summary

The Analytics Consultant leverages technical skills and healthcare knowledge to support medical drug pricing and reimbursement strategies, with a focus on facility-based fee schedules. The role delivers actionable insights to drive cost management and pricing optimization, while supporting reporting development, data validation, and process automation. It also includes mentorship to build and expand managed care knowledge and experience.

Requir ed Job Qualifications:

Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR M aster’s degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field

Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.

Performance excellence in computer languages , such as SQL, R, Python.

Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI .

High degree of business intelligence and understanding how to take a business case from inception to c ustomer or partner execution.

Excellent communication and presentation skills.

Ability to work independently and as part of a team.

Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.

Preferred Job Qualifications:

• •Experience in medical drug pricing, reimbursement strategies, or facility-based fee schedule development
• •Familiarity with NDC and HCPCS mapping, including alignment and conversion of NDC and HCPCS units
• •Experience utilizing transparency data sources and industry benchmarks (e.g., machine-readable files, CMS ASP data) to support pricing and reimbursement analysis
• •Ability to apply benchmarking methodologies to evaluate reimbursement rates and identify optimization opportunities
• •Experience supporting or developing preferred drug strategies
• •Proven experience working with large-scale healthcare datasets using Teradata or similar data platforms
• •Ability to manage end-to-end analytical workflows, from data extraction and validation through analysis and development of actionable insights

This is a Flex (Hybrid) role: 3 days in office, 2 days work from home.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$69,800.00 - $125,900.00

Exact compensation may vary based on skills, experience, and location.