Principal Pharmacy Analytics Lead

Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Principal Pharmacy Analytics Lead Position Summary: Responsible for designing, building, validating, and operationalizing pharmacy performance analytics to improve medication adherence, Part D quality outcomes, and drug cost and utilization management. Serves as a senior, hands-on analytics builder and subject matter expert on Medicare Advantage pharmacy analytics, working independently to translate complex pharmacy, PBM/Rx claims, and health plan data into actionable performance insights. Directly impacts pharmacy strategy by building the analytic assets required to identify performance gaps, reduce manual reporting, and drive measurable improvement across all pharmacy objectives. Job Description: Primary Responsibilities: Design, build, and maintain pharmacy analytic assets, including dashboards, data extracts, recurring performance views, and executive-ready reporting products across medication adherence, Part D quality, and cost trends. Translate pharmacy business requirements into auditable analytic logic, including adherence calculations, drug hierarchy assumptions, and opportunity sizing. Analyze multi-source data (PBM/Rx claims, medical claims, eligibility, clinical) to establish baselines, detect trends, and uncover root causes of performance gaps in areas like medication adherence and 90-day prescription adoption. Partner with Pharmacy, Clinical, Finance, and Operations stakeholders to prioritize high-impact opportunities and convert analytic insights into intervention targeting and measurable performance improvement. Automate and scale recurring pharmacy reporting to reduce manual effort through scalable dashboards, reusable SQL, documented logic, and repeatable processes. Create and manage validation routines, QA checks, and reconciliation processes to ensure pharmacy reporting is accurate, trusted, reproducible, and audit-ready. Translate complex pharmacy, PBM, and financial logic into clear, decision-ready performance narratives for non-technical stakeholders and health plan leadership. Serve as a senior subject matter expert on Medicare Advantage pharmacy analytics, PBM/Rx claims data, Part D quality measures, and formulary concepts. Qualifications: Bachelor's degree in Mathematics, Computer Science, Data Analytics, Public Health, Pharmacy, Health Informatics, or a related field; equivalent experience may be considered. 7+ years of healthcare analytics experience, with direct experience in pharmacy claims analytics, PBM/Rx data, Medicare Part D, medication adherence, or pharmacy performance analytics. Hands-on experience writing complex SQL and extracting data from large, multi-layered health plan data environments. Experience building dashboards, recurring reports, or automated reporting processes using Tableau, Power BI, or similar business intelligence tools. Experience with PBM data, Medicare Part D operations, medication adherence measures, pharmacy quality measures, or drug cost/utilization trends. Ability to translate pharmacy business questions into analytic rules, including member cohorts, adherence calculations, and stratification. Experience working with healthcare datasets such as PBM/Rx claims, medical claims, eligibility, or provider data. Demonstrated ability to self-direct analyses, manage ambiguity, structure complex problems, and deliver actionable insights with limited direction. Experience using AI-enabled analytics, automation, or natural language tools to accelerate insight generation. Strong communication skills with the ability to explain technical concepts and recommended actions to non-technical stakeholders. Advanced degree in Pharmacy, Public Health, Health Informatics, Analytics, Healthcare Administration, or a related field (e.g., PharmD, MPH, MS Analytics, MBA). Working Conditions While performing the duties of this job, the employee works in normal office working conditions. #LI-REMOTE Pay Transparency: Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements. The hiring range for this position is: $133,200.00-$180,900.00 Benefits of working at Lumeris Medical, Vision and Dental Plans Tax-Advantage Savings Accounts (FSA & HSA) Life Insurance and Disability Insurance Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) Employee Assistance Program 401k with company match Employee Resource Groups Employee Discount Program Learning and Development Opportunities And much more... Be part of a team that is changing healthcare! Member Facing Position: No- Not Member or Patient Facing Position Location: Remote, USA Time Type: Full time Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment. Disclaimer: The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities. Lumeris is an EEO/AA employer M/F/V/D.