Senior Pharmacy Analytics Analyst (Payer / PBM)

Company Overview:

Req ID: 368443

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a TEMP IT Computer Prof Specialist to join our team in Baton Rouge, Louisiana (US-LA), United States (US). (100% Remote)

Job Description:

Senior Healthcare Informatics Analyst - Pharmacy

The Senior Healthcare Informatics Analyst – Pharmacy Analytics independently provides advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, quality, and clinical outcomes. This role develops analytic attributes related to pharmacy utilization management, drug cost optimization, formulary performance, medication adherence, and provider/member pharmacy engagement.

In collaboration with Pharmacy, Clinical, Actuarial, Finance, and IT partners, this position leads complex problem solving, solution development, and data‐driven strategic decision making. Accountable for compliance with all applicable laws and regulations associated with pharmacy data and analytics responsibilities.

Job Duties • Leads the selection and application of pharmacy‐focused analytic, evaluation, and BI methodologies to support business decisions and strategic planning

• Leverages pharmacy claims data, PBM feeds, EDW data sources, and non‐EDW datasets to deliver actionable insights
• Independently partners with business teams to define pharmacy analytics needs and develop solutions such as predictive models, dashboards, utilization analyses, and performance metrics
• Serves as a pharmacy analytics advisor on enterprise and cross‐functional initiatives
• Translates pharmacy business rules and policies into analytical models and reporting solutions, acting as a liaison between Pharmacy, Analytics, IT, and EIM teams
• Performs peer data quality reviews to ensure accuracy, completeness, and consistency of pharmacy analytics output
• Conducts advanced descriptive and statistical analyses related to drug utilization, adherence, cost drivers, and clinical outcomes

Required skills/qualifications • 4+ years of healthcare analytics experience, with pharmacy or PBM analytics experience strongly preferred

• 3+ years of experience analyzing pharmacy claims, formulary performance, drug mix, utilization trends, rebates, and adherence metrics (PDC/MPR)
• 2+ years of experience/advanced knowledge of SAS (including Enterprise Miner) preferred
• 3 years of experience with SQL, SAS, R, Python, Tableau, or similar analytic/visualization tools

Education • Bachelor's degree in healthcare administration, pharmacy, public health, statistics, economics, analytics, computer science, or related field required

• Master's degree in a related field preferred
• Four years of related experience may substitute for a Bachelor's degree

Preferred skills • Experience building predictive and explanatory models related to pharmacy utilization, cost, and outcomes

• Knowledge of pharmacy outcomes research, utilization management, and drug trend analysis preferred
• Strong working knowledge of the U.S. healthcare system in a payer setting, with specific understanding of pharmacy benefits and PBM operations
• Pharmacy pricing and payment methodologies (AWP, WAC, MAC, rebates, trend drivers)
• Population health and pharmacy‐driven interventions
• Risk adjustment concepts and pharmacy's role in total cost of care
• Clinical groupers and classification systems including GPI, NDC, therapeutic class, DRG, HCC, and related models
• Pharmacy‐related quality metrics (HEDIS medication measures, STAR ratings)
• Knowledge of commercial and Medicare Advantage pharmacy optimization is a plus
• Excellent verbal and written communication skills
• Ability to translate complex pharmacy analytics into clear insights for executive, clinical, and technical audiences

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $60-$74.38/Hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.

About NTT DATA:

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, imp