Senior Analytics Consultant - Medical Drug Pricing

Title: Sr Analytics Consultant - Medical Drug Pricing

Location:

IL - Chicago

TX - Richardson

time type

Full time

Hybrid

job requisition id

R0054828

Job Description:

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

The Senior Analytics Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge support medical drug pricing and reimbursement strategies, with a focus on facility-based fee schedules. This role combines strong analytical expertise, healthcare domain knowledge, and technical proficiency to deliver actionable insights that drive cost management, pricing optimization, and strategic decision-making. In addition, the role is responsible for developing, maintaining, and automating reporting processes to support pricing operations, ensure data accuracy, and provide timely insights to stakeholders. This includes producing regular and ad hoc reports, validating data integrity, and collaborating with cross-functional teams to enhance reporting capabilities and support business needs.

Required Job Qualifications:

• Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 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.

• Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.

• 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 customer or partner execution.

• Experience leading an analytic initiative to success.

• 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.

• Ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline.

Preferred Job Qualifications:

• Intermediate to advanced expertise in:

• Medical drug landscape, including biologics, biosimilars, and coding systems (HCPCS, NDC)

• Drug reimbursement methodologies (e.g., ASP-based pricing, fee schedules, contracting strategies)

• Healthcare claims data (medical and/or pharmacy)

• Demonstrated experience working within a managed care or health insurance environment

• Strong understanding of line-of-business distinctions, including Commercial, Individual and Family Market, Medicare, and Medicaid, and their respective analytical and reimbursement approaches

• Demonstrated success in leading analytical initiatives from concept through execution and delivery

• Experience developing, maintaining, and automating recurring and ad hoc reports to support pricing operations and business decision-making

• Excellent communication and presentation skills, with the ability to clearly convey complex findings to both technical and non-technical audiences, including senior leadership

• 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 assess 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

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

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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. 

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.

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.

Base Pay Range

$84,400.00 - $152,300.00