Health Care Service Corporation

Sr Analytics Consultant - Medical Drug Pricing

Health Care Service Corporation  •  $84k - $152k/yr  •  United States (Hybrid)  •  1 hour ago
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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.

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 degreeand 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 PhDwith 2 years of experiencein 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 leveragingdata 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. 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.

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

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

Health Care Service Corporation

About Health Care Service Corporation

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association.

For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs.

Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry.

As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible.

Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

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Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Chicago, IL
Year Founded
Unknown
Website
hcsc.com
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