Full-time Director, Pharmacy Data and Analytics, Blue Shield of California

01Your Role

• The Blue Shield of California (BSC) Pharmacy team comprises more than 350
• dedicated professionals who are passionate about transforming pharmacy care and

improving the health and well-being of the members we serve. Ensuring every

member has safe, equitable access to high-quality and sustainably affordable

pharmacy benefits is at the core of everything we do.

As the Director, Pharmacist - Pharmacy Data & Analytics, you will lead the

pharmacy organization's data, reporting, analytics, and business intelligence

strategy to support informed decision-making across a pharmacy spend portfolio

exceeding $5 billion annually. This role is responsible for translating complex

pharmacy and healthcare data into actionable insights that drive affordability,

clinical outcomes, operational performance, and member experience improvements

across all lines of business. You will provide strategic leadership for

enterprise pharmacy analytics, partnering closely with Pharmacy Strategy,

Formulary, Clinical, Finance, Actuarial, Product, Operations, and external

vendor partners to develop advanced analytical solutions, reporting, or data

transfers that support key business priorities. This includes responsibility for

02developing performance measurement frameworks, leading trend and

• cost-of-healthcare analyses, evaluating data, and regulatory reporting.
• Our leadership model is about developing great leaders at all levels and
• creating opportunities for our people to grow – personally, professionally, and

financially. We are looking for leaders that are energized by creative and

critical thinking, building and sustaining high-performing teams, getting

results the right way, and fostering continuous learning.

03RESPONSIBILITIES

Your Work

In this role, you will:

• Oversee a team of Pharmacists, Business Analysts, Data Analysts, and Program
• Managers
• Develop and execute the pharmacy data and analytics strategy to support
• enterprise objectives, pharmacy affordability initiatives, clinical programs,
• and operational excellence
• Lead the design and delivery of executive dashboards, performance reporting,
• predictive analytics, forecasting models, and strategic insights
• Partner with business leaders to identify opportunities, measure performance,
• and evaluate the effectiveness of pharmacy programs and interventions
• Drive pharmacy trend analysis, cost-of-healthcare reporting, specialty drug
• analytics, utilization monitoring, and financial performance measurement
• Develop analytical frameworks to support formulary strategy, utilization
• management, specialty pharmacy management, provider-administered drug
• programs, and emerging pharmacy initiatives
• Collaborate with enterprise data, technology, and digital teams to enhance
• data infrastructure, reporting capabilities, and self-service analytics
• solutions
• Ensure data quality, integrity, governance, and compliance across pharmacy
• analytics and reporting functions
• Present findings, recommendations, and strategic insights to senior
• executives and cross-functional leadership teams
• Recruit, coach, mentor, and develop a high-performing analytics team while
• fostering a culture of innovation, continuous learning, and accountability

04QUALIFICATIONS

Your Knowledge and Experience

• Requires a currently active and unrestricted California Registered Pharmacist
• (RPh) license
• Requires a Doctor of Pharmacy (PharmD) degree from an accredited school of
• pharmacy in the U.S.
• Requires 10 years of prior relevant experience in healthcare, pharmacy,
• analytics, business intelligence, reporting, or data science
• Requires 6 years of prior people management experience with direct
• responsibility for supervising, coaching, and evaluating direct reports
• Experience working with large healthcare datasets, including pharmacy claims,
• medical claims, eligibility, provider, and financial data
• Experience with data visualization and business intelligence tools such as
• PowerBI, Tableau, Business Objects, or similar platforms
• Experience with SQL and healthcare data warehousing environments
• Experience with cloud-based data environments such as Azure, Snowflake,
• Databricks, AWS, or Google Cloud
• Understanding of healthcare quality measures, STAR ratings, HEDIS, and/or
• regulatory reporting
• Excellent presentation, verbal and written skills with ability to understand
• and convey complex ideas to audience with diverse backgrounds
• Detail-oriented with the ability to work in a fast-paced environment
• Exhibit a "can do" attitude and solution-oriented approach to resolve
• challenges

05Hybrid

• This role requires employees to be in-office based on our hybrid workplace

model, balancing purposeful in-person collaboration with flexibility. For most

teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their

manager to determine in-office time based on business need.

06#LI-JS1

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun.

Ascendiun is a nonprofit corporate entity that is the parent to a family of

organizations including Blue Shield of California and its subsidiary, Blue

Shield of California Promise Health Plan; Altais, a clinical services company;

and Stellarus, a company designed to scale healthcare solutions. Together, these

organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system

worthy of our family and friends and sustainably affordable. We are transforming

health care in a way that genuinely serves our nonprofit mission by lowering

costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive

and contribute fully to address the needs of the various communities we serve.

We are committed to creating and maintaining a supportive workplace that upholds

our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best

Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360

as a Top Regional Company, and one of the 50 most community-minded companies in

the United States by Points of Light. Here at Blue Shield, we strive to make a

positive change across our industry and communities – join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We
• build trust by doing what we say we're going to do and by acknowledging and
• correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by
• understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard
• work necessary to achieve our ambitious goals.

07Our Workplace Model

• We believe in fostering a workplace environment that balances purposeful
• in-person collaboration with flexibility - providing clear expectations while

respecting the diverse needs of our workforce. Our workplace model is designed

08around intentional in-person interaction, collaboration,

• connection, creativity and flexibility:
• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state
• employees, and employees in certain member-facing roles should work with
• their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work
• in-office, we are committed to engaging in an interactive process and
• providing reasonable accommodations to ensure their work environment is
• conducive to their success and well-being.
• The Company reserves the right to require more presence in the office based on
• business needs, and requirements are subject to change with periodic reviews.
• Physical Requirements:
• Office Environment - roles involving part to full time schedule in Office

Environment. Based in our physical offices and work from home office/deskwork -

Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

09[https://www.blueshieldca.com/physical-job-requirements]

• Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants

with arrest records and/or conviction records will be considered for employment

in a manner consistent with Federal, State and local laws, including but not

limited to the San Francisco Fair Chance Ordinance. All qualified applicants

will receive consideration for employment without regards to race, color,

religion, sex, national origin, sexual orientation, gender identity, protected

veteran status or disability status and any other classification protected by

Federal, State and local laws.