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Cambia Health Solutions

Director, Pharmacy Informatics

Cambia Health Solutions

. Lead the Pharmacy Informatics and Technology team .

Posted 11/4/2026full-timeUnited StatesLead💰 $164,900 - $223,100 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in Pharmacy Informatics and Technology leadership, financial performance reporting, and strategic analysis. Proficient in managing complex projects, vendor relationships, and technology services to drive operational efficiency and compliance.

Highest-signal resume keywords
Pharmacy Informatics LeadershipFinancial Performance ReportingData Analysis and SQLProject ManagementVendor Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Data AnalysisFinancial ModelingProcess AutomationStatistical MethodsAgile DeliveryMS ExcelMS AccessApplication Programming LanguagesFacets System KnowledgeHigh-Volume Processing
Soft Skills
Effective CommunicationStrategic ThinkingPeople DevelopmentTeam LeadershipNegotiation Skills
Tools & Technologies
SQLVisual BasicAI ToolsData Extraction ApplicationsElectronic Systems
Industry Keywords
Pharmacy FinanceHealth Care ContractingComplianceAudit FunctionsASO Client Rebate Administration

Tech Stack

Tools & technologies
SQL

About the role

Key responsibilities & impact
  • Lead the Pharmacy Informatics and Technology team
  • Coordinate pharmacy financial performance reporting, strategic analysis, and decision-support tools
  • Measure and report PBM vendor contract deliverables, rebate oversight, client reporting, and performance guarantees
  • Manage financial payment cycles to the PBM
  • Support health plan pharmacy benefit initiatives
  • Align pharmacy informatics with strategic finance, health informatics, underwriting/pricing, actuarial, and compliance/audit partners
  • Use analytical and statistical methods to evaluate programs and deliver actionable insights
  • Oversee technology systems, production support, automation, and agile delivery
  • Lead business process automation strategy and large initiatives on operational platforms
  • Collaborate with Pharmacy Operations, DTS, Procurement, Finance, and vendors
  • Oversee PBM deliverables, contract guarantees, milestones, cost and utilization analysis, and competitive intelligence benchmarking
  • Develop informatics plans, data analysis programs, pharmacy dashboards, and leading-indicator reports
  • Oversee benefits-realization and return-on-investment metrics, including system design, implementation, documentation, testing, validation, process re-engineering, training, and education
  • Create and apply financial models to forecast performance and improve efficiency, risk mitigation, and financial results
  • Provide financial guidance on business strategy and management
  • Build relationships with stakeholders and negotiate strategic partnerships
  • Oversee rebate programs, formulary compliance, rebate opportunities, and ASO client rebate administration
  • Manage Pharmacy Informatics, project, and technology staff; resolve personnel issues, conduct performance reviews, and monitor budgets
  • Support pharmacy benefit market pricing and ASO billing activities
  • Oversee electronic systems supporting data acquisition and transactional processing
  • Assess system-request cost and feasibility
  • Establish vendor relationships, participate in contract negotiations, and maximize technology-service contract value
  • Measure technology services with DTS and vendors to ensure they meet Pharmacy Operations needs
  • Evaluate and recommend computer technology supporting corporate goals

Requirements

What you’ll need
  • Bachelor's degree in Mathematics, Business, Computer Science, Accounting, or another related field, plus 15 years of experience in health care contracting, pharmacy finance, or data analysis and five years of management experience, or an equivalent combination of education and experience
  • Proven ability to plan, organize, and lead the work of others; develop, document, implement, and enforce processes and procedures; and recommend improvements
  • Advanced skills in MS Excel and MS Access
  • Experience with data extraction applications such as SQL
  • Preferably experience with application programming languages such as Visual Basic
  • Ability to perform in-depth analytical work and provide recommendations to pharmacy leadership, senior management, consultants, and vendors
  • Ability to communicate effectively with internal and external financial and legal departments
  • Ability to coordinate multiple complex projects across clinical, operations, finance, and audit functions
  • Deep functional and technical knowledge of the Facets system and ancillary operational technologies
  • Experience managing technical services within a cross-functional ecosystem
  • Business consulting skills and ability to define solutions, scope, deliverables, and implementation plans
  • Experience managing delivery of technology services with high-volume processing
  • Experience leading large-scale organizational, process, and technology change initiatives
  • Ability to manage internal and external suppliers using SWOT analysis, Service Level Agreements, Key Performance Indicators, and improvement plans
  • Ability to lead high-performing teams, manage managers, and direct vendors
  • Strategic thinking and ability to identify business issues and opportunities, create strategies, and drive results
  • Ability to coordinate initiatives across multiple locations, lines of business, and functions
  • Effective verbal and written communication skills
  • People development and coaching experience
  • Ability to leverage AI tools and resources to drive efficiency and innovation
  • Must be able to work in a hybrid arrangement three days per week in an office
  • Travel may be required locally or out of state
  • May be required to work outside normal working hours
  • Background check required
  • Wired internet connection required for work-from-home option, with minimum 5Mb upload and 10Mb download speeds
  • Personal mobile device required for Multi-Factor Authentication

Benefits

Comp & perks
  • Bonus target of 25%
  • Market-leading 401(k) with significant company match
  • Potential discretionary 401(k) contribution based on company performance, with no vesting period
  • Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
  • Annual employer contribution to a health savings account
  • Generous paid time off varying by role and tenure
  • 10 company-paid holidays
  • Up to 12 weeks of paid parental time off after 12 months of continuous service
  • Award-winning wellness programs that reward participation
  • Employee Assistance Fund
  • Commute and parking benefits
  • Work from home options for most roles
  • Employee resource groups
  • Cambia-supported community outreach programs
  • Career growth and professional development opportunities