Principal, Commercial Analytics

Job Description:

• Collaborate with the Director of Health System Strategy (and their delegates) as well as cross-functional VytlOne teams to assess regulatory developments and their implications.
• Lead the design and governance of centralized 340B expertise initiatives (e.g., Center of Excellence), including development of best practices, compliance frameworks, and training programs for internal teams and clients.
• Oversee integration of EMR and payer systems for 340B program compliance, including provider loading, patient merge activities, Medicaid plan setup, and audit coordination.
• Develop and deliver scenario-based models and opportunity assessments for health system clients, focusing on pharmacy optimization, leakage reduction, and specialty value capture.
• Communicate potential impacts to internal stakeholders and external clients through clear, actionable insights.
• Analyze and report on pharmacy service line performance, contract pharmacy capture rates, and specialty value optimization for health system partners.
• Prototype and implement AI-driven analytics solutions and scalable decision support tools for health system clients.
• Design and recommend mitigation or optimization strategies to ensure compliance and maximize opportunities.
• Create high-quality decks and presentations for leadership meetings, client discussions, and webinars to effectively communicate strategies and insights.
• Monitor the healthcare regulatory landscape and proactively identify both risks and opportunities for VytlOne.
• Lead design and delivery of strategic analytics projects supporting revenue, compliance, and operational excellence.
• Mentor analysts and guide team development of dashboards, modeling frameworks, and storytelling practices.
• Serve as a subject matter expert on 340B economics, data integration across EMR/dispensing platforms, and payer insights.
• Translate business needs into insight strategy using tools like Power BI, Alteryx, and Databricks.
• Partner with business leaders to co-develop KPIs and performance monitoring dashboards.
• Drive innovation by prototyping AI use cases and turning insights into scalable decision support tools.
• Promote and ensure compliance with VytlOne Business Code of Conduct, as well as other company policies and procedures.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Requirements:

• 7–10 years in commercial or healthcare analytics with increasing leadership responsibilities.
• Proven experience in 340B program design, implementation, and/or management (e.g., completion of 340B University or equivalent training).
• Demonstrated experience leading 340B data modeling, audit processes, compliance initiatives, and regulatory reporting.
• Proven track record of delivering measurable value to health system partners through analytics-driven optimization, including margin lift, contract pharmacy capture rate improvement, and specialty value optimization.
• Fluency in pharmacy data, payer performance metrics, and regulatory analytics (especially 340B).
• Exceptional analytical, problem-solving, and strategic thinking skills.
• Strong experience with PowerBI, Alteryx, Azure data tools, and predictive modeling methods.
• Excellent communication and interpersonal abilities, with a track record of effectively presenting complex information to non-technical audiences.
• Exceptional ability to communicate complex regulatory and strategic insights to diverse audiences.
• Ability to travel 10–15% of the time.
• Bachelor’s required; advanced degree in Health Economics, Analytics, or Public Health preferred.

Benefits:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

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