Medication Use and Management Analyst

Job not on LinkedIn

🔥 1 hour ago

⛰️ Colorado, Florida – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote

💵 $77.4k - $96.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 0%

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InnovAge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

InnovAge is a provider of the Program of All-inclusive Care for the Elderly (PACE) that helps frail seniors remain independent and age in their own homes with dignity. As the largest PACE provider by participants served, InnovAge delivers comprehensive, coordinated services including primary care, nursing, behavioral health, therapies, transportation and care coordination to support seniors' medical and daily living needs.

📋 Description

• Collect and analyze clinical medication and medication-related data from EPIC EMR, MedWise, PBM, medical claims, and finance data • Analyze pharmacy medication claims for potential fraud, waste, and abuse, including overcharges, over-dispensing, and wasteful utilization • Synthesize data sources to report clinical quality and performance metrics to senior leadership • Develop and execute analyses supporting clinical quality improvement, care management, and utilization management • Support medication-use initiatives through data accumulation, consolidation, performance tracking, intervention targeting, and improvement • Perform concurrent review and retrospective in-depth analysis of patient records and medication claims • Develop, maintain, and improve KPI dashboards for senior management • Generate data analyses and reports for senior leadership, clinical, and quality staff • Present results orally, in writing, and visually to subject matter experts and lay audiences • Serve as organization-wide content expert on measurement and analysis methods • Advise senior leaders and quality staff on data collection, research implications, and data-driven improvement opportunities • Collaborate with clinical leadership, quality personnel, Risk Management, Compliance, Clinical staff, IT Data Analytics, and Clinical Applications • Facilitate stakeholder discussions, assess unmet needs, advise on trends, and coordinate process-improvement project teams

🎯 Requirements

• Bachelor's degree in research, statistics, health administration, or a related field from an accredited college or university, or equivalent work experience • Minimum of 3 years of experience with data analysis • Minimum of 3 years of experience generating and ensuring accurate, easily understood data analyses and presenting results orally, in writing, or graphically • Working knowledge of healthcare industry medication quality measures, clinical performance, and financial measures • Experience obtaining and manipulating healthcare data, such as medication claims and clinical values • Working experience with EPIC Slicer/Dicer and Clarity data program preferred • Mastery of MS Office applications, including Teams, Word, Excel, and PowerPoint preferred • Advanced skills using Tableau, Excel, SQL, and other databases preferred • Experience constructing and using pivot tables, advanced formulas, VBA, and macros preferred • Ability to establish and maintain cooperative and positive working relationships • Organized, detail-oriented, diplomatic, proactive, self-motivated, dependable, and driven by excellence • Ability to balance multiple tasks amid changing deadlines and priorities in a fast-paced environment • Ability to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds • Florida applicants must complete a background screening through the Florida Care Provider Background Screening Clearinghouse

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Short- and long-term disability insurance • Life insurance and AD&D • Supplemental life insurance • Flexible spending accounts • 401(k) savings plan • 401(k) plan with company match • Paid time off • Company-paid holidays • Equal opportunity and affirmative action workplace • Patient-centered care model • Opportunities to work alongside talented, respectful, and passionate colleagues