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Pharmacy Information Analyst I

3 months ago

Los Angeles, United States L.A. Care Health Plan Full time

Salary Range:  $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
 

Job Summary

The Pharmacy Quality Initiatives Analyst I will be responsible for the following: providing analytical support for pharmacy operations, Star metric trending of pharmacy quality initiatives, creating and maintaining databases as needed for reporting needs, identifying opportunities for process improvement and providing solutions, and supporting various business functions as needed within the Pharmacy & Formulary Department.

Duties

Establish query and analysis of outcomes reporting for clinical pharmacy metrics to provide Pharmacy Key Performance Indicators (KPI) for various utilization reports.  Provide analytical support for pharmacy operations through the creation of standard reports and the development of new reports when necessary to meet business needs.

 

Develop and maintain various dashboard used by the clinical team to support pharmacy quality interventions.

 

Provide analytical support through the maintenance and enhancement of existing databases as well as the development of new databases to meet operational and clinical initiative needs.

 

Assist with analyses on pharmacy utilization patterns, clinical program impact modeling (STARS/HEDIS), and other clinical reports in collaboration with a pharmacist.

 

Engage all relevant participants regarding new reporting needs, particularly during workgroup sessions to gather information from requests in order to accurately interpret and translate true end requirements necessary to meet business needs.

 

Support all other pharmacy data analytics, financial management, utilization management, and reporting needs (both intra- and interdepartmental).

 

Perform other duties as assigned.

Duties Continued Education Required Bachelor's Degree in STEM or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred Master's Degree in STEM or Related FieldExperience

Required:

At least 3-5 years of prior experience as an analyst within either a managed-care organization, health plan, or Pharmacy Benefit Manager (PBM)  setting.

 

Prior experience with modeling and analyzing data to interpret outcomes and results.

 

Preferred: 

Knowledge of and experience with relational databases (e.g., Oracle, SQL server)Proficiency with querying data and analyzing data through use of Structure Query Language (SQL) , Visual Basic of Application (VBA) , Statistical Analysis System (SAS),  or other equivalent programming languages is highly preferred.

 

3+ project and/or data analysis experience in MCO, PBM or health plan.

Skills

Required:

Proficiency with querying data and designing relational tables in databases.

 

Proficiency and experience with SQL, VBA, SAS, R, and/or other equivalent programming languages.

 

Must have a thorough understanding of how to apply excel functions and utilize SQL or other languages to perform modeling and analysis when provided with project scope and criteria.

 

Advanced knowledge and proficiency in Microsoft Applications including Access, Excel, and Word.

 

Possess the ability to communicate with others through verbal and written communication to interpret and translate requests into business needs.

 

Must be able to clearly document scope and business requirements in a clear and concise manner.

 

Must have effective decision making/problem solving and critical thinking skills.

 

Must possess the ability to demonstrate strong analytical and logical approaches to develop solutions through prior projects and experiences.

Preferred:

Basic working knowledge of managed care principles and/or pharmacy operations within a healthcare system.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)