Lead Pharmacist Analyst - Work From Home

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities.

Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.

You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.

We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Lead Pharmacist Analyst , you support the required analytics, report design, data integration, and transformation processes crucial to the function of the Gainwell Technologies Single Pharmacy Benefits Manager services for Ohio Medicaid.

Serves as a data analyst performing research and requirement analysis, creation and design of data specifications and mapping documents, and presents findings to team members, clients, and vendors.

Determines best practices and provides suggestions on how to improve current practices.

Your role in our mission

• Responsible for coordinating with State Business Intelligence Operational Database Contractor to fulfill all reporting requirements set forth in the client contract.
• Responsible for design and ongoing management of reporting as set forth in the client contract.
• Responsible for coordinating with all stakeholders and tracking the report from request to resolution for all ad hoc reporting requests.
• Responsible for coordinating with stakeholders to perform predictive modeling and trending reports.
• Responsible for evaluating opportunities in care related to the use of medications in the associated populations. Identifies, defines, reports, trends, identifies correlation versus causality, considers prescribers, pharmacies and managed care organizations and identifies drivers of health inequities.
• Supports the data analytic needs for Pharmacy Clinicians, Operations Leaders, Call Center, Managed Care Entities and Ohio Medicaid.
• Facilitates and / or participates in JAD (Joint Application Design), RAD (Rapid Application Development) and DSD (Design Specifications Document) sessions to define and understand the business requirements and present detailed systems design documentation for data interface files, data conversion and any other method of data exchange.
• Works with the customer and account management to control the scope of the project and refines and approves project scope.
• Escalates concerns to project management, such as delays or risks of delays as early as possible.
• Works toward delivering a first draft solution to ETL developers for coding, by rapidly understanding which details about the mapping can be deferred.
• Supports DSD creation and response.
• Works with configuration team to ensure synchronicity of configuration to interfaces and mappings.
• Refines mapping documents, adds detail, and fills out deferred material as questions are resolved.
• Supports Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing.

What we're looking for

• Experienced Pharmacist with 5 or more years utilizing Drug databases
• 5 or more years of pharmacy experience using Drug Databases such as First Data Bank, Medi-Span, ICD
• Experience with data analysis with the ability to create meaningful data presentation, reports, including but no limited to hot-spotting, graphics, and other depiction of the data
• Experience using SQL, data models, data element dictionary and schema to perform data and healthcare business analysis.
• Experience with analyzing, monitoring healthcare plan data focusing on medical claim, data mining, and financial processing member eligibility processing, provider networks and Managed Care Organization (MCO) contract details, audit, and reporting in compliance with Federal and State requirements.

What you should expect in this role

• Remote position in Ohio
• Candidate is expected to visit Ohio office twice a quarter
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• Expect up to 10% travel
• The deadline to submit applications for this posting is June 24, 2024 .

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LI-REMOTE

The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.