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Business Analyst, Clinical Pharmacy

ArchWell Health -
Nashville, TN

Apply Now

Job Details

11 days ago

Qualifications

Data visualization software proficiency
Customer service
Business intelligence tools
Project management
Bachelor's degree
Microsoft Teams
SharePoint
Productivity software

Full Job Description

Job Summary:
The Clinical Pharmacy Business Analyst is an important colleague of ArchWell Health Pharmacy Team. Reporting to the Senior Director, Clinical Pharmacy, the Business Analyst will be responsible for analyzing, designing, and implementing clinical pharmacy reports, audit tools, and dashboards to improve efficiency and effectiveness across different teams. This role involves working closely with stakeholders to understand their needs, gathering and documenting requirements, and ensuring that solutions meet business objectives.

Duties/Responsibilities:

Collaborate with stakeholders across teams or departments to gather, document, and validate data captured within care management systems to ensure accuracy of reporting and progress toward business objectives
Design and propose solutions to enhance clinical pharmacy intervention delivery processes, including system configurations and workflow optimizations
Assist in the implementation of solutions through collaboration with the Clinical Pharmacy Leadership team (Managers and Senior Director) for education and training opportunities
Perform timely data analysis, including predictive modeling, to support decision-making and identify trends in pharmacy STAR quality measures performance and claims data
Develop and maintain reports, audit tools, and dashboards to monitor various teams’ performance
Communicate effectively with stakeholders to ensure alignment and understanding of clinical pharmacy and reporting solutions
Ensure that all tasks are completed timely, documented accurately, and in accordance with regulations (including HIPAA) and organizational standards
Attend staff meetings and provide input into current trends, process evaluation, and quality improvement
Assist with other pharmacy departmental initiatives as they become available
Additional duties, as assigned

Required Skills/Abilities:

Strong analytical and problem solving skills, including handling medium to large data set
Proficiency in Microsoft applications (Excel, Word, PowerPoint, List, SharePoint, Teams) and data visualization tools (Tableau, PowerBI)
Excellent customer service and communication skills, and the ability to follow-through
High degree of emotional intelligence and integrity, resilient and focused work ethic, with adaptability to handle frequent changes with a positive attitude
Self-starter with the ability to think creatively and work effectively either independently or as part of a team
Knowledge of project management principles
Ability to travel on occasion for company meetings

Minimum Qualifications:

BA/BS in Business Administration, Healthcare Administration, Information Technology, Data Science, or a related field, required
A minimum of 2 years of experience in business/data analysis, preferably in pharmacy claims or STAR quality measures
eClinicalWorks or similar EMR experience preferred
A problem-solving orientation and eagerness to identify process gaps and implement practical solutions in a matrixed organization
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing

About ArchWell Health:
At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.
Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Apply Now

Refine Your Search

Degree Audit Analyst jobs

Business Analyst, Clinical Pharmacy

Financial Analyst - Operations

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Customer Service Administrator

Risk Analyst

Bswift System Analyst - Remote (EST)

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Risk Analyst

Fraud Analyst

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Junior FedRAMP Consultant (GRC Analyst I)

Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)

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Healthcare TPA Member Services Processing Analyst

GRC Security Analyst

Banking Analyst - Chargeback & Payments Operations

Cybersecurity Compliance and Audit Analyst

Managed Care Appeals Analyst

Compliance Analyst (Remote)

I want to receive the latest job alert for Degree Audit Analyst

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