Pharmacy Analytics Senior Analyst

POSITION SUMMARY :

Boston Medical Center Health System is a $2.6B integrated health system devoted to the proposition that every person regardless of their social or economic circumstances deserves the best health care. Our mission is to provide Exceptional Care, Without Exception and our vision is to make Boston the healthiest urban population in the world.

Our health system includes:

• Boston Medical Center, a 498-bed academic medical center and the leading safety-net hospital in New England
• Boston HealthNet, a network of 15 community health centers throughout Boston
• BMC Health Plan, a Medicaid managed care health plan that serves over 400,000 members across Massachusetts and New Hampshire
• Boston Accountable Care Organization, a partnership between BMC and local CHCs created to coordinate delivery of care across our health network

Boston Medical Center’s Pharmacy department is one of the largest and most clinically advanced pharmacy programs in the US, comprising of:

• A large retail pharmacy network with about ~2.0M prescriptions filled per year
• A specialty pharmacy program that is one of the largest and most clinically advanced in the country, serving tens of thousands of patients with exceptional specialty pharmacy care
• An organization directly serving the BMC HealthNet Plan across Massachusetts and New Hampshire
• And a clinical program that is grounded on disciplined recruitment, exceptional service, reliable retention and alignment with total health system strategy

Pharmacy analytics plays a key role in helping the Pharmacy department succeed across the enterprise. The ability to collect, analyze, and interpret data is critical to growing our business, proactively identifying trends, setting expectations through KPIs, and most importantly taking care of our patients. We are enabled by a robust hospital analytics infrastructure consisting of data from numerous sources both inside and outside of Pharmacy. The maturity of our abilities allows us to develop our own technology platforms and open opportunities for our system to access drugs and payors typically restricted to other health systems.

We are looking for team members who have the expertise to create efficiencies within our current operations (automated reports, data science, and innovative solutions for ad hoc reporting as some examples). An analyst within our team should have the ability to deeply understand the data pulled and work with business owners to create a stronger analytics engine. These analytics connect patients in need to life-saving therapies and enable one of the best programs in the country to continue to grow.

On a day to day basis, the senior analyst will perform data pulls, create dashboards to help track operational efficiencies, quality check data for accuracy, collaborate and refine reports with the finance function, support ad hoc reporting and more. On a longitudinal basis the analyst will help develop new tools, conduct periodic programmatic analysis (e.g. quarterly opportunity updates), and produce larger ad hoc analyses (e.g. to evaluate a new product offering ROI, etc.).

Position: Pharmacy Analytics Senior Analyst

Department: System Analytics

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Develop analyses that help the organization understand and monitor performance, break down key drivers, and identify new opportunities
• Create ongoing reports and high-impact dashboards and visuals that effectively communicate performance to operational and clinical leaders and stakeholders (e.g, Tableau dashboards)
• Acts as pharmacy data Subject Matter Expert (SME) responsible for understanding the pharmacy data living in systems throughout BMC
• Understand the legal issues regarding participation in specific pharmacy service agreements including 340b patient eligibility
• Query databases to provide Pharmacy stakeholders with key information to manage their operations
• Designs and maintains databases of financial and clinical data for pharmacy programs for program evaluations, competitor comparisons, and responses to request for proposals​
• Works with person responsible for contract for Medication Therapy Management (MTM) program to conduct vendor monitoring, data validation, and reporting
• Collaborate extensively with Finance, Analytics, IT, and business leads to deliver on organizational goals
• Manage multiple projects and analyses simultaneously while meeting key deadlines and deliverables, and prioritizing time and resources
• Identify and elevate key obstacles for intervention that may jeopardize timelines

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

Bachelor’s degree, preference for concentration in economics, math, statistics, health informatics, data analytics or data science

Master’s degree in a related field, preferred

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED :

None

EXPERIENCE:

• 5+ years of data analytics experience with progressive responsibility, working with large data sets to answer important clinical, operational, or business questions
• 3+ years of experience working with medical claims data in managed healthcare or insurance operations, with preference for analysis on Medicare or Medicaid risk products
• 3+ years of experience developing dashboards using Tableau
• Ability to conduct advanced analytics using SAS and SQL; fluent in Excel
• Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus.
• Strong communications skills, both verbal and written.
• Experience with quality measures (e.g. HEDIS, CMS measures) preferred.
• Experience with external grouping methodologies such as DRG, ETG and DxCG/CDPS in analytics preferred.

KNOWLEDGE AND SKILLS:

The Ideal Candidate:

We are seeking a top performing senior analyst to help us build a high performing analytic team that will find answers to difficult questions across large and complex data sets.

The ideal candidate will have the following skills:

• Technically proficient: Capable of manipulating large data sets, cleaning and normalizing data, generating analysis and working through challenges independently
• Strong analytic thinking: Effective at identifying the critical question, capable of navigating the trade-off’s between accuracy / comprehensiveness / complexity vs. speed and simplicity, able to make independent decisions on how to adjust assumptions and analyses, can distill complex analysis into simple charts to communicate key takeaways
• Experienced in working with medical claims: Possesses a baseline understanding of the structure of raw claims billing data, and how to extract relevant clinical insights
• Curious and creative: Capable of finding the right analytic approach, always asking questions and testing the data and analysis to ensure that we are answering the right key questions
• Outcomes-focused: Ability to manage multiple high priority projects simultaneously and prioritize to meet key projects
• Passionate about our mission: Highest level of integrity and respect for colleagues and for our mission to provide Exceptional Care Without Exception to our patients and members

Equal Opportunity Employer/Disabled/Veterans

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