Clinical Data Analyst

Job Title: Clinical Data Analyst

About Agadia

We specialize in healthcare management technology and offer a suite of utilization management software solutions for our clients. Our mission is dedicated to improving the quality of care and expediting the delivery of health care services by advancing and automating utilization management processes. We are based in Parsippany NJ, with clients across the United States. As we grow, we are looking for a detailed- oriented, self-motivated, independent Clinical Data Analyst.

Role Overview

The Agadia Systems’ Clinical Data Analyst will lead clinical data and analytical projects.  The Clinical Data Analyst is the subject matter expert as it relates to the product suite. This person will work closely with the products and IT team.

Responsibilities
  • Comprehends the organization’s strategic vision alongside the analytic and reporting necessities essential for departmental fulfillment.
  • Converts business inquiries and demands into technical requirements for analytics, encompassing data analytics design, clinical and data specifications, and reporting structures.
  • Guides the formulation and retrieval of data from diverse origins.
  • Ensures accuracy and quality of data from diverse origins.
  • Compile on-demand report inquiries involving relational datasets, including clinical attributes, Generic Product Indicator (GPI), National Drug Code (NDC), RxCUI, MEDID, DDID, GCN Seq. No., HCPCS, and ICD-10 from databases.
  • Identifies and implements process improvements related to data processing, data integrity, and quality.
  • Identifies and executes appropriate test scenarios to ensure data integrity and quality.
  • Evaluate formulary status inquiries to ascertain the necessity for action within the Formulary Workplace.
  • Aid with project endeavors, such as new client introductions, compliance with new regulations, the creation or revision of Desktop Procedures and Standard Operating Procedures, generation of job aids, auditing, and enhancing the formulary database.
  • Present findings and data as needed to the key stakeholders.
  • Thorough analysis of user requirements/use cases and understanding of application functionality from a user perspective
  • Ability to translate business and regulatory requirements into functional and solution-level test cases.
  • Design, develop, execute, review, and maintain test automation scripts to meet business needs.
  • Document all execution test results and defects identified.
  • Other duties as assigned.
Qualifications
  • Undergraduate Degree or equivalent experience.
  • Certified Pharmacy technician preferred.
  • Knowledge of prescription drug formulary.
  • Knowledge in developing algorithms based on clinical concepts, data elements, and FDB/Medi-Span concepts.
  • Formulary workplace experience a plus.
  • Experience in Clinical programs/services:  MTM, Transitional Care, Medication Synchronization, Drug Management Program, Medication Reconciliation, and/or Specialty Pharmacy a plus.
  • A minimum of 5 years relevant experience in pharmacy operations or the managed care industry (PBM, health plan, PBA, etc.).
  • Strong knowledge and understanding of RxNorm and First DataBank and/or Medi-Span (two of three is a must, with one being RxNorm).
  • Solid understanding of the US healthcare marketplace and government programs such as Medicaid and Medicare.
  • Knowledge and understanding in CMS/Regulatory/Compliance a plus.
  • Able to Travel: minimal (2 – 4 times per year).
Desired Skills
  • Strong pharmacy benefit and managed care knowledge
  • Ability to understand, review, and synthesize large datasets.
  • Experience managing process documentation and workflows.
  • Critical thinking skills to identify strengths and weaknesses of approaches to problems and potential solutions.
  • Identification and implementation of process improvements and appropriate test scenarios
  • Ability to identify preventive actions.
  • Experience with SQL, preferred.
  • Experience with agile planning, sprinting, and reviews a plus.
  • Problem solving and business analysis skills with strong attention to detail.
  • Ability to handle multiple tasks simultaneously under pressure with strict timelines.
  • Strong execution skills
  • Highly organized and flexible
  • Possess drive, initiative, and motivation.
  • PC literate
Key Competencies:

Communicates effectively– Attentively listens to others, provides timely and helpful information and is effective in a range of professional settings. Gives and receives feedback in a productive, professional manner. Demonstrates excellent oral and written communication skills.

Manages Ambiguity –Operating effectively, even when things are not certain, or the way forward is not clear. Is flexible in approach and is able to adapt their approach to meet changing business needs.

Manages complexity –Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems. Has strong organizational skills and is able to manage multiple activities at once. Has high attention to detail.

Ensures Accountability –Follows through on commitments and makes sure others do the same. Able to work independently as part of a small team.

Please send your resume & cover letter to jenna.heath@agadia.com

Phone

877-575-2533

Email

contact@agadia.com

Location

9 Campus Drive, Parsippany NJ 07054

Schedule Live Demo