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Analyst in Southfield, MI at AF Group

Date Posted: 10/4/2018

Job Snapshot

Job Description



SUMMARY:

This position is responsible for supporting pharmacy quality improvement projects including but not limited to clinical pharmacy Star initiatives.



RESPONSIBILITIES/TASKS:

  • Assist and support in the planning, development, coordination and implementation of approved clinical quality improvement projects for the Medicare Part D benefit.
  • Develop, analyze, and update processes and controls related to the implementation and maintenance of internal and external quality improvement projects.
  • Review, analyze, and interpret prescription claims data.
  • Develop procedures/controls and provide recommendations for ongoing improvement and efficiency of updated processes.
  • Provide status updates to leadership and help to prepare ROI analysis of quality interventions.
  • Independently develop and plan reports, papers, presentations, and other materials for members, providers, payers, and other stakeholders as required in a clear and concise manner.
  • Manage, monitor, and independently resolve issues relating to multiple ongoing projects, providing timely updates and recommendations to leadership.
  • Preparation of reports, presentations, letters and other communications.
  • Assist personnel (both internal and external) by answering questions, supplying information, and providing relevant training, as required.
  • Represent department and division as requested on work groups and special assignments.
  • Develop working relationships and collaborate with health care professionals, pharmacy services, and other internal and external personnel.
  • Prepare and maintain written desk-level procedures

Other duties as assigned.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.