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Medication Analyst - (Full-Time)

Wilmington Health
Wilmington, NC, US
Full-time

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all Southeastern North Carolina.

Wilmington Health is physician-owned primary care and multi-specialty medical practice. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients.

Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose

The Medications Analyst will provide day-to-day oversight related to Wilmington Health’s procurement of medications and monitoring the appropriate reimbursement of medications administered by Wilmington Health providers.

This position will facilitate and support operational improvements throughout the infusion center workflows. The Medications Analyst will be an active member of the Cost and Utilization committee.

Essential Duties / Responsibilities

  • In partnership with practice leadership, develops systems and procedures to manage the policies that govern the revenue cycle of high-cost medications efficiently and effectively across WH
  • Gathers and analyzes data to maintain profit margin charts for all medications
  • Works in tandem with physicians and practice leaders to ensure the utilization of cost and quality effective medications and the minimization of waste
  • Develops dashboards to track the profitability of all medications across WH
  • Seeks opportunities to improve operational enhancements efficiencies in infusion and pharmacy workflows to reduce costs, increase revenue, and increase quality
  • Collects, analyzes, manages, and presents financial data in a clear and comprehensive manner & incorporates advanced knowledge of organizational systems and structures into reports, analysis, and solution development
  • Monitors medication usage and presents data per department and physician
  • Tracks the progress of medication rebates to ensure thresholds are being met to receive payments
  • Works in tandem with physicians and practice leaders to promote effective biosimilar utilization
  • Audits documentation of medication administration
  • Manages the approval all orders of pharmaceuticals over $10,000
  • Establishes and maintains efficient par levels for medications

QUALIFICATIONS

Required

  • Demonstrated understanding of healthcare policy & procedure, Microsoft Excel, process improvement, LEAN Strategies, and / or Six Sigma expertise
  • Three + years in Healthcare Management / Administrative experience

Preferred

  • Bachelor’s Degree in business or a related healthcare field
  • Experience with pharmaceuticals
  • General knowledge of financial / accounting principles
  • Five + years Healthcare Management / Administrative experience

ADA Physical Demands

Rarely (Less than .5 hrs / day) Occasionally (0.6 2.5 hrs / day) Frequently (2.6 5.5 hrs / day) Continuously (5.6 8.0 hrs / day)

Physical Demand

Required

Frequency

Standing

Occasionally

Sitting

Continuously

Walking

Frequently

Kneeling / Crouching

Rarely

Lifting

Rarely

Competencies

  • Analytical Skills
  • Goal Oriented
  • Independence
  • Data Analysis, Entry, and Reporting
  • Communication / Interpersonal Relationships
  • Organizational Skills / Time Management
  • Professionalism / Integrity / Responsibility
  • Teamwork / Collaboration
  • Process Focus
  • Dependability / Punctuality
  • Judgment / Decision Making / Problem Solving
  • Quality / Quantity
  • Initiative / Efficiency
  • 30+ days ago
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