Medication Use & Management Analyst

The Analyst for Medication Use and Management is responsible for collecting, analyzing, and interpreting clinical and medication-related data to support medication optimization, quality improvement, and regulatory compliance. This role collaborates closely with the Clinical Analytics team and clinical leadership on medication use and value-based care initiatives. Essential Functions and Work Responsibilities Functional Category: Medication Data Analytics and Reporting – Technical and Analytical Duties Estimated Percent of time Spent – 85%

• Analyzes pharmacy medication claims data for potential fraud, waste and abuse including overcharges, over dispensing and inefficient utilization
• Integrate and synthesize multiple data sources (e.g. EPIC, MedWise, PBM, medical claims, finance) to produce accurate and timely clinical quality performance reports for senior leadership.
• Design and execute data analyses to inform and support clinical quality improvement, care management and utilization management initiatives in collaboration with clinical leadership.
• Provide analytical support for medication use and clinical value initiatives through data collection, consolidation, performance tracking, and opportunity identification.
• Conduct concurrent and retrospective reviews of medication claims data to evaluate performance and identify opportunities for quality and utilization improvement.
• Develop, maintain and enhance KPI dashboards to track and trend organization-wide performance for senior leadership.

Functional Category: Medication Data Analytics and Reporting – Cross-functional collaboration Estimated Percent of time Spent – 15%

• Prepare and present analytical findings to senior leadership, clinical and quality teams using written, visual, and oral presentations tailored to both technical and non-technical audiences.
• Serve as a subject matter expert on measurement and analysis methodologies, advising on data collection, analytic implications, and opportunities for data-driven improvement.
• Collaborate regularly with clinical leadership, quality, compliance, and risk management teams to review data, identify unmet analytical needs and recommend process enhancements based on emerging data trends.
• Partner with Information Technology, Data Analytics, and Clinical Applications departments to support the development and refinement of reporting tools and data infrastructure.

Travel Requirements Travel

• Travel may be required
• Overnight travel may include local or out of state

Relocation

• Remote position

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions REQUIRED

• Bachelor's degree in research, statistics, health administration, or a related field from an accredited college or university, or equivalent work experience.
• Minimum of 3 years of experience with data analysis. Experience with a health plan or PBM is preferred.
• Minimum of 3 years of experience with generating and ensuring accurate and easily understood data analyses and presenting results orally, in written form or graphical format for review by both technical and non-technical audiences.
• Working knowledge of healthcare industry medication quality measures, clinical performance, and financials measures.
• Experience with obtaining and manipulating health care data such as: medication claims, clinical values etc.

PREFERRED Work Experience and Qualifications

• Experience with Epic and Clarity preferred
• Advanced skills using Tableau, Excel, SQL and related tools, including construction and use of pivot tables, advanced formulas, VBA and Macros.
• Mastery of desktop applications, including MS Office (Teams, Word, Excel and PowerPoint).
• Strong interpersonal skills with ability to build positive working relationships.
• Organized, detail-oriented, diplomatic, proactive, self-motivated, accountable, and committed to excellence.
• Ability to manage multiple priorities in a fast-paced environment with professionalism and composure.
• Ability to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $77,400-$96,800

Compensation

Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge. Apply tot his job Apply To this Job