*Job Title*

*Pharmacy Data Architect*

*Project Location*

*Raleigh, NC*

*Duration*

*6+ Months Contract*



Interview Process: - Phone + F2F/ Skype

Visa: Any



Job Description



*The candidate shall:*

1. Understand and work with the multiple sources of data available to the
State Health Plan, including medical (ICD-10, HCPCS, CPT-4 codes) and
prescription drug claims (NDC-11, DAW codes, knowledge of drug databases)
and eligibility data (effective dates, Medicare designation, HCINs).
Utilize SAS to evaluate a wide array of data types and to perform analyses
according to analysis plans (develop analysis plan). Upon request, assist
in developing study methodology, determining sample sizes, manipulating
complex databases, and tracking and evaluating patterns of care and
outcomes.

2. Utilize data from the SAS data warehouse, vendors, and other internal
and external sources to prepare a quarterly dashboard report on key metrics
and predicative data modeling utilizing standalone prescription or medical
claims data or integration of prescription and medical claims data which
will inform the Pharmacy Benefit team of disease prevalence, utilization
patterns, cost and quality metrics, and the development of predicative
modeling processes.

3. Work with the Pharmacy Benefit team in providing the ad hoc reports
required for benefit design, program management, development and
monitoring. This could include additional in-depth analysis to determine
incidents of, cause and effect within trend patterns observed in
utilization and quality metrics. Interpret and translate data for the use
of Pharmacy Benefit staff. Assist in designing and implementing monitoring
oversight and evaluating plan design, formulary, and other initiatives
developed and implemented by Pharmacy Benefit. Develop data collection
instruments, collect required data, analyze, and report on decided upon
process and outcome measures.

4. Review data and reports received from Vendors for validity and accuracy.
Develop metric definitions for use by Vendors for consistency in data
reports. Work with vendors to ensure consistent and reliable data flows and
compliance with contractual obligations.

5. Participate in the development of methodology for calculations of Return
on Investments (ROI) for plan benefit, formulary, and outcomes initiatives
and other validation studies as needed.

6. Prepare and present data to internal and external stakeholders to guide
strategic planning and to assist in monitoring progress towards strategic
goals for Pharmacy Benefit.

7. Participate in data analyst, project, staff, and other meetings. Reports
project progress and results to staff as needed.

8. Assist the Healthcare Analytics team in loading and testing the Pharmacy
file loads into the SHP SAS Data Warehouse.







Thanks & Regards,

Udbhav Mathur

Talent Acquisition Specialist

*TEKshapers Inc.*

Email:- umat...@tekshapers.com <tar...@tekshapers.com>

Gtalk: udbhav.intime

Tekshapers Inc. – WMBE Firm

1441 E. Maple Rd, Suite # 301, Troy, MI 48083

http://www.tekshapers.com

Certification: WMBE Certified | E-Verified Company | ISO 9001:2008

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