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Pharmacy Data Analyst

Denver, CO
Evio is a unique pharmacy solutions startup that works with health plans to transform the medication experience for everyone: patients, providers, health plans and the system at large.

In 2020, a group of five amazing health plans that in total serve more than 20 million members recognized that despite the miracles that medications can deliver every day, the way medications get to patients is in dire need of reform—rapidly rising costs and inefficient system complexities have proven detrimental to patients and the industry alike. Each of the five health plans made a significant investment to establish Evio as the independent entity to lead this transformation.

From its unique access to data, Evio will develop and apply real world evidence (RWE) to build solutions and insights. We will ensure that every patient receives the right medication for their unique situation, from the beginning, in a simple and affordable way. Achieving the quadruple aim of improved experiences and health outcomes for people, reduced costs, and clinician fulfillment is our goal. Clinical, evidence-driven drug decision making will lead everything Evio does.

Initially, Evio will offer services to each of the five investor health plans to complement other innovative pharmacy services the health plans offer. To achieve our vision, Evio's strategic initiatives include:
  • Using evidence and data from more than 20 million lives of claims data and real patient experiences ("RWE") to understand the right medication for every patient's unique situation.
  • Deploying those RWE- based insights about the right medication for every patient's unique situation to the point of prescribing and the technology that enables it, capturing the hearts and minds of the prescribers to deploy the insights to their patients.
  • Changing the nature and structure of the health plan's relationships with pharmaceutical manufacturers, to be more value and real world evidence based.
  • Reimagining the way pharmacy benefits are delivered and paid for to align incentives for all stakeholders toward the right medication for every patient's unique situation, from the beginning.

Evio's Values
  • Empathy – The people our business serves always come first. We put ourselves in the shoes of the patients, clinicians, and stakeholders our solutions benefit.
  • Diversity – We are committed to fostering a culture where everyone belongs and is valued for their background, experience and insights – one that encourages diversity of ideas, and is a nurturing, trusting, and accepting place for all.
  • Adventure – We are flexible, thrive in ambiguity, fail fast, and pivot quickly to get to a better answer. We celebrate wins and pivots with equal intensity.
  • Relentless – Guided by evidence and data, we are creative, curious, and unwavering in our pursuit of challenging the status quo and each other.
  • Transparency – Just as we seek to bring transparency to the pharmacy supply chain, authenticity and integrity are core to the way we communicate.
  • Excellence – We strive to raise the bar in all we do by hiring and developing exceptional talent and holding ourselves and our thinking to the highest standard.

We are looking for a data analyst who has 3+ years experience working in the pharmacy industry with knowledge of medical and pharmacy data to join our fully remote analytics team. This individual will build financial models and tools that provide deep insights from a cost and clinical perspective. In this role, the candidate will have the opportunity to work closely with leading industry experts to develop next level skills.

Job Specifics

In partnership with the clinical and technology teams, you will:
  • Work with both internal and external stakeholders to evaluate the financial impact of various Evio initiatives and strategic partnerships using best practice modeling.
  • Establish internal benchmarks and algorithms to monitor the validity of the ongoing data extracts compiled from the five founding Plans.
  • Create standard reporting outputs, models, and customized summaries to assist internal Evio teams.
  • Monitor and update supplemental data sources that enrich data collected from founding Plans.
  • Work closely with the clinical team to identify potential clinical opportunities from analysis of claims data and translate these opportunities into financial and clinical metrics.
  • Innovate on opportunities/solutions leveraged from financial and clinical modeling insights.
  • Collaborate with appropriate stakeholders in developing useful reporting that delivers timely, accurate, and actionable information to internal staff and external clients
  • Provide qualitative and financial evaluations of PBM contracts, including pricing and fee schedules.
  • Assist with developing models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility data, etc.
  • Acquire, standardize, and merge various data sets to provide summarized reports.
  • Provide guidance to technology team for data used in reporting and by external vendors.
  • Work independently and efficiently in role.

The skills and experience you bring to this role include:
  • 3+ years of experience as a data analyst at a PBM or health plan.
  • Highly proficient in Microsoft Excel/Access and SQL and/or similar business analytic or modeling tools such as Tableau.
  • Superior problem-solving capabilities and learning agility with an attention to detail.
  • Experience working with medical and pharmacy claims data.
  • Familiarity with Medispan (or First Databank) and medical coding (HCPCs, CPTs) systems and applying these codes in analytics.
  • Extensive knowledge of pharmacy claims reimbursement (ex. WAC, AWP, discounts, rebates, etc.)
  • Experience with handling raw pharmacy and medical claims data (ex. NCPDP format)
  • Collaborative team player mentality with a passion for using data to inform decisions.
  • Experience in working with large, complex databases and process automation.
  • Bachelors degree

Salary Considerations

Anticipated annual base pay range: $90,000-$125,000

At Evio, we're committed to building a competitive compensation package to honor the value our teammates bring as well as attract and retain top talent that is aligned with our culture, mission and values. Compensation includes base pay (range shown) and could include other variable compensation opportunities depending on job seniority, location, and date of hire. Evio also offers a number of attractive benefits to eligible teammates including health insurance, retirement savings, life and disability insurance, paid and unpaid time off, and other benefits to make sure Evio teammates and families are well supported.

Please note that the base pay information shown is a general guideline for the job responsibilities and qualifications listed. Salary decisions are based on candidate experience, and market and business considerations.

Evio Benefits
  • Great Health Insurance The company pays 100% of medical, dental, and vision premiums for teammates, and 50% for dependents.
  • 401K Match Evio matches 100% of teammate contribution up to 5% of salary, subject to IRS limits. 401K is administered through Guideline.
  • Time Off We have a flexible vacation policy for teammates to unplug and recharge when you need it. There is no minimum or maximum amount of vacation allowed per year, and there is no payment in consideration for unused vacation. Vacation is to be used at your discretion, with approval of leadership.
  • Parental Leave Generous paid leave for new parents (includes birth and non-birth parents).

Key informations

Posted 7 months ago

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