This position will be responsible for developing both qualitative and quantitative analyses to evaluate and report the clinical and economic impacts of FPS business lines and services. This person will lead thedesign and assist in the development of methodologies for multiple projects on a wide variety of total health care and clinical pharmacy issues collaborating with the pharmacy team(s). Be a thought leader of what value/quality pharmacy should demonstrate, understanding the changing healthcare landscape and qualtiy metrics being developed. This position will provide consultative support to internal teams and external collaborators, evaluate clinical value, and lead the interpretation and positioning of analytic findings and value. Responsible for assisting with clinical report development and presentation of findings, including identification of actionable insights related to FPSs value in terms of clinical quality, cost outcomes and patient safety and satisfaction to both internal and external stakeholders.
The Health Outcomes Manager will be working with the core data analytics team along with pharmacists, and medical informatics staff.
Demonstrates excellent anticipation, construct, and delivery of communications, both written and verbal, to all audiences, including customers and senior leadership
Develop clinical analytic strategies and priorities with FPS business & operations leaders. Develop ideas for new clinical analytic projects and programs to strengthen partner relationships with FPSs client base
Routinely collaborates across teams; leads team to resolve an issue. Independently solves complex issues and/or manages multiple issues. Readily looks for opportunities across the company to resolve issues or improve processes.
Communicates utilizing data and health outcomes research from a thorough analysis and assessment of various studies and trials.
Knowledge Workflow and industry
Demonstrates business and clinical insightfulness by appropriately eliciting requirements from requesters using research and knowledge of industry. Asks probing questions, understands why a requirement is necessary; demonstrates thorough knowledge of best practices
Understands the national quality landscape and informs FPS of industry trends and opportunities for metric development and testing. For example, CMS- STAR, ACO, PQRS and PQA.
Articulate industry trends and the impact they will have to FPS or our clients.
Studies and optimizes evidence and research that benefits patients and improves care; while considering cost, convenience, timing, accessibility and patient preferences
Program Design/Research Skills Impact analysis
Design analyses of the clinical and economic impacts of various quality improvement and cost reduction interventions on the care provided to groups of patients
Design analyses of patient characteristics that are associated with particular health outcomes or are predictive of future use of particular health care services
Generate actionable insights and make strategic recommendations that drive decision in quality area.
Ability to design methods to analyze performance variation in selected populations as compared with a control group for the purpose of understanding the cost effectiveness or health impact of various interventions on a population.
Design and implement outcomes research and health economic research studies, oversee all aspects of HEOR activities; use outcomes research expertise to advise sponsors.
Clinical Performance Metrics
Independently completes multiple, complex work assignments in a timely manner.
Designs and applies solutions to achieve intended results.
Directs in-depth analysis of clinical outcomes data in order to develop clinical process improvement initiatives.
Defines and implements performance metrics to review program effectiveness, balancing clinical and financial concerns. Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards
Assist in analyzing comprehensive, measurable, operational and clinical quality performance metrics to develop clinical process improvement initiatives
Bachelors Degree or 4 years directly applicable experience or any combination of post-secondary education anddirectly applicable experience totaling 4 years.
Masters degree or doctoral degree in statistics, pharmacy, health services and outcomes research, health informatics,public health or related discipline with relevant healthcare experience.
PhD in pharma economics, public health, health outcomes, pharmaceutical outcomes research or related disciplinepreferred.
5 years directly applicable experience 3 years of implementing/conducting analytic projects using administrativepharmacy and medical claims, preferably in a pharmacy benefit manager, health insurance company, or otherhealthcare setting.
Experience working in a health care environment- both pharmacy and medical knowledge and experience is preferred.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.