Clinical & Pharmacy Analyst-Recommendation & ...

OverviewClinical & Pharmacy Analyst-Recommendation & Intelligence EngineJoin to apply for the Clinical & Pharmacy Analyst-Recommendation & Intelligence Engine role at PlushCare. The Clinical & Pharmacy Analyst bridges pharmacy practice, advanced informatics, and AI-driven decision support. This role is pivotal in scaling our Recommendation & Intelligence Engine to deliver precise, high-impact insights that improve medication safety, optimize therapy, and drive smarter engagement for members, providers, and care advocates.Reports toAs part of our Clinical Intelligence team, you will help shape how pharmacy intelligence and clinical decision support tools generate measurable improvements in clinical outcomes, adherence, and client value, while building the next-generation platform for precision healthcare.Key ResponsibilitiesExpand and refine the Recommendation & Intelligence Engine to surface precise, high-value pharmacy and care interventions.Partner with data science to design, train, and validate AI/ML models for adherence prediction, therapy risk, and formulary optimization.Build prioritization frameworks to ensure recommendations are timely, clinically sound, and financially impactful.Lead the design and implementation of AI-enhanced CDS tools within EHRs and digital platforms.Author, test, and maintain CDS content (rules, alerts, order sets) to support safe, cost-effective therapy decisions.Balance innovation with usability—reducing alert fatigue while increasing adoption and relevance.Work with Clinical Platform team to embed pharmacy recommendations seamlessly into existing clinical workflows.Partner with pharmacists, physicians, nurses, and care advocates to identify medication-use gaps and workflow optimization opportunities.Serve as a subject matter expert bridging pharmacy practice, product, and engineering.Support analytics and dashboard development to measure effectiveness of pharmacy interventions (adherence rates, cost avoidance, clinical outcomes).Contribute to model validation processes ensuring clinical accuracy and safety of automated recommendations.Establish governance processes for pharmacy data, including drug dictionaries, formulary content, and benefit logic.Translate clinical requirements into technical specifications for engineering and data science teams.Educate and support care teams, product managers, and client-facing staff on new tools and workflows.Ensure all solutions comply with HIPAA, FDA, and patient safety regulations.QualificationsEducationPharmD required; active pharmacist license preferred.Master’s in Health Informatics, Data Science, or related field strongly preferred.Experience3–6+ years in clinical pharmacy practice with strong informatics experience.Proven success in pharmacy informatics (clinical decision support build, drug formulary/benefit optimization, medication-use workflow redesign).Hands-on experience with AI/ML in healthcare—training, validation, or integration into clinical decision support or recommendation systems.Collaboration with data scientists/engineers to convert clinical insights into algorithms or decision logic.Technical SkillsWorking knowledge of EHR pharmacy systems preferredBasic SQL and data analysis capabilities; willingness to develop advanced skillsUnderstanding of clinical coding standards (RxNorm, NDC, ICD-10, CPT, HCPCS)Experience with AI governance: bias monitoring, fairness, transparency, model drift.Ability to drive adoption through workflow redesign, training, and change management.Familiarity with claims data analysis and pharmacy benefit designExperience with clinical quality measures and pharmacy performance metrics (PDC, MTM, Star Ratings)Clinical ExpertiseStrong foundation in medication therapy management and clinical pharmacy practiceUnderstanding of population health management and medication adherence programsKnowledge of pharmacy quality measures and clinical intervention designExperience with medication safety and adverse drug event preventionCore CompetenciesExcellent problem-solving and analytical thinking skillsStrong communication and cross-functional collaboration abilitiesAdaptability and eagerness to learn new technologies and methodologiesDetail-oriented with commitment to clinical accuracy and patient safetyWhy Join UsBe at the frontier of AI in pharmacy informatics, building a next-gen Recommendation & Intelligence Engine.Drive precision insights that measurably improve member health outcomes, provider efficiency, and client savings.Join a high-performance Clinical Intelligence team at the intersection of pharmacy, data science, and digital petitive pay, growth trajectory, and the opportunity to shape the future of intelligent healthcare.Salary & BenefitsThe salary range for this role is: $113,800 - $176,400 annually.Total Rewards: Individual compensation packages are based on location, skills, experience, market demand, and internal equity.Eligible for corporate bonus program or sales incentive and stock prehensive benefits: medical, dental, vision, life, disability, accident coverage; HSA with employer contributions.401(k) with employer matching.Open time off, sick time, holidays, parental leave, commuter benefits, and Headspace access.LocationYou must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US.Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out.We are looking for active learners who care about disrupting the current health and care with their unique experiences. #J-18808-Ljbffr

Created: 2025-10-08