Clinical & Pharmacy Analyst-Recommendation & Intelligence Engine at Transcarent

, , United States -

Full Time

Start Date

Immediate

Expiry Date

22 Feb, 26

Salary

160000.0

Posted On

25 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Pharmacy Practice, Pharmacy Informatics, AI/ML Integration, Data Analysis, Collaboration, Medication Therapy Management, Clinical Decision Support, Workflow Optimization, Pharmacy Quality Measures, Change Management, EHR Systems, SQL, Population Health Management, Adverse Drug Event Prevention, Communication, Analytical Thinking

Industry

Hospitals and Health Care

Description

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 to: As 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 Responsibilities Recommendation & Intelligence Engine Expand 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. AI-Driven Clinical Decision Support Development 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. Pharmacy Informatics & Workflow Optimization 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. Data Analysis, Validation & Governance 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. Collaboration & Change Management 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. Qualifications Education PharmD required; active pharmacist license preferred. Master’s in Health Informatics, Data Science, or related field strongly preferred. Experience 3–6+ 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 Skills Working knowledge of EHR pharmacy systems preferred Basic SQL and data analysis capabilities; willingness to develop advanced skills Understanding 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 design Experience with clinical quality measures and pharmacy performance metrics (PDC, MTM, Star Ratings) Clinical Expertise Strong foundation in medication therapy management and clinical pharmacy practice Understanding of population health management and medication adherence programs Knowledge of pharmacy quality measures and clinical intervention design Experience with medication safety and adverse drug event prevention Core Competencies Excellent problem-solving and analytical thinking skills Strong communication and cross-functional collaboration abilities Adaptability and eagerness to learn new technologies and methodologies Detail-oriented with commitment to clinical accuracy and patient safety Why Join Us Be 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 health. Competitive pay, growth trajectory, and the opportunity to shape the future of intelligent healthcare. As a remote position, the salary range for this role is: $140,000—$160,000 USD Who we are Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company’s offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care. We are looking for teammates to join us in building our company, culture, and Member experience who: Put people first, and make decisions with the Member’s best interests in mind Are active learners, constantly looking to improve and grow Are driven by our mission to measurably improve health and care each day Bring the energy needed to transform health and care, and move and adapt rapidly Are laser focused on delivering results for Members, and proactively problem solving to get there Total Rewards Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity. Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options. Our benefits and perks programs include, but are not limited to: Competitive medical, dental, and vision coverage Competitive 401(k) Plan with a generous company match Flexible Time Off/Paid Time Off, 12 paid holidays Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance Mental Health and Wellness benefits 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! Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences.

Responsibilities

The Clinical & Pharmacy Analyst will expand and refine the Recommendation & Intelligence Engine to deliver high-value pharmacy and care interventions. This role involves leading the design and implementation of AI-enhanced clinical decision support tools and optimizing pharmacy workflows.