Ancillary Applications Analyst, Pharmacy

About the Role

The Ancillary Applications Analyst – Pharmacy serves as a functional owner of MEDITECH pharmacy and medication management applications. This role supports Pharmacy, Nursing, and Medical Staff across Nexus Health Systems' network of pediatric specialty hospitals and medical-model residential treatment centers. The Analyst translates clinical and operational requirements into system configuration, maintains the integrity of the closed-loop medication process, and acts as a pharmacy applications lead for the migration from MEDITECH Client/Server to MEDITECH Expanse.

This position is based at the Houston corporate office, with required onsite presence at Nexus campuses (including Dallas and San Antonio) during critical implementation events.

Key Responsibilities

• Service

• Consistently supports and communicates the Mission, Vision, and Values of Nexus Health Systems.

• Upholds Standards of conduct and corporate compliance.

• Maintains the privacy and security of confidential and protected health information.

• Adheres to all Nexus Health Systems policies on HIPAA.

• Collaborates effectively with colleagues and other departments.

• Serves as a primary point of contact for MEDITECH pharmacy and medication management functionality, enhancements, and issue resolution, including help desk escalation support.

• Excellence

• MEDITECH Expanse Migration

• Serves as a pharmacy applications lead on the MEDITECH Expanse implementation.

• Leads pharmacy dictionary review, mapping, and standardization across all facilities, including drug formulary, order sets, administration schedules, IV and compounding records, and dose range rules.

• Validates converted pharmacy data.

• Develops and executes unit, integrated, and parallel test scripts for pharmacy modules and interfaces.

• Supports user acceptance testing.

• Supports cutover planning, go-live command center coverage, and post-live stabilization of medication workflows.

• Pharmacy and Medication Management Application Ownership

• Configures, maintains, and troubleshoots MEDITECH pharmacy applications and dictionaries in both Client/Server and Expanse environments.

• Maintains the drug formulary and drug database content (First Databank), including new drug additions, NDC updates, therapeutic classifications, and clinical decision support rules.

• Configures and maintains pediatric and weight-based dosing rules, dose range checking, allergy and interaction alerting, and alert thresholds.

• Builds and maintains medication order sets, protocols, and standing orders in Provider Order Management.

• Maintains eMAR and Bedside Medication Verification (BMV) and barcode configuration.

• Supports controlled substance workflows, including reconciliation reporting and discrepancy tracking.

• Builds, tests, and maintains pharmacy interfaces, including automated Pyxis dispensing cabinets, wholesaler ordering, and drug database updates.

• Reporting and Analytics

• Designs, builds, and maintains pharmacy and medication safety reports using NPR Report Writer (Client/Server) and Report Designer with Data Repository SQL (Expanse).

• Delivers reporting for controlled substance reconciliation, medication administration timeliness and overrides, high-alert and psychotropic medication utilization, drug cost and utilization, and regulatory requirements.

• Analysis and Project Delivery

• Leads discovery sessions to define requirements and documents current- and future-state medication workflows.

• Reviews, tests, and educates users on MEDITECH updates and enhancements.

• Develops and delivers end-user training and train-the-trainer sessions.

• Provides regular status, schedule, and effort estimates to leadership.

• Serves as project team lead for pharmacy applications (Senior and Principal levels).

• Patient Experience and Advocacy

• Maintains the accuracy and reliability of the closed-loop medication process.

• Configures clinical decision support to catch dosing, allergy, and interaction errors.

• Responds promptly to medication system issues.

• Supports workflows that minimize medication delays.

• Quality Assurance and Compliance

• Ensures all activities adhere to healthcare regulations and organizational policies.

• Participates in quality improvement initiatives.

• Promotes a culture of patient safety.

• Submits configuration changes through the Clinical Technology Governance Board change control process.

• Ensures pharmacy system configuration supports DEA, Texas State Board of Pharmacy, The Joint Commission, and CMS medication management requirements.

• Supports medication error and near-miss investigations.

• Monitors pharmacy modules for proper utilization and data integrity.

• Professional Growth and Continuing Education

• Completes annual education requirements.

• Maintains competency and knowledge of current standards of practice and trends.

• Participates in workshops, seminars, and continuing education courses.

• Maintains current knowledge of MEDITECH Expanse release content, medication safety standards, pharmacy regulatory changes, and user community resources.

• Finance

• Promotes stewardship of hospital resources.

• Supports accurate pharmacy charge capture and revenue integrity.

• Provides drug cost and utilization reporting.

• Identifies opportunities to reduce waste and manual effort.

Requirements & Tech Stack

• MEDITECH Applications:
• PHA – Pharmacy: order verification, dispensing, IV and compounding, formulary and dictionaries.
• POM / Provider Order Management: medication ordering, order sets, dose range checking.
• eMAR and Bedside Medication Verification (BMV).
• NUR / PCS: medication-related nursing documentation content.
• MM – Materials Management (as it relates to pharmacy inventory and charge items).
• NPR Report Writer (Client/Server).
• Report Designer and Data Repository (Expanse).
• Third-party and interfaced systems:
• Drug database First Databank.
• Pyxis automated dispensing cabinets.
• Wholesaler ordering.
• Smart pump drug libraries.
• Technical and analytical skills:
• Working SQL (SQL Server).
• Report design and data validation.
• Requirements analysis, workflow documentation, test script development, and user acceptance testing.
• Knowledge of system development lifecycle and change control practices.
• Lean/Six Sigma process improvement concepts (preferred).
• Microsoft Word, Excel, PowerPoint, Teams, and Visio or an equivalent process-mapping tool.
• Professional skills:
• Ability to translate between clinical and technical language.
• Facilitation of cross-functional clinical stakeholder groups.
• Strong issue tracking and follow-through.
• Ability to teach system functionality to end users.

Qualifications

• Education:

• Required: Bachelor's degree in Pharmacy, Nursing, Health Informatics, Information Systems, Healthcare Administration, or a related field, or an equivalent combination of education and directly relevant hospital pharmacy operations and MEDITECH experience.

• Preferred (Principal level): Doctor of Pharmacy (PharmD) or Master's degree in a related field.

• Experience:

• Required (all levels unless noted):

• Hands-on MEDITECH pharmacy application experience (PHA, Provider Order Management medication content, eMAR, Bedside Medication Verification), obtained through implementation, optimization, or production support in a live environment.

• Hospital pharmacy operations experience as a pharmacy technician, pharmacist, or pharmacy informatics analyst, with working knowledge of the medication use process.

• Experience eliciting requirements, documenting workflows, and developing and executing test scripts.

• Experience producing project artifacts, including status reports, business requirements, and non-technical design documents.

• Strongly Preferred:

• Hands-on MEDITECH Expanse pharmacy experience.

• Participation in a MEDITECH Client/Server or MAGIC to Expanse migration, including pharmacy dictionary mapping and conversion validation.

• Pediatric, behavioral health, or post-acute pharmacy experience.

• Automated dispensing cabinet integration and controlled substance reconciliation experience.

• Multi-facility MEDITECH configuration.

• Experience by Level:

• Analyst I: 0–2 years; supports build and testing under direction.

• Analyst II: 3–5 years; independent build and reporting; leads defined workstream tasks.

• Senior: 5–8 years; leads pharmacy module and clinical decision support design; leads a project workstream.

• Principal: 8+ years; leads medication management application strategy; mentors analysts; leads program-level initiatives.

• Licensure/Certification:

• Preferred (any level): Texas-registered Pharmacy Technician (CPhT) or Texas-licensed Pharmacist (RPh/PharmD); a current RN license is also accepted.

• Preferred (Senior and Principal): CPHIMS, CAHIMS, or Board Certified Pharmacy Informatics.

• None required at the Analyst I and II levels.

Additional Requirements

• Must pass a criminal background check on an annual basis.
• Participate in the after-hours on-call rotation, approximately once per month.
• Travel to Nexus Health Systems facilities as required.
• Familiarity with the Nexus ticketing system and internal platforms expected within 90 days of hire.