Clinical Informatics Consultant Health Integrated
JOB SUMMARY: The Clinical Informatics Consultant is part of a technical team that provides support and business solutions to internal and external customers by analyzing client healthcare utilization data, population characteristics and member risk profiles, and creating summarizing documentation regarding the opportunities for Health Integrated program impact. This position will work with current staff and processes, as well as develop new processes, to create business models and opportunity analyses. This work would include evaluating current reporting capabilities and enhancing these capabilities. The successful candidate will systematically improve the efficiency and effectiveness of the team and the technical processes used to deliver outputs. Serving as a liaison between business owners and external clients, this position will lead the development of new capabilities and acquisition of new technologies to improve delivery of results. The scope of responsibilities shall include gathering requirements directly from business owners and customers, evaluating current capabilities and developing new processes, controls and mechanisms to drive sales and overall customer satisfaction.
Education/License/Certification: Bachelor?s degree in Computer Science, Statistics, Healthcare Administration, Information Systems or related field required. Master?s Degree in same preferred.
Experience: Minimum 3 years data analysis experience in managed care, healthcare, or insurance industry required.
Knowledge and appreciation of healthcare outcomes concepts and requirements.
Knowledge and understanding of business research principles, process, and techniques.
Knowledge of project management principles, practices techniques and tools.
Ability to participate in a hands-on role in the development and preparation of outcome analyses, methodologies and ROI calculations.
Knowledge of the principles of healthcare operational metrics.
Knowledge of healthcare coding methodologies and claims systems.
Ability to conduct functional interviews, create client and user report requirements and requests for technical information.
Ability to document outcomes/report designs and to format and generate reports utilizing SQL, SSIS, SSRS, Microsoft Excel, and other query tools in the Microsoft BI stack.
Knowledge of data warehousing and business intelligence, including ETL writing, in the healthcare industry.
Experience with HEDIS Measures and knowledge of disease and /or case management, where applicable.
Ability to design and implement the necessary data quality systems and quality assurance functions to ensure accuracy of clinical and demographic system source data and metrics output.
Ability to develop and deliver presentations to internal and external customers.
Excellent written and verbal skills, with the ability to create, compose and edit written materials.
Must have a good sense of humor and have fun completing projects and working with a talented team.
In this critical role, you must be an individual with a high degree of personal integrity, able to maintain the personal discipline to create a results-oriented team environment with relentless focus on a quality and reliability.
Identifies and resolves potential personnel/peer problems and issues proactively and readily communicates to appropriate management staff all problems, issues and/or concerns as they arise.
Actively participates in team meetings and maintains accurate status of responsibilities ? leading by example.
Must have a customer-focused, energetic attitude and constantly be willing to take initiative to solve problems and discover solutions without prompting from management staff.
Communicates and collaborates proactively and in a courteous and professional manner with all external clients and/or customers.
||10008 North Dale Mabry |
Tampa, FL 33618