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Specialist- Mid Level

3 months ago


Raleigh, United States Serigor Inc. Full time
Job DescriptionJob Description

Job Title: Specialist- Mid Level (Remote)

Location: Raleigh, NC

Duration: 12+ Months

Job Description:

The Population Health Analyst will work in partnership with stakeholders to ensure the client Health Connex delivers quality outbound services, including pandemic response efforts with the client quality reporting with client Medicaid. The Population Health Analyst will leverage their expertise to:

  • Engage key stakeholders including client Medicaid and other lcient agencies to align deliverables.
  • Collaborate in the development and implementation of population health systems, dashboards, and data exchanges.
  • Support the client's work to become client (Data Aggregator Validation) certified in partnership with NC Medicaid.
  • Work with potential external partners on use-case reviews and drive successful delivery on approved use-cases that align with the client's mission,
  • Provide subject matter expertise (SME) in clinical data and electronic healthcare data such as ADTs and CCDS.
  • Support Medicaid patient linking/patient matching projects.
  • Understand and take initiative on emerging standards and requirements at both state and federal levels of Medicaid.
  • Understand major health plan quality and performance measurements including HEDIS domains of care.

Skills:

Skill

Required / Desired

Amount

of Experience

Strong business analysis skills and research capabilities;

Required

5

Years

Ability to lead business requirements development including data and process models

Required

5

Years

Experience with the exchange of healthcare data to support care management and value-based models of care

Required

5

Years

Knowledge of clinical coding systems such as CPT, LOINC, and ICD-10

Required

5

Years

Ability to work independently with minimal supervision

Required

5

Years

Strong communication skills with ability to communicate with cross functional teams and all levels of the organization

Required

5

Years

Experience with systems/software development lifecycle including planning, development, testing, and deployment

Required

5

Years

Knowledge of Microsoft Office Tools, specifically Microsoft Project, Visio, Excel and PowerPoint.

Required

5

Years

Experience working with electronic health record data

Required

3

Years

A strong understanding of population health monitoring; experience with Admission, Discharge and Transfer (ADT) monitoring

Highly desired

5

Years

Experience with statistical and analytical software in the development of advanced reporting and analytics for health care.

Highly desired

5

Years

Experience with web-based applications and database management systems;

Highly desired

10

Years

Experience with SAS development tools such as SAS Visual Studio and SAS Enterprise Guide

Highly desired

10

Years

Knowledge of healthcare interoperability technical standards such as HL7, C-CDA and FHIR.

Highly desired

10

Years

Experience with data ETL techniques, data verification, quality data management, validation, and business analytics;

Highly desired

10

Years

Experience working with healthcare claims/encounters data; Medicaid-specific experience

Highly desired

2

Years