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Clinical Data Analyst

2 months ago

Dayton, Ohio, United States Premier Health Full time

Job Summary:

The Clinical Data Analyst will play a critical role in supporting clinical and financial integration across the continuum at Premier Health. This position requires a registered professional nurse with expertise in process analysis, clinical outcome data analysis, utilization management, and information systems. The ideal candidate will have knowledge of hospital reimbursement, third-party billing, and government rules and regulations.

Key Responsibilities:

  • Support clinical and financial integration across the continuum
  • Analyze clinical outcome data to inform process improvements
  • Develop and implement utilization management strategies
  • Collaborate with cross-functional teams to improve patient care and outcomes
  • Stay up-to-date on changes in care delivery and their impact on third-party reimbursement

Requirements:

  • Bachelor's degree in Nursing
  • Registered nurse with valid Ohio license
  • Certification in area of clinical specialty preferred
  • 3-5 years of job-related experience
  • Knowledge of hospital reimbursement, third-party billing, and government rules and regulations
  • Experience with utilization management, case management, and knowledge of InterQual and MCG

Preferred Qualifications:

  • Knowledge of process improvement methodologies
  • Experience with data analysis and reporting
  • Strong interpersonal and communication skills

What We Offer:

  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package