Clinical Data Analyst
3 days ago
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 of Nursing degree
- Registered nurse with valid Ohio license
- Certification in area of clinical specialty preferred
- 3-5 years of job-related experience
- Minimum 1 year experience with utilization management, case management, and knowledge of InterQual and MCG
- Strong interpersonal and communication skills
- Ability to research, evaluate information, analyze problems, and make recommendations
Preferred Qualifications:
- Knowledge of hospital reimbursement, third-party billing, and government rules and regulations
- Experience with process improvement and change management
- Strong analytical and problem-solving skills
What We Offer:
- A dynamic and supportive work environment
- Opportunities for professional growth and development
- A competitive salary and benefits package
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