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Clinical Data Analyst

2 months ago

Dayton, Ohio, United States Premier Health Full time
Job Summary

Premier Health is seeking a highly skilled Clinical Data Analyst to join our team. As a Clinical Data Analyst, you will play a critical role in supporting clinical and financial integration across the continuum while ensuring the organization's clinical and financial integrity.

Key Responsibilities
  • Support clinical and financial integration across the continuum
  • Ensure the organization's clinical and financial integrity
  • Conduct process analysis and clinical outcome data analysis
  • Develop and implement utilization management strategies
  • Utilize information systems to support clinical and financial decision-making
  • Stay up-to-date on regulatory requirements and changes in care delivery
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
  • 5 years' relevant adult clinical experience
  • Process improvement experience
Preferred Qualifications
  • Knowledge of hospital reimbursement, third-party billing, government rules and regulations
  • Strong interpersonal skills
  • Ability to research, evaluate information, analyze problems, and make appropriate recommendations
  • Demonstrated conflict resolution skills
  • Assertive communication skills
Technical Requirements
  • Personal computer skills, including use of Microsoft Word, Microsoft Excel, EPIC
  • Experience in gathering information, monitoring indicators, and feedback mechanisms