Clinical Development Specialist

14 hours ago


East Hartford, Connecticut, United States Solventum Full time
Job Description:

Solventum is a leading company in the healthcare industry, and we are seeking a highly skilled Clinical Development Specialist to join our team. As a Clinical Development Specialist, you will play a vital role in the development and implementation of clinical methodologies and payment systems for healthcare providers.

The Impact You'll Make in this Role

As a Clinical Development Specialist, you will have the opportunity to work with a talented team of professionals to design and maintain healthcare payment systems. You will be responsible for providing subject matter expertise in clinical content development, specification, documentation, validation, and application of software modules related to International Refined Diagnosis Related Groups (IR-DRGs). You will also be responsible for maintaining the specifications of the map and any related mapping for IR-DRG and expansion of outpatient classification variables required for the methodology.

Your Skills and Expertise

To be successful in this role, you will need to have a strong understanding of clinical informatics, coding, and healthcare data. You will also need to have experience with healthcare data, coding, billing, editing, and payment, particularly for patient claims and HIPAA requirements. Additionally, you will need to have strong analytical and problem-solving skills, as well as the ability to effectively communicate ideas, concepts, and information.

Requirements

  • Bachelor's Degree or higher in a related field, such as clinical informatics, coding, or healthcare administration
  • 4+ years of experience in a related field, such as clinical development, payment systems, or healthcare data analysis
  • Strong knowledge of patient classification research and development, including inpatient and outpatient payment and risk adjustment, efficiency and quality outcome measures, and commercial, Medicare, and Medicaid environments
  • Experience with ICD-10-CM, ICD-10-PCS, and CPT coding skills
  • Ability to work independently and as part of a team, with strong communication and collaboration skills

What We Offer

Solventum offers a competitive salary and benefits package, as well as opportunities for professional growth and development. We are committed to maintaining the highest standards of integrity and professionalism in our recruitment process, and we are an equal opportunity employer.



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