Senior clinical tool specialist
4 days ago
Job Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class and fit for the purposes of clinical risk management (ranging from cost containment to quality and clinical pathways). Considerations Qualification - MBBS : Must have Physician : Must have Claims / Clinical sample Review & validation : Must have DRG/ groupers understanding & Output review : Must have Coding Certification, IF NOT THEN, multiple years of deep institutional or on-the-job coding experience, or be supported by a team of seasoned coding specialists. : Must have Microsoft apps - Excel and Power Point : Must have Coding Certification/accreditation : Nice to have JIRA and confluence : Nice to have Clinical data analysis/ Working with Data SMEs : Nice to have Core Responsibilities Include How you would make a difference Evaluate and recommend improvements to the current clinical tools include but not limited to diagnosis related groupers, disease episode groupers, patient risk scores, disease staging tools. Evaluate and recommend improvements for relative indices such as risks scores, disease burden index and case mix that support our clinical tools. Understand the final usage of the tools and recommend relevant insights for clinical tool evolution. Provide clinical support in the analysis of claims data to derive actionable clinical insights. Participate in the application of the tools in various business processes and engage with Customers to discuss the effective usage of clinical tools. Create and assist in the development of Clinical Pathways for a range of products such as Condition Management, Hospital Optimization, Palliative Care, etc. Review the clinical appropriateness of product designers. Supporting clinical coding teams in the creation, update, and maintenance of clinical classifications Research and develop/implement various clinical terminologies and ontologies (such as SNOMED-CT, LOINC, WHO ICD-10, ICD10 CM, ICD11, CPT, ATC etc.) for integration and enhancement for our clinical tooling Behavioral Skills What you need to be successful Exceptional communication skills across a wide range of stakeholders Ability to work cohesively in a team environment while balancing multiple priorities. High level of attention to detail, resilience, enthusiasm, energy, and drive Positive, can-do attitude focused on continuous improvement. Ability to take feedback and constructive criticism to drive improved delivery. Rigorous ability to problem-solve and optimize environment. Excellent co-ordination skills Technical understanding Required A working understanding of the clinical data used in healthcare is optimal as data forms the basis of our products, as such the following core understandings are required Knowledge of healthcare specific data/ health Insurance claims is a must. Reasonable competence in use of Microsoft Office suite of tools especially Excel, Access and Power Point Knowledge of patient health management, provider profiling, healthcare reporting, and other key healthcare technologies, etc. Knowledge of clinical tools and coding including coders, groupers, cross walks and classifications Jira and Confluence Knowledge Agile ways of working Understanding of Tech Products Lifecycle Strong DRG and Clinical Coding foundation Databricks knowledge Experience in clinical reviews for output sanity checks Experience in Closed File Review for missed recovery/ prevent FWA opportunities. Experience in working with Health Tech Team (Project Manager, Data Scientists, Data Analysts) The Below Understandings Are Advantageous However Not Compulsory SQL, python, and advanced excel Understanding of advanced statistics, risk adjustment and health outcome indices and metrics Knowledge of usage of data science in the healthcare space Experience in Microsoft Azure (Databricks, Synapse, Data Factory, etc.) Qualifications The following requirements are essential: Physician/MBBS degree as a clinical qualification required. Medical degree with a minimum of 5 years of post-qualification experience. Private health care experience would be an advantage. Qualifications or training in Health informatics, clinical coding or Health Administration would be very helpful.
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Senior Clinical Tool Specialist
4 days ago
India Cognitio Analytics Inc Full timeJob Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class...
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india Cognitio Analytics Inc Full timeJob Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class...
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india Cognitio Analytics Inc Full timeJob Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class and...
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india Cognitio Analytics Inc Full timeJob Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class...
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india MS CLINICAL RESEARCH Full timeJob Title: EEG Specialist Location: Bangalore Employment Type: (Full-time) MS clinical research seeks a skilled and detail-oriented EEG specialist to join our healthcare team. The ideal candidate will be responsible for conducting high-quality electroencephalograms (EEGs) and related neurodiagnostic tests to aid in the diagnosis and treatment of neurological...
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India Novotech Full time**Brief Position Description**: Brief Position Description: The Clinical System Liaison plays a pivotal role in the Clinical Research Organization (CRO), liaising between technology (clinical systems) and clinical research operations. This role involves in facilitating the effective utilization of data in clinical systems and reporting platforms for...
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5 months ago
India Cytel, India Full timeAt Cytel, we work hard to create successful careers with significant professional growth for our employees, as a result of which they work hard to make Cytel successful. Cytel is a place where talent, experience and integrity come together to advance the state of clinical development. Clinical Programming Analyst is responsible for contributing to the...
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Northeast India Routes Healthcare Full timeLead a Team of Care ProfessionalsWe are seeking a highly skilled and experienced Complex Case Manager to lead our care team in the Northeast. As a Senior Clinical Care Coordinator, you will be responsible for managing complex care packages and ensuring high-quality, person-centred care for our clients.Key ResponsibilitiesDevelop and implement comprehensive...
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India Medical Center Full timeCrystal Solutions Ltd. is a leading international recruitment service provider for more than 30 yrs. We are currently hiring Clinical Pathologist for a Medical Center in Salalah (Oman). It is an onsite opportunity and the details are as stated below.Designation: Specialist PathologistEducation: MDExperience: 5 yrsCandidate must have updated Oman dataflow and...
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Clinical Pathologist in Salalah
2 weeks ago
India Medical Center Full timeCrystal Solutions Ltd. is a leading international recruitment service provider for more than 30 yrs. We are currently hiring Clinical Pathologist for a Medical Center in Salalah (Oman). It is an onsite opportunity and the details are as stated below. Designation: Specialist Pathologist Education: MD Experience: 5 yrs Candidate must have updated Oman dataflow...
