Population Health Ba

1 week ago

Chennai Tamil Nadu, India Saama Technologies Inc Full time

Consultant Technical Analyst - Population Health and Care Management

Job Summary:

- Must demonstrate strong domain expertise, particularly in the
Payor-Provider ecosystem, with a solid understanding of Medicare,
Medicaid, and other relevant healthcare programs
- Works with stakeholders to discover, clarify, and document current and
future data needs
- Performs mapping of Population Health and Care Management data to
a normalized data model.
domains such as Care Management, Utilization Management, Quality
Scores, HEDIS, Care gaps
- Builds data concepts to support Population Health use cases
- Serves as a key resource for an assigned customer area to understand
and explain business and technical issues and to provide viable
technology solutions.

**Responsibilities**:
testing and validation of the mapping of data elements to standards
- Collaborates with technical resources to perform root cause analysis

and complete remediation of data quality issues
- Works with customers to clarify and plan for their current and future

technology needs. Determines and maps existing business
processes/functions and recommends changes required to fit a tightly
integrated system.
- Designs and implements projects requiring systems integration, small

teams and multiple technical platforms.
- Conducts Return on Investment (ROI) and other financial analysis to

support project funding/prioritization.
- Collaborates on driving improvement activities to achieve department

and organizational goals.
- Coordinates with functional team to assure consistency and

optimization of overall work product
- Assumes a proactive role in driving improvement activities to achieve

department and organizational goals to deliver value.
- Maintains current knowledge of industry and business process trends

and requirements in support of functional area process design, testing
and implementation
- Identifies opportunities for process improvement and makes

recommendations that lead to improvements

- Monitors task assignments to ensure they are performed on schedule,

within intended scope and to a defined level of quality.

- Escalates process and project issues that cannot be resolved

**Experience**:

- Prior experience working as a Population Health analyst in the

Healthcare system.

- Must have a working knowledge of relational databases/database

structures, SQL expertise desired

- Must have a strong understanding of data collected and used in

Claims, Adjudications, Health Insurance and Care and Utilization
Management

- Knowledge and experience with ambulatory and acute clinical, billing

and claims workflows and clinical information systems.

- Bachelor or Masters degree in related health or finance field ex

informatics or bioinformatics.

- Complexity of work: Within the scope of job, requires critical thinking

skills, decisive judgment and the ability to work with mínimal
supervision. Must be able to work in a stressful environment.

- 5 years of experience preferred

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