Healthcare Informatics Consultant

Baton Rouge, LA 70801

Posted: 08/30/2018 Employment Type: Temporary Industry: IT Job Number: 00004MV5 Pay Rate: 0.00
Spherion has an opening for a Healthcare Informatics Consultant.

Technical SME to help with building out code and processes for medical record retrieval chase lists and tracking to ensure project optimization for both MA Stars/HEDIS and DAC/Risk Adjustment projects. This role will also assist with the build of targeting logic for other outreach programs and provide guidance to others on SQL and/or Teradata querying techniques. This purpose of the role is to assist others while we build out a new department with so many new staff members during the learning curve period.

Ideal candidate will have strong SQL skills and a strong understanding of healthcare. I would prefer someone with existing MA Star/HEDIS and/or DAC/Risk Adjustment experience.

Requires a Bachelor's degree (health care administration, health care informatics, statistics, economics, mathematics, analytics, computer science, finance, accounting business) or 4 years of related work experience.
4 years of health care, analytics, IT or management consulting experience.
Must have proficiency with common query/analytic/visualization tools such as SQL, SAS, Access, R, Tableau, etc.
Basic understanding of provider payment methodologies, population health management, and risk adjustments is desired.
Basic understanding of clinical groupers including episode groupers and risk groupers such as DRG, APC, ETG, MEG, DxCg, and HCC is highly desired.
Knowledge of commercial risk optimization and MA risk optimization is a plus.
Strong critical thinking, analytical and problem solving skills are required.
Excellent verbal and written communication skills; strong interpersonal skills.

Additional qualifications for jobs on the Advanced Analytics Team include:
Requires experience building predictive models.
Prefer advanced knowledge of SAS including Enterprise Miner
Basic knowledge of United States health care delivery system in payer setting or provider setting is required.

Additional qualifications for jobs on the Provider Analytics, BI Enablement, Risk Optimization and Population Health Analytics Team include:
Requires consultative analytics experience working directly with business areas in defining business problems and providing analytics-driven solutions.
Prefer basic knowledge of United States health care delivery system in payer setting or provider setting.

*complete job description in History notes


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