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Clinical Analyst I

HealthEdge

HealthEdge

IT
Hyderabad, Telangana, India
Posted on Tuesday, June 11, 2024

Clinical Analyst I

Job Locations IN-Hyderabad
ID 2024-4347
Position Type
Full-Time

Overview

Job Summary:

Clinical Analyst I will acquire essentials skills in assessment creation and formation, the regulations that govern US Healthcare such as National Committee on Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS), Center for Medicare and Medicaid Services (CMS), Hierarchical Condition Categories (HCC) Rules, Chronic Illness and Disability Payment System (CDPS) Risk Scoring etc. and clinical guideline research.

Essential Duties and Responsibilities:

  • Gain independence in the task of assessment creation and formation and troubleshooting techniques.
  • Gain knowledge of the US Regulations governing US Healthcare including HEDIS, CDPS, HCC Condition Rules and the fundamentals of clinical guideline research.
  • Collaborate with the team to analyze clinical data and provide insights.
  • Assist in the development and deployment of HEDIS Business Requirement Document, CDPS Upgrades, HCC Condition Reviews and others as assigned.
  • Participate in training sessions to enhance knowledge and skills relevant to position.
  • Actively engage in independent research and training to enhance knowledge and skills relevant to position.

Qualifications:

  • Bachelor’s Degree in a related field (Health Informatics, Healthcare Administration, Health plan Operations, etc.).
  • Minimum of 2 years of hands-on experience in a related field.
  • Proficient in speaking and writing in English.
  • Knowledge of US Healthcare regulations or operations a plus, a desire to learn a requirement.

Skills:

  • Strong analytical and problem-solving skills.
  • Excellent communication and presentation abilities.
  • Ability to adapt and learn quickly in a fast-paced environment.
  • At minimum, an intermediate proficiency level in Excel and Office Suite of Products
  • Strong analytical and problem-solving skills.
  • Exceptional communication skills and a collaborative mindset
  • Ability to thrive in a dynamic and fast paced environment.

Behaviors for Success:

  • You are an independent learner, someone who seeks and takes advantage of learning opportunities provided (e.g., courses, feedback from supervisor or peers) to meet the requirements of the job.
  • Your communication style is honest, respectful and sensitive to other people’s perspectives and situations.
  • You can maintain a calm professional demeanor in difficult situations.
  • You are assertive, sociable, energetic and friendly.
  • You hold yourself accountable to achieve excellent outcomes.
  • You are a team player, able to work creatively with a diverse group of people.

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