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Evolent Health Analyst, Clincial Informatics in Maharashtra, India

Analyst, Clinical Informatics

What You’ll Be Doing:

  • SupportClinical Informatics team withcreation/documentationand maintenanceof technical specifications for algorithms that describe a patient’s clinical data and experience

  • Participate indaily scrum meetings,two-weeksprints, and follow agile methodologies

  • Design analyses to validate and troubleshoot rules algorithm outputs

  • Assist with quality assurance related to rule engine algorithms including performance and reporting to assess and quantify the impact of upstream data issues

  • Create and catalog clinical scenarios to validate algorithm logic

  • Surveillance and assessment of industry standard quality programs and metrics

The Experience You’ll Need (Required):

  • Bachelor’s degree and 1-3 years of experience with health care claims data (medical, Rx and lab data),electronic health records,and clinical quality measures (e.g., HEDIS, PQRS, etc.)

  • Excellent attention to detail and dedication to team-based production of high quality deliverables

  • Superb oral and written communication, organizational, and analytical skills

  • Experience with MSOffice product suite, especially with Excel, Word, PowerPoint

Finishing Touches (Preferred):

  • Experience with SQL, SAS,or Stata

  • Strong understanding in researching data issues; excellent analytical and QA skills; and ability to take large sets of data and find anomalies and troubleshoot data issues to ensure data integrity

  • Experience with clinical coding systems: ICD9and ICD10diagnosis codes, ICD9and ICD10procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.

  • Experience in analyzing, defining and documenting business processes and rules

  • Experience testing data and creating related test cases

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