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Clinical Business Analyst Managed Care (For Tampa, FL location)


Clinical Business Analyst Managed Care Needed Tampa Florida
Healthcare / Health Services - Managed Care
Medical / Health - Other Medical / Health
Full-time
United States - Florida - Tampa
The Compensation Base Salary - $70,000 - $80,000
Benefits - Full
Relocation Assistance Available - Yes
Commission Compensation - No
Bonus Eligible - Yes
Overtime Eligible - No
Interview Travel Reimbursed - Yes
Detailed Description
Works collaboratively with various levels of clinical staff and Information Systems staff to clarify needs, prioritize requests, and recommend workflow enhancements. Responsible for evaluating and documenting clinical processes, including step actions and workflows to construct and enhance the clinical model of care.
Essential Functions:
oActs as subject matter expert for an assigned work stream unit - Intake, UM, CM, DM, Reporting or Appeals.
oAssists in the documentation and gathering of detailed requirements and workflow processes and analysis.
oReviews current workflow and lead recommendations and defines requirements to build processes and forms needed to support the business in the new system.
oRecommends and implements software based on best practices.
oAnalyzes customer needs and identify system and procedural solutions to enhance the clinical practices.
oIdentifies opportunities to leverage technologies in areas that improve and promote the clinical agenda.
oPerforms gap analysis.
oIdentifies needed process changes to ensure compliance with the use of technology to optimize care delivery processes and effectively communicate patient care activities.
oPerforms application testing and creates test scripts - SIT/UAT.
oDevelops and creates test plans for SIT and UAT.
oPerforms UAT Testing.
oWorks with IT to resolve update issues.
oCommunicates with Clinical Architect Leads to obtain sign-offs.
oEnsures updates are tested and applied on a timely basis.
oProvides documentation and training as needed.
oInsures technology meets Compliance and Regulatory Requirements.
oPerforms other duties as assigned.
Candidate Education:
oRequired A Bachelor's Degree in a health sciences field
oRequired or equivalent work experience 5+ years clinical experience with active RN/LPN/MD/DO/ARNP/RT/Phar.D. license in a managed care setting
Candidate
Experience:
oRequired 5+ years of experience in a position that requires participation in and knowledge of Care Management operations and regulations that affect clinical processes and reporting
Candidate Skills:
oIntermediate Demonstrated written communication skills
oIntermediate Demonstrated interpersonal/verbal communication skills
oIntermediate Ability to effectively present information and respond to questions from peers and management
oIntermediate Ability to analyze and interpret financial data in order to coordinate the preparation of financial records
oIntermediate Ability to work as part of a team
oIntermediate Ability to work independently
oIntermediate Ability to work in a fast paced environment with changing priorities
oIntermediate Demonstrated organizational skills
oIntermediate Other Ability to remain calm under pressure
oIntermediate Other Ability to work overtime as required
Technical Skills:
oRequired Intermediate Microsoft Outlook
oRequired Intermediate Microsoft Word
oRequired Intermediate Microsoft PowerPoint
oRequired Advanced Microsoft Excel
oRequired Intermediate Microsoft Access
oRequired Advanced Microsoft Visio
More About the Position
Visa Candidates Considered - No
The Candidate
5+ to 7 years of experience
Management Experience

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