Demo

Clinical Quality Analyst

Smart IT Frame LLC
Minneapolis, MN Full Time
POSTED ON 4/5/2025
AVAILABLE BEFORE 5/4/2025

Role: Clinical Quality Analyst

Location: Minneapolis, MN (Hybrid)

Type: Full-Time


Job Description:

  • Interpret clinical guidelines and policies authored by Health Plans and CMS
  • Build clinical models for automation that adhere to clinical policies
  • Analyze historical data to build and validate models
  • Consult with MDs and Nurses during the model building process
  • Collaborate with Development and QA teams to codify and validate the models
  • Serve as the Clinical Technical Support for Production issues
  • Develop use cases and user stories to support application flows
  • Perform analysis and define data mapping models in support of service models
  • Develop detailed source-to-target data mapping and data transformation rules


Requirements:

  • Bachelor’s degree
  • Minimum 3 years experience in Healthcare IT
  • Strong analytical, problem solving, collaboration and technical skills
  • Proficiency in Visio and Excel
  • Excellent communication (written and oral) and interpersonal skills
  • Proven ability to work independently and as a team member
  • Good organizational, multi-tasking, and time-management skills


Assets:

  • Degree in Clinical Informatics
  • Familiarity with CMS, MCG, Interqual guidelines
  • Comfortable in querying and analyzing data using SQL tools
  • Experience with EMR

Salary : $100,000 - $110,000

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