Job Description

Description :

A \xe2\x80\x9cClinical Analyst\xe2\x80\x9d is responsible for developing clinical logic and coding algorithm for various tools as defined for a Milliman product MedInsight.
The environment is fast-paced and innovative. Our team is highly self-directed. We are looking for others to join us who will take ownership of responsibility, work collaboratively and always look for ways to add to the personal and professional growth of the company and their peers.
The successful candidate should have rich clinical experience, awareness of US healthcare and payer market concepts, a good understanding of medical coding and possess excellent communication and problem-solving ability.

Roles/Responsibilities:

As a clinical analyst, this professional will join our team to assist in all phases of the clinical product development life cycle. We are looking for a person with the ability to:

• Create clinical logic and coding algorithm
• Create test cases, support clinical testing
• Perform ad-hoc data analysis of claims and EMR data to identify patterns and trends in utilization or cost
• Work both independently and in a cross-functional team environment
• Work independently on assigned tasks, i.e., plan, organize, delegate, problem solve and meet established deadlines
• Create blogs and white papers on the potential value and benefits of MedInsight products for clients through health claims data analytics
• Interpreting and summarizing search, formal search strategy, draft basic reports, presentations, audit charts/ claims/ UW files on a given criteria, summarizes observations and results for projects

• Competent knowledge of US healthcare practices
• Understanding of medical coding
• Excellent verbal and written communication skills
• Strong MS office skills
• AAPC, Advanced Excel, SQL, Data exploration skills, Blog writing
• Demonstrated professional attributes for Domain Proficiency and Professionalism

• Clinical experience of 2-4 years
• MBBS/Registered Nurse/BDS/MDS/ B Pharm or M Pharm

• Trained in Public health/community medicine
• Medical writing/clinical research experience
• Claims data analytics experience
• CPC certification in coding
• Experience working in a US healthcare process
• Proficient in SQL/R
• Individual contribution to challenging projects

Milliman