Clinical Rules Analyst - Engineering & Systems Design job
McKesson Technology Services - Waltham, MA

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Current Need Clinical Rules Analyst Position location Waltham MA Position Description Reports to and works with MedVentive comanagers in Product Development Product Management Data Analysis and Client Service under the direction of the Director of Business Solutions Designs develops implements and tests rules and related components linked to MedVentive applications and data processes Responsible for designing developing modifying and testing the clinical and analytic components and methodologies of MedVentive’s applications Responsible for analyzing and ensuring the data outputs of these applications are clinically and analytically accurate logical with actionable information that meets business needs This individual will be involved with releases of MedVentives business intelligence and analytic products Must have a working knowledge of related standards codes products and industry requirements eg HEDIS P4P program measures DxCG severity adjustment and the ETG grouper Relies on experience and judgment to plan and accomplish goals Performs a variety of tasks Primary Duties and Responsibilities Designs implements and tests rulesbased functions for all MedVentive applications eg HEDIS rules P4P program measures DxCG severity adjustment algorithms and custom MedVentive rules Validates the data output of software applications Performs data analysis for enhancement of the analytic components of the software Translates complex source information such as HEDIS P4P and other technical and clinical specifications into precise rules requirements Supports the design of reports and analytic processes for related MedVentive applications Responds to internal and external customer questions and concerns on the clinical and analytic applications particularly in respect to analytic content and grouper methodologies Assists Support Production Implementation Documentation Software Development Client Services and other departments with customer education on the analytic content and methodologies Works with MedVentive product managers data analysts and developers to design reports and functions that incorporate rulebased results and measures Recommends functional improvements or corrections to MedVentive programmers and data managers Minimum Requirements 4+ years experience in clinicalhealthcare field computer applications or business analysis Additional Knowledge Skills Experience with grouper methodologies quality rules risk management and working with large data sets or data warehouses Education 4year degree in nursing or healthcarerelated field or equivalent experience Physical Requirements General Office Demands Benefits Company Statement We believe you should be rewarded for the important work you do For that reason youll receive a competitive compensation and benefits package when you join our team It starts with you Thats a simple sentence but it says a lot It reminds each one of us that what we do matters Every single McKesson employee contributes to our mission whatever your title whatever your role you act as a catalyst in a chain of events that helps millions of people all over the globe By connecting and improving the business of healthcare were helping to ensure that millions of patients get the treatment they need And by choosing a career with McKesson Provider Technologies youll join a team of passionate people working together to improve lives and advance healthcare At McKesson we believe we can empower healthcare And it all starts with you As an equal opportunity employer McKesson Corporation unites the talents and contributions of all to advance the power of healthcare Learn more about our opportunities at mckessoncomcareers Agency Statement No agencies please Critical Skills In depth knowledge of health care data and standard codes sets Experience with designing and implementing business solutions Must have a very detailed working knowledge of current rule standards measures and applications eg HEDIS ETG’s and DxCG’s Excellent verbal and written communication skills Ability to utilize SQL andor other database query tools for analytical and testing purposes 2+ years of related experience using rulebased tools and measures with IT applications in the healthcare industry Must be familiar with Webbased applications Excellent organizational analytical and communication skills The material contained herein is provided for informational purpose only All open jobs offered by McKesson Corp on this recruitment system are subject to specific job skill requirements The job skill requirements qualifications and preferred experience are determined by a subsidiary office or department within the company which is offering the position and all positions are subject to local prevailing employment laws and restrictions This would include immigration laws pertaining to work authorization requirements and any other applicable government permissions or compliance The materials on this site are provided without warranties of any kind either expressed or implied including but not limited to warranties regarding the completeness of information contained on this site or in any referenced links While McKesson Corp attempts to update this site on a timely basis the information is effective only as of the time and date of posting By providing your application to McKesson Corp you hereby consent to McKesson Corp obtaining personal information regarding you that is related to the position applied for You also consent to McKesson Corp transferring your application details to our recruitment partners for their review and assistance You also consent to McKesson Corp keeping your application on file for 6 years McKesson Corp is an equal opportunity employer The information on this site is for information purpose only and is not intended to be relied upon with legal consequence