Job Description

POSITION SUMMARY/RESPONSIBILITIES

Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). Duties include developing, reviewing, and validating data reports, as well as presenting findings in a clear and concise manner to improve reporting and documentation practices. Oversees information management related to regulatory reporting across Community First. Applies expertise in clinical, computer, and information sciences to identify, collect, process, and manage data and information. Conducts workflow analysis and integrates multiple data sources to build comprehensive databases and reports.

This position also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing management of data collection systems, developing procedures for monitoring, validating, and reconciling data for accuracy, and collaborating with Information Systems to ensure effective integration of clinical and technical processes. The role functions as a key link between policy-making teams and technical teams, ensuring policies are accurately translated into system applications.

EDUCATION/EXPERIENCE

Registered Nurse license is required. Five years required experience in clinical practice or healthcare informatics related field experience. Post-graduate course and/or certification in clinical informatics or computer science is preferred Three (3) years’ related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction within an integrated health system is highly desirable. Experience in data scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health and Human Services Commission (HHSC), Texas Department of Insurance standards, Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required.

LICENSURE/CERTIFICATION

Must be licensed as a Registered Nurse in the State of Texas - and hold a certification that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred.

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