Senior Clinical Tool Specialist, Data & Analytics
- Evaluate and recommend improvements to the different clinical tools, include but not limited to Diagnosis Related Groupers (DRG), disease episode groupers, patient risk scores, and disease staging tools- Evaluate and suggest improvements for relative indices such as risk scores, disease burden index and casemix that support our clinical tools- Provide clinical support in the analysis of claims data to derive actionable clinical insights- Review the clinical appropriateness of product designers- Support clinical coding teams in the creation, update and maintenance of clinical classifications- Research and develop/implement various clinical terminologies and ontologies for integration and enhancement of the clinical tooling- Support and provide necessary clinical terminologies and clinical coding information to the Machine Learning and AI data scientists, data analysts and data management team