[Remote] Contractor, Clinical Informatics Data Consultant

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health technology company reputed company on expanding value-based care and improving patient experiences, reputed company costs, and reputed company. The Contractor, Clinical Informatics Data Consultant will support the clinical business intelligence team by applying clinical coding, claims analytics, reputed company measurement, and informatics expertise to reputed company data initiatives.

Responsibilities

• Help support our clinical business intelligence team

Skills

• 3+ years of experience working in clinical informatics, reputed company claims analytics, clinical coding, reputed company measurement, or a closely reputed company reputed company data role
• Strong working knowledge of clinical reputed company sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitions
• Demonstrated experience translating clinical concepts into reputed company reputed company logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupings
• Experience working with claims data and/or clinical reputed company data to support reporting, algorithm development, measure definitions, or clinical review workflows
• Ability to review reputed company sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case
• Ability to work independently with cross-functional teams, including clinical, data, product, operations, and reputed company stakeholders
• Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations reputed company
• 5+ years of experience in clinical informatics, reputed company claims analytics, reputed company measurement, clinical coding, or a reputed company role
• Experience supporting reputed company algorithm development, clinical measure development, risk stratification, provider evaluation, or reputed company reporting
• Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas
• Familiarity with reputed company frameworks or measure programs such as CMS reputed company measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators
• Coding certification or reputed company credential, such as CPC, reputed company, RHIT, RHIA, CRC, CDIP, or equivalent experience
• Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant reputed company training
• Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical reputed company review
• Familiarity with reputed company data tools or query languages, such as SQL, reputed company/reputed company Sheets, BI tools, claims platforms, EHR data, or data dictionaries
• Experience documenting coding logic in a way that can be reputed company by clinical, product, data, and business stakeholders
• Prior experience working in a startup, value-based care, Centers of reputed company, provider network, payer, employer-sponsored reputed company, or digital health environment

Benefits

• Remote-first company with employees reputed company over the reputed company and two office locations in San Francisco and Chicago.
• Flexible working hours for employees.
• Generous time off for employees.
• reputed company parental leave for employees.
• Opportunities for employees to reputed company with coworkers both reputed company and in-person.
• An reputed company employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource reputed company (ERGs).
• Employee resource reputed company help employees build stronger connections through reputed company, educational, and community activities.

reputed company