HIS Clinical Analyst – Population Health Methodology Grouper (New Health Care Company) at 3M Healthcare US Opco LLC in Meriden, Connecticut

Job Description:

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description:

HIS Clinical Analyst - Population Health Methodology Grouper (Solventum)

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

 

• Proven category leadership


• Exposure to attractive end-markets


• Innovation mindset driving improved patient outcomes.


• Collaborative customer relationships


• Deep global regulatory experience


• Operational excellence and strong cash flow


• Strong sales growth and profitability with significant recurring sales

The Impact You'll Make in this Role.

As a(n) HIS Clinical Analyst - Population health methodology grouper, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

• Assuming the primary responsibility of Clinical Analyst in providing subject matter expertise in the design, enhancement and development of clinical content including simulation model evaluation, specification, documentation, validation, and application of software modules related to Clinical Risk Grouping Software (CRG) and Patient-focused Episodes (PFE). Solutions that are used throughout the world to care management, population risk adjustment, bundled payment, budget, track, and set policy for value-based payment and care


• Must have experience in research, design, development, and analysis of population health risk adjustment classification methodologies. Research within this space to identify opportunities of improvement using risk adjustment for health outcomes, functional status, and bundled payment episodes to total cost of care.


• Contributing and coordinating with the research efforts related to the methodologies, provide input into the prioritization of the potential research enhancements.


• Work directly with the Chief Product Owner, Product Owners, and clinical research team to drive enhancements to the
  methodologies by translating the clinical hypotheses into clinical logic content specifications using existing coding systems, documenting and maintaining clear clinical specifications.


• Work directly and collaborate with the technical, quality, and clinical team members, integrating product concepts to implement and test the clinical specification.


• Responsible for publication of articles, counterchange of discussion with respect to outpatient risk stratification measure.

Your Skills and Expertise

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• Bachelor's Degree or higher AND eight (8) years of experience in the healthcare industry in a private, public, government or military environment

OR

• High School Diploma/GED from AND twelve (12) years of experience in the healthcare industry in a private, public, government or military environment

Additional qualifications that could help you succeed even further in this role include:

• Master's degree in related field, Healthcare data research with focus on patient classification, coding, and/or HIM credentials.


• Strong knowledge of patient classification research and development: population health risk adjustment used in CRGs, related efficiency measures for the commercial, Medicare and Medicaid environments.

Detailed Analysis of Healthcare Data.

• Review detailed reports and identify relevant/significant patterns/statistics


• Review of Codes and code specifications to insure component integrity

Healthcare economics

• Understands diseases/treatments/progression and costs


• Resource utilization needs (CRGs and episodes)

Detailed knowledge and understanding of Health Care coding

• Understanding of various ICD-10-CM/PCS codes, CPT/HCPSC and their indication of severity, understanding of various codes and relatedness/exclusion/effect for grouping, (all population codes international as well)


• Understanding of coding guidelines and how it affects data.


• Ability to evaluate a research question, define analysis, analyze results and statistical output and patterns, document hypotheses and recommendations.

Detailed understanding of Solventum Groupers sufficient to suggest and maintain logic

• Ability to understand current logic and its applications and uses

• Ability to troubleshoot and suggest new logic based on data or market changes

Work location: Remote

Travel: May include up to 5% domestic Relocation Assistance: Not authorized

Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status).

Supporting Your Well-being

Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.

Applicable to US Applicants Only:The expected compensation range for this position is $160,284 - $195,903, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards

Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.

Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.

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