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CareSourceCA

Clinical Data Acquisition Analyst

CareSource is a nonprofit managed care organization based in Dayton, Ohio, that serves over 2 million members with a wide array of Medicaid and Medicare products.

CareSource

Employee count: 1001-5000

Salary: 72k-116k USD

United States only

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Job Summary:

The Clinical Data Acquisition Analyst is responsible for end-to-end acquisition and implementation of all defined clinical data sources at CareSource.

Essential Functions:

  • Effectively work with providers, HIE organizations, immunization registries and other stakeholders to gather and assess clinical data business requirements for current and new market implementations
  • Leverage appropriate company and industry approaches and modeling techniques to gather requirements and document them according to corporate standards and procedures
  • Maintain the group focus, lead meetings toward stated goals and manage the group dynamics in facilitating requirements gathering and review sessions, including writing user stories
  • Serve as a bridge between healthcare providers, vendors and IT teams to ensure alignment on clinical data needs
  • Lead and manage external relationships with assigned data aggregators and vendors
  • Build and maintain market partnerships to develop approach for data acquisition across market teams
  • Remain impartial in requirements discussions and confirm understanding by all parties involved when validating requirements
  • Identify data trends, recognize inconsistencies/gaps in clinical data, create reports and present findings concisely, communicating data impact to downstream users
  • Coordinate with procurement team to submit and maintain contract requests for clinical data vendors
  • Mentor other team members
  • Develop a business case including return on investment, soft benefits, requirements and any regulatory issues for HIE use cases
  • Assist the manager in identifying and resolving issues that include but are not limited to scope, schedule, and resource issues
  • Assist the manager in estimating the impact of change requests on timelines, budgets, resources and project scope
  • Monitor and act upon data intake processes for market requests
  • Perform any other job duties as requested

Education and Experience:

  • Bachelor’s degree in Computer Science, Information Systems, Business Administration or related field or equivalent years of relevant experience is required
  • A minimum of five (4) years of experience in healthcare, business development, strategy is required
  • A minimum of three (3) years of work with Health Information Exchange (HIE), vendors and clinical data aggregators working on electronic exchange of clinical data (ADT, CCD, etc.)
  • Experience with SQL required
  • Experience with Power BI strongly preferred

Competencies, Knowledge and Skills:

  • Advanced knowledge of Microsoft Office tools, including Word, Excel, Outlook, and PowerPoint
  • Thorough knowledge of clinical data, including standards such as HL7, CCDAs and FHIR specifications
  • Proficiency in HEDIS and NCQA requirements
  • Familiarity of the healthcare payer industry and knowledge of Medicaid and Medicare a plus
  • Extensive understanding of business analysis principles, process, and applications/elicitation tools used for managing requirements
  • Deep understanding of a project lifecycle, including processes, techniques and tools
  • Expert at integration activities
  • Strong interpersonal skills with a proven ability to establish effective working relationships with stakeholders at all levels
  • Excellent written and verbal communication skills
  • Ability to work independently and within a team environment
  • Effective listening skills
  • Ability to coordinate and lead cross-functional teams
  • Extensive experience working on multiple projects
  • Effective critical thinking and problem solving skills with close attention to detail
  • Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
  • Ability to multi-task and remain flexible during organizational and/or business changes
  • Customer service oriented

Licensure and Certification:

  • Certification in Healthcare Information and Management systems preferred

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$72,200.00 - $115,500.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 72k-116k USD

Education

Bachelor degree

Experience

4 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About CareSource

Learn more about CareSource and their company culture.

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CareSource is a nonprofit, nationally recognized managed care organization established in 1989 that has grown to serve over 2.1 million members across various states in the U.S. With its headquarters in Dayton, Ohio, CareSource administers one of the largest Medicaid managed care plans in the country. The organization offers a wide range of health insurance products, including Medicaid, Medicare Advantage, and Health Insurance Marketplace plans. CareSource stands apart by addressing the social determinants of health which significantly impact the well-being and health outcomes of its members. This mission-driven approach enables them to provide personalized care solutions that cater to the unique needs of low-income and vulnerable populations.

As part of its commitment to innovative care delivery, CareSource continually enhances its services through technology and partnerships designed to streamline access to care and improve member experiences. The organization employs nearly 5,000 individuals who are dedicated to fostering community relationships and ensuring that every member receives high-quality care when needed. Their strategic initiatives focus on improving health outcomes, operational excellence, and social equity within the healthcare realm. In addition to traditional medical services, CareSource actively engages in health education and outreach efforts that foster resilience and self-sufficiency in the communities they serve. This approach contributes to a broader aim of not just treating illness but promoting overall health and wellness in society.

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CareSource

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