3M HIS Clinical Analyst - Population Health Methodology Groupers - (Meriden, CT)
Meriden, CT, USA
Apr 27, 2021
3M is seeking a Clinical Analyst – Population Health Methodology Groupers for the Health Information Systems Division located in Meriden, CT. At 3M, you can apply your talent in bold ways that matter. Here, you go.
3M Health Information Systems (HIS) is the world leader for innovating the language of health and delivers comprehensive software and consulting services. Working at 3M Health Information Systems you will be helping with today’s challenges while preparing for tomorrows. Transforming health care from a system that treats disease, to a system that improves health and wellness begins with accurate health information and payment. From improving the efficiency of medical records coding to outlining success in value-based care and healthcare analytics. All while working with the best and the brightest to advance more than your own career, you are working to advance the entire world.
This position provides an opportunity to transition from other private, public, government or military environments to a 3M career.
Job Summary :
3M HIS has created a number of patient classification systems, coding and reimbursement methods, and quality measurement tools for inpatient and outpatient healthcare systems. 3M tools are used by state Medicaid agencies, managed care organizations, hospitals, and integrated delivery systems, and by healthcare systems in 25 countries worldwide. 3M also provides a variety of consulting services to the Center for Medicare and Medicaid Services (CMS).
3M products include Diagnosis-Related Groups (DRGs) for inpatient payment, Clinical Risk Groups (CRGs) for classifying capitation-based annual spending, and methods for identifying various preventable indicators of quality, including preventable readmissions, admissions, inpatient complications, ER visits, and outpatient ancillary services. 3M HIS also contributes to the maintenance of the Medicare DRGs, as well as ICD-10 coding conversions for CMS.
Each of these products requires maintenance, modification, and updating on a regular basis from the staff of HIS Clinical and Economic Research. The Clinical Analyst will provide subject matter expertise in clinical content development, validation and application of software modules relating to population-based patient classification and performance quality outcome measures. The population health clinical analyst role aligns the discipline of population health measures and potentially preventable events. Current preventables include complications, admissions and readmissions, emergency department visits, ancillary services as well as advanced analyzer as well as the creation of new population health measures in order to drive growth and improvements in efficiency across the overall healthcare delivery system.
The optimization, creation, design and validation of the clinical content is the primary responsibility of a 3M clinical analyst. The ideal candidate will be expected to work directly and/or collaborate with the technical and clinical team members. Integration of product concepts/inputs/outputs as well as solutions and services, will encompass a portion of the primary responsibility. This candidate will also assist in supporting the clinical research team, demonstrating as well as presenting the underlying clinical concepts to various state/ federal agencies, hospitals and/or organizations. In addition, the clinical analyst will be responsible for publication of articles, counterchange of discussion with respect to quality outcome performance measure, of the respective products and topics.
Primary Responsibilities include but are not limited to the following:
Serve as the population health classification product owner and liaison between the team, the other PO’s in Clinical Research as well as the marketing/sales and development organizations
Clinical content development, validation and application of software modules relating to quality outcome measures
Aligns the discipline of population health including; complications, readmissions, clinical risk groups, episodes, emergency department visits, ambulatory services as well as advanced analyzer
Optimization, creation, design and validation of the clinical content is the primary responsibility of a 3M clinical analyst
Work directly and/or collaborate with the technical and clinical team members. Integration of product concepts/inputs/outputs as well as solutions and services, will encompass a portion of the primary responsibility
Assist in supporting the clinical research team, demonstrating as well as presenting the underlying clinical concepts to various state/ federal agencies, hospitals and/or organizations
Responsible for publication of articles, counterchange of discussion with respect to quality outcome performance measure, of the respective products and topics
Articulate to team members and stake holders the value of new features and substantiate with research required to showcase overall value to the component and customer
Gather component logic requirements by conducting research supported via visits to customers
Ensure use of the methodology by downstream stakeholders is clearly defined, managed, understood and presented visually to the team
Provide frequent communication to the product leadership on development progress, escalating any issues that could impact the budget, timeline, or strategic vision
Collaborates with other teams to ensure a seamless experience across all touch points
Contribute to and coordinate 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, POs and Research team to drive enhancements to the population health methodologies
demonstrate understanding of the intent and definitions of the methodology
participate in the analytic review of research efforts
perform literature review of articles related to the methodologies
research top competing methodologies and works with team to perform comparative analysis
participate in discussions with research team at a high level the health economic policy use for payment, quality, performance measurement
participate in discussions with research team the types of data used, type of providers that use the methodology, input and outputs of the components
Possess a bachelor’s degree or higher from an accredited university
Minimum of five (5+) years of experience in the healthcare industry working with quality outcome measures, clinical coding and/or pay for outcome methodologies
Bachelor's and/or Master's degree in related field, to coding, health information technologies, clinical credential (s) RN and/or HIM credentials (RHIA)
2 years healthcare organization experience (e.g. provider, hospital, insurance company)
Experience with healthcare data and HIPPA requirements (inpatient and outpatient data, billing claims, healthcare informatics etc.)
Published in peer reviewed healthcare journals on quality outcome performance measures
Broad knowledge of:
population health payment and risk adjustment, efficiency and quality outcome measures; commercial, Medicare, and Medicaid environments
Patient classification research and development: Clinical Risk group, Episodes, Potentially Preventable Events including complications, readmission, ED visits, admissions and outpatient services patient classification systems
ICD-10 diagnosis and procedure coding systems, CPT and HCPCS coding systems and understanding of official coding guidelines; international coding systems knowledge a plus
APR DRGs and EAPGs patient classification solutions
Medical terminology, anatomy and physiology, disease processes
Software development experience, bringing products from initial concept to fully live
Ability to effectively communicate ideas, concepts and information
Ability to generalize from specific work challenges to see opportunities for new tools, processes and/or clinical content that adds value to the customer or enables 3M to work smarter/faster
Healthcare research experience as an investigator
Experience presenting health care related topics at national or regional conferences.
Experience in presenting and training on clinical concepts, coding systems and underlying design of performance outcome measures in healthcare
Expertise in MS Word, MS Excel, and MS Powerpoint
Key characteristics include strategic thinker, pattern recognition skills, detail-oriented planner, organizer, creative, assertive, analytical, action-oriented, methodical, clear writing and messaging ability, fast learner, strong business acumen, excellent presentation skills
Working style is comfortable in a complex, cross-functional and dynamic work environment, able to prioritize, multi-task, focus on goals, take accountability and manage time well
Ability to take individual initiative and responsibility for assignments while working independently and in a team environment
Ability to multi-task and adapt to changing priorities
Passionate, team player that energizes and leads others
· High integrity and work ethic are expected and highly valued
Location: Meriden, CT
Travel Requirements: May require some travel
Relocation: Not approved
3M is a place where you can collaborate with other curious, creative people. Where your diverse talents, inclusiveness, initiative, and leadership are valued. Where you’ll find challenging opportunities that make your career exciting and rewarding. With a diversity of people, global locations, technologies, and products, 3M is a place to grow and be rewarded for excellence.
Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status).