Clinical Business Analyst at InfoMC | chakrie

Requirements

Degree in Nursing (RN) or related healthcare field; advanced certifications (e.g., CCM, CPUM)
Regulatory Knowledge: Strong understanding of clinical practices, federal/state regulations (e.g., CMS, HIPAA), and payer programs (Medicare Advantage, Managed Medicaid preferred).

o5+ years of clinical experience in payer or integrated health systems, with direct UM/CM expertise.

o2+ years in the healthcare software industry, preferably with UM/CM platforms.

oRegistered Nurse (RN)/Clinical Background

Originally posted on Himalayas

Stay current on HIT trends, clinical practices, and regulations, particularly in UM/CM, AI applications, and compliance standards like MARS-E and FedRAMP.
Experience with healthcare IT systems, including AI-driven analytics, FHIR-compliant interoperability, and provider portal integration.
Problem-Solving: Exceptional analytical and conceptual skills to identify innovative solutions, proactively address challenges, and drive cross-functional collaboration.
Communication: Strong presentation and interpersonal skills to engage clients and stakeholders effectively.

Responsibilities

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Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

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Contact details, links to the official source and the notes our team adds after checking each listing by hand.

Skills & expertise

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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Salary & benefits

A clear overview of what is expected, written by the people who posted it, with every detail you need to decide.

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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