1+ months

Medical Informatics Lead - San Diego, CA

Humana
San Diego, CA 92108
Description The Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities Job Title: Medical Informatics Lead Location: San Diego, CA Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies.An opportunity to join the Digital Health & Analytics (DH&A) team within Humana to build a world-class analytics platform. Through the strategic interpretation of data, we provide our consumersphysicians, patients, and other members of the care team with meaningful insights about the choices they make and help them lead their best lives. We are passionate about combining and analyzing diverse types of data to extract new, actionable discoveries about our members and their health-related behaviors. We are looking for driven, innovative people who are interested in using their clinical and analytical skills to help our consumers achieve lifelong well-being and help Humana make lasting, positive changes in the healthcare industry. As an Informaticist at Humana you will contribute to meaningful projects, interact with other team members, be exposed to DH&As business operations and work cross functionally with other departments.The Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Key Responsibilities For The Clinical Informatics Lead May Include Apply understanding of clinical and financial metrics to various data sets to help in the creation and implementation of clinical solutions based on advanced analytics Apply knowledge in clinical terminology to map and group clinical codes to support various analytics projects Provide clinical governance and validation on analytics solutions Develop requirements and technical specifications for clinical rules and predictive models Implement clinical rules with in-house developed rule language Develop and review test cases for different analytics solutions As SME in clinical informatics, coordinate with product management, IT and other business areas across the organization to support product development and adoption Apply knowledge of clinical analytics processes to drive clinical efficiencies and effectiveness Use informatics science to design or implement health information technology applications to resolve clinical or health care administrative problems Identify, collect, record or analyze data that are relevant to the optimal clinical care of patients Design, develop, select, test, implement, and evaluate new or modified clinical informatics solutions Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Provide training to junior team members on clinical terminology management Required Qualifications RN/PA (Physician Assistant) or MD 5+ years of experience with direct patient care Excellent knowledge and experience with the National Coding Standards like LOINC, ICD 9/10, HCPCS or SNOMED CT 3-5 years of experience in mapping and grouping clinical codes to clinical concepts at different granularity levels, data analysis experience using EMR or claims data Deep knowledge and experience in health data exchange standard including FHIR, HL7, CCDA Deep knowledge and experience with clinical quality measures like HEDIS, PQA, etc. Proficiency in using data analytics technologies such as SQL, Power BI Strategic thinking and planning capabilities Organized and detail-oriented Knowledge and experience with advanced analytics, including machine learning and Natural Language Processing Excellent verbal and written communication Able to articulate and present findings and insights to senior leadership Ability to teach others who are not expert in your clinical discipline Experience creating a wide variety of documentation, paperwork, communications in an effort to advance a project or process Preferred Qualifications Advanced Degree in clinical informatics Advanced experience in SQL, Python, Java, Tableau, Power BI or similar tools #physiciancareers Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. <>

Categories

Posted: 2019-12-06 Expires: 2020-02-09

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Medical Informatics Lead - San Diego, CA

Humana
San Diego, CA 92108

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast