Overview
Job Details: Must demonstrate strong domain expertise, particularly in the Payor-Provider ecosystem, with a solid understanding of Medicare, Medicaid, and other relevant healthcare programs
Responsibilities
- Works with stakeholders to clarify, and document current and future data needs
- Performs mapping of Population Health and Care Management data to a normalized data model.
- Serves as a subject matter expert on the Population health data domains such as Care Management, Utilization Management,Quality Scores, HEDIS, Care gaps
- Builds data concepts to support Population Health use cases
- Serves as a key resource for an assigned customer area to understand and explain business and technical issues and to provide viable technology solutions.
Qualifications
- Skill (Primary): Domain Competencies (APPS)-Bus. Process-Healthcare-Healthcare Delivery Process