clinical development specialist

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Job Description:

Job Description

3M HIS SPEC CLINICAL DEVELOPMENT Methodology Groupers (Solventum)

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

The Impact You’ll Make in this Role
As a Solventum HIS Clinical Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. 3M HIS is an international leader in designing and maintaining healthcare payment systems.  We support more than ten countries on how they budget and pay for inpatient and outpatient care. This role would appeal to persons interested in playing a vital role in the equitable financing of healthcare globally. Here, you will make an impact by:

As a 3M HIS Clinical Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. 3M HIS is an international leader in designing and maintaining healthcare payment systems.  We support more than ten countries on how they budget and pay for inpatient and outpatient care. This role would appeal to persons interested in playing a vital role in the equitable financing of healthcare globally.

As a Clinical Analyst you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

•            Assuming the primary responsibility of Clinical Analyst in providing subject matter expertise in the clinical content development, specification, documentation, validation, and application of software modules related to International Refined Diagnosis Related Groups (IR-DRGs), including Global growth of APR, EAPG and preventables, as well responsibility of maintaining the specifications of the map and any related mapping for IR-DRG and expansion of outpatient classification variables required for the methodology, holding to standards and best practices.  This solution is used by throughout the world to budget, track, and pay for hospital inpatient and outpatient services.

•            Alignment of EAPG and IR-DRG outpatient, as well as the discipline of inpatient patient classification, procedure classification, inpatient payment, and regulatory update processes, demonstrating the underlying clinical concepts both in the US and international healthcare claim processing and payment policy

•            Work directly with the Chief Product Owner, Product Owners, Research team and government agencies to drive enhancements to the methodologies by reviewing proposed suggested changes, defining evaluation approach and specifications, review of results and proposal of recommendations towards updates to clinical logic that include clear clinical logic specifications using existing coding system definitions. 

•            Work directly and collaborate with the technical, quality, and clinical team members, integrating product concepts to implement and test the clinical specification.

•            Responsible for maintaining process documentation for the IR-DRGs update using C&ER standards and methods.

Your Skills and Expertise 
 

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• Bachelor’s Degree or higher AND (4) years of (the same job-related experience)

OR

• High School Diploma/GED from AND (8) years of (the same job-related experience)  

Additional qualifications that could help you succeed even further in this role include:

•Master's degree in related field, clinical informatics, coding, and/or HIM credentials.

•Strong knowledge of patient classification research and development:

o Inpatient and outpatient payment and risk adjustment

o Efficiency and quality outcome measures

o Commercial, Medicare and Medicaid environments

•In-depth knowledge of ICD-10-CM, ICD-10-PCS and CPT coding skills

•Experience with healthcare data, coding, billing, editing and payment, particularly for patient claims and HIPPA requirements.

•Experience with review and analysis of healthcare regulatory documentation both in the US and international healthcare claim processing and payment policy

•Ability to evaluate research questions, define analysis, analyze results and statistical output and patterns, document hypotheses and recommendations.

•Software development experience, bringing products from initial concept to release

•Experience with healthcare data, coding, billing, editing and payment, particularly for patient claims and HIPAA requirements.

•Ability to effectively communicate ideas, concepts, and information: presenting and training of clinical concepts, coding systems and underlying design of patient classification methodologies in healthcare.

•Comfortable in a multicultural, 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.

•Passionate, team player that energizes and leads others.

•High integrity and work ethic are expected and highly valued.

Work location:

• Remote

Travel: none

Relocation Assistance: none

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Supporting Your Well-being 

Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. 

Applicable to US Applicants Only:The expected compensation range for this position is $137,439 - $167,981, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards

Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process.  Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.

Solventum is an equal opportunity employer.  Solventum  will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.

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