Job Description:
Solventum HIS Clinical Analyst
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 Will Make in this Role.
Solventum HIS is an international leader in designing and maintaining healthcare payment and quality outcome systems and advancing value-based care. We work closely with Medicare, Medicaid and commercial insurers on hospital, outpatient and population payment models and design quality outcome programs that promote patient safety and reduce avoidable costs. We also support more than ten countries on how they budget and pay for inpatient and outpatient care, and measure healthcare quality. Here, you will make an impact by:
Serve as a hands-on clinical analyst, responsible for the design, development and maintenance of several proprietary Solventum methodologies to include Clinical Risk Groups (CRGs) and Patient Focused Episodes population health focused methodologies and Potentially Preventable Returns to Hospital (PPRH) .These methodologies utilize healthcare data including diagnostic and procedural codes for determining payment and quality in healthcare.
Perform in-depth validation and testing