We are seeking a highly motivated and clinically experienced Medical Clinician to join our team, contributing to our efforts in transforming healthcare delivery through Value-Based Care (VBC) initiatives. The ideal candidate will have a deep understanding of the U.S. healthcare system, a strong clinical background, and a passion for leveraging data to drive better health outcomes and cost efficiencies.This role bridges clinical knowledge with analytics, supporting strategic decision-making and operational excellence across value-based care programs.
Requirements
Clinical Strategy & Support
- This is a Client Facing role and requires strong command of English to be able to:
- Provide clinical insights and subject matter expertise to support clients with the design, implementation, and optimization of value-based care models
- Models include; HCC coding, utilization patterns, chronic care management strategies, risk modeling
- Collaborate with internal stakeholders (care management, quality improvement, IT, analytics) to develop care models and dashboards that inform on the organizations performance that are designed to improve patient outcomes and reduce total cost of care
- Assist with the design and content of Dashboards are built within PowerBI
- Provide insights from the Client data [clinical, payer claims and ADT] with Strategies that could be adopted and operationalized, to influence patient outcomes and revenue for the organization, with patients under the Fee-For-Service model
Data Analysis & Interpretation
- Analyze clinical and payer claims data to identify trends, care gaps, and performance opportunities in VBC and non-VBC arrangements (e.g., ACOs, MSSP, MA, Medicaid Managed Care, Fee-For-Service)
- Use tools like SQL, Excel, Power BI, Tableau, or Python to extract and interpret data to inform clinical interventions and operational planning
Performance Monitoring & Reporting
- Develop and review reports + design dashboards on clinical quality, Measurable Patient Outcomes including utilization, and cost metrics tied to Patient Care for any patient population
- Help evaluate the effectiveness of care interventions and population health programs using data-driven insights.
- Build models that correlate the use of Innovaccer's technology products to supporting the improvement in capturing comorbidities, running chronic care management programs and/or pathways and identifying the return on investment applicable
Stakeholder Communication
- Present findings and recommendations to both clinical and non-clinical stakeholders, translating data into actionable strategies
- Act as a liaison between clinical teams and data/IT teams to ensure data needs are well-communicated and accurately implemented as well as managing SME relationships with Customer Service Directors ( the client facing leaders of client Management), finding the balance and enabling the team with the information but becoming the trusted advisor with the clinical information.
Regulatory & Contractual Awareness
- Maintain up-to-date knowledge of CMS, NCQA, HEDIS, and other regulatory frameworks relevant to VBC and other CMMI programs
- Understand payer requirements and assist with compliance and reporting for risk-bearing contracts
Qualifications
- Medical Clinician
- 3+ years of clinical experience in a healthcare setting any US experience would be an additional Asset
- Strong understanding of the U.S. healthcare system, including value-based care models and population health strategies
- Proficiency in SQL and experience working with clinical or claims datasets
- Familiarity with data visualization and reporting tools (e.g., Excel, Power BI, Tableau)
- Ability to translate clinical and operational challenges into data requirements and actionable insights
- Ability to work in US central time zone while in India typically 12 noon to 20 30 IST
Preferred
:
- Experience wit the US healthcare environment plan, strong familiarity with ACO's , health systems, or population health management setting
- Knowledge of HCC coding, risk adjustment, and quality metrics (e.g., HEDIS, STAR ratings)
- Some Experience with Python, R, or SAS for data manipulation and statistical analysis
- Background in quality improvement, utilization management, or care coordination is preferred
Core Competencies
- Analytical thinking and clinical problem-solving
- Strong communication and presentation skills
- Cross-functional collaboration and team orientation
- Attention to detail with a systems-thinking mindset
- Passion for improving healthcare delivery and outcomes
Benefits
We offer competitive benefits to set you up for success in and outside of work.Here's What We Offer
- Generous Leaves: Enjoy generous leave benefits of up to 40 days
- Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition
- Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break? We've got you covered
- Health Insurance: We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury. Extending support to the family members who matter most
- Care Program: Whether it's a celebration or a time of need, we've got you covered with care vouchers to mark major life events. Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need
- Financial Assistance: Life happens, and when it does, we're here to help. Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most
Innovaccer is an equal-opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.
Disclaimer
:Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.
About Innovaccer
Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com.Check us out on
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