Senior MD Analyst

POSITION SUMMARY 

The Senior MD Analyst is responsible for supporting the development and design of clinical information systems and treatment protocols for the deployment of ZeOmega's Jiva platform.

 The role is responsible of abstraction, analysis and submission of clinical data. This position will work on the quality and coordination of data collection, entry, analysis, submission, report preparation, presentation of data, data sharing for process improvement initiatives, bench marking and outcomes research. This position communicates the report findings to others throughout the organization, including recommendations for improvements and focused studies. Works in partnership with ZeOmega leadership personnel in research, system configuration and testing, implementation, and translation of clinical requirements into specifications for clinical protocols.

 PRINCIPLE JOB RESPONSIBILITIES: 

• Provides precise input into the development of clinical rules supporting identification, care management plans, potential gaps in care, and protocol research, as well as the design of the clinical system, features supporting protocol management, and the use of the system to leverage the clinicians' time and maximize communication among stakeholders

 • Identify new ways to ensure that the data and metrics supporting our operational decisions is accurate and timely 

• Provides analysis of regulatory and guidelines changes in the industry, e.g., HEDIS, Stars, NCQA, URAC, and applicability to product configurations and new development

 • Lead in providing the broad-based and in-depth input regarding the design of the clinical information system protocols 

• Collaboration leadership within the team and cross-functional teams to design clinical systems to support excellence in patient care plans 
• Reviews medical informatics trends, experiences, and approaches to develop clinical/technical and application implementation strategies and protocols. 

 • Works in a cross-functional team with Business Analysts (BA) and Subject Matter Experts (SME) to design and implement systems supporting care management and physician engagement regimens. 

• Collaborate with analytics and operational leaders to develop insights that will drive better understanding of patient utilization and cost drivers

 • Facilitates the design of clinical pathway models with a physician, nursing, and administrative leadership, and will assist in modification and annual review of these models to gain maximum efficacy 

• Participates in the development and deployment of solutions that cluster information in disease and episodic categories for benchmarking, clinical severity, and variance analysis 
• Lead the design and evaluation of collection of data for clinical purposes, including tracking and interpretation of outcomes

 • Participates in determining content and design of care management and provider reports

 • Conduct worldwide medical/clinical literature, regulatory, and program research to develop innovative health promotion and medical/behavioural health management programs Experience: 10+ years of experience in relevant technology and industry. 

 Education:

 MBBS Skills: 

• HEDIS and/or Stars knowledge preferred. 

 • US Healthcare experience preferred. 

 • Expertise in US Managed Health and/or ACO delegated care management preferred.

 • Clinical analysis from regulations (Medicare and Medicaid) and nationally recognized guidelines (NCQA, URAC) and standards preferred. 

 • Familiarity with evidence-based clinical protocol development required.

 • Knowledge of machine learning and artificial intelligence in clinical analytics preferred.

 • Knowledge of patient engagement and digital engagement strategies. 

• Proven collaboration and communication skills within a cross-functional team environment.