Job Details

Description

Company Overview

An FFF Enterprises strategic investment, KlearTrust, is a start-up company specializing in software and services required to operationalize and support value-based healthcare agreements. Dedicated to leveraging innovative solutions to transform healthcare delivery, enhance patient outcomes, and improve operational efficiency.

Position Summary

The Clinical Informatics Engineer will have a passion for standardizing and analyzing data to derive insights from complex healthcare information. They will collaborate closely with business leaders, clinicians, and client teams to define data requirements, transform data and develop clinical rules that support value programs. They will contribute to the design and development of data strategies, clinical rules, and visualizations. A strong background in healthcare data, data standardization, interoperability practices, and healthcare operations is essential. The ideal candidate will be self-motivated and capable of working independently in a rapidly evolving environment.

Essential Functions and Duties

• Design, develop, and implement data-driven healthcare value programs, including clinical rules, data workflows, and visualizations.
• Transform and standardize healthcare data to support analytic use cases.
• Combine clinical, claims and other data to create a comprehensive view of patient care.
• Calculate cost of care for a variety of clinical and research use cases.
• Analyze clinical and claims data to identify care variation and patient outcomes.
• Interpret data and analyze results utilizing statistical techniques.
• Interpret measure definitions and standards used in quality measures for value-based care.
• Collaborate with other team members to design data models and visualizations that meet project requirements.
• Analyze data in support of the targeted strategic goals.
• Create detailed documentation for projects, to ensure a smooth transition to support teams.
• Balance tasks and priorities between multiple client projects and internal initiatives, ensuring on time completion.
• Perform research and write documentation for internal and external audiences.
• Perform a variety of tasks related to getting a new platform configured.

General Responsibilities

• Adheres specifically to all company policies and procedures, Federal and State regulations, and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Always represent the Company in a professional manner and appearance.
• Understand and internalize the Company’s purpose,
• Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and respect the diversity of our work force in actions, words, and deeds.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.
• Other duties as assigned.

Qualifications

Education, Knowledge, Skills, and Experience

Required Education:

• Bachelor’s Degree in a healthcare or technical field; or four (4) years of relevant experience in lieu of degree.

Required Knowledge:

• Understanding of healthcare interoperability standards like HL7 v2, HL7 FHIR, X12, NCPDP Script, CDA, etc.
• Understanding of healthcare coding and terminology standards like ICD, Snomed, LOINC, RxNorm, CPT, etc.
• Good understanding of claims data (medical, Rx, enrollment/eligibility)
• Experience working with EMR/EHR systems and an understanding of the healthcare clinical domain.
• Knowledge of value-based contracting in healthcare.
• Familiarity with development methodologies and processes.
• Some knowledge of cloud services like Amazon Web Services.
• Knowledge of healthcare data standards (e.g. HL7, FHIR) and regulatory requirements (e.g. HIPAA).

Preferred Knowledge:

• Knowledge of database design, data modeling and standardized data structures.
• Expertise in value-based care concepts and structuring claims & other data to support product development.
• Familiarity with designing, implementing, and loading custom data models that reflect real-world problems.
• Experience mentoring other data engineers and analysts.

Required Experience:

• Minimum five (5) years [nine (9) for non-degreed candidates] of experience working with healthcare standards, data and processes.

Preferred Experience:

• Eight (8) or more years of experience in working with healthcare standards, data and processes.

Required Skills:

• Experience standardizing healthcare data.
• Experience working with FHIR data and standard terminologies.
• Ability to analyze healthcare data from a mix of sources and combine the data appropriately.
• Proficient in data science techniques and data manipulation using tools like Python and Jupyter Notebooks.
• Proficient in Structured Query Language (SQL).
• Experience working in a cloud-based infrastructure.
• Experience with ETL processes and tools.
• Skilled in writing and understanding code for technologies focused on data acquisition and transformation
• Excellent analytical and troubleshooting skills with attention to detail.
• Excellent logical and problem-solving capabilities.
• Strong organizational skills and the ability to prioritize work.
• Effective verbal and written communication skills.
• Ability to work with limited supervision and as part of a team.

Preferred Skills:

• Experience writing clinical rules using standard code systems.
• Experience deploying AWS lambda functions using JavaScript in a serverless architecture.
• Experience designing and building data visualizations
• Experience calculating cost of care for various use cases using claim or billing data.
• Experience identifying care variation and its possible causes.
• Experience creating analytics focused on patient outcomes.
• The ability to articulate issues in both technical and layman terms to both internal and external audiences.
• Proficiency with developing, maintaining, monitoring, optimizing, and troubleshooting SQL or other advanced analytic tools to perform data extraction and query functions.

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands and/or fingers. Must have the ability to view a computer screen for prolonged periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled. The employee occasionally lifts to 20 lbs. and occasionally kneels and bends. Must have the ability to travel occasionally. Working condition include normal office setting.

Mental Demands

Learning, thinking, concentration and the ability to work under pressure, particularly during busy times. Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service. Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations’ situations. Must have the ability to exercise discretion as well as appropriate judgments when necessary. Must be proactive in finding solutions.

Direct Reports

No

EEO/AAP Statement

FFF Enterprises/Nufactor is an equal opportunity employer to all and prohibits discrimination and harassment based on the following characteristics: race, color, caste, religion, religious creed (including religious dress and grooming practices), national origin, ancestry, citizenship, physical or mental disability, medical condition (including cancer and genetic conditions), genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran or military status, medical leave or other types of protected leave (requesting or approved for leave under the Family and Medical Leave Act or any state protected leaves), domestic violence victim status, political affiliation, reproductive health decision-making, and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.