Clinical System Analyst Lead Contract Opening

Hi Partners,

Title – Clinical Systems Analyst Lead

Duration – 7 months

Locations – Strongsville and Beachwood, OH

 

Required Skills:

1. Demonstrated understanding of Clinical Analysis for member, medical/drug claim and provider insurance data
2. Understanding of SQL reporting against different database types (SQL Server, DB2, Oracle)

               

Desired Skills:

1. Experience designing metric reporting and comparison systems with remediation plans
2. Experience creating or using data for Optum (formerly Ingenix) Impact Pro, Symmetry and/or Impact Intelligence
3. IBM Information Server: Information Analyzer

 

Candidate Responsibilities:

1. Review current controls and metrics along with new requirements and design a process that can be used for monthly comparison and remediation
2. Collaborate with business areas and vendor to validate design and methods
3. Lead role includes reviewing and approving development assigned to other team members

 

Project Details:

 

1.       The client has licensed Optum Impact Pro and Symmetry for several years and executed as standalone engines on in house servers.  We are moving to Optum hosted servers and including Impact Intelligence to use a full suite of Impact products.  This has resulted in a complete review of (and many modifications to) the current data extract processes.  Resource changes have exposed a need for deeper Impact (groupers, clinical analysis) knowledge to support the data extract and validation process. 

2. The Health Informatics department has thoughts on the types of metrics that will be most valuable to understanding the data that is processed through the Optum groupers.  Knowledge of Clinical analysis is essential to ensure that metrics are created effectively and are used accurately to build meaningful remediation tasks.
3. Medical Mutual uses DB2 for most systems.  The data created for Optum will be housed in DB2, the data returned from Optum will be housed in SQL Server.  IBM Information Analyzer can be used for some table metrics.  Mainframe processes will also create metrics.  This new system will need to gather data from all sources and present in a easily understandable and accessible way.  

Thanks & Regards,

Praveen

SVK Systems, Inc. 

11465, Johns Creek Parkway, Suite #180
Johns Creek, Georgia - 30097

Ph-no:678-387-2930

Email: praveen.m@svksysinc.com

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