Clinical Outcomes Analyst jobs in Iowa

Clinical Outcomes Analyst collects clinical outcomes data and performs analysis in support of clinical process improvement initiatives. Gathers data on performance metrics to facilitate the review of program effectiveness. Being a Clinical Outcomes Analyst evaluates and summarizes patient data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Identifies areas for improvement and communicates findings to leadership. Additionally, Clinical Outcomes Analyst requires a bachelor's degree in nursing or healthcare related area. May require a Registered Nurse (RN) license. Typically reports to a manager. The Clinical Outcomes Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Clinical Outcomes Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Operations & Clinical Claims Specialist
  • OUTCOMES OPERATING INC
  • Des Moines, IA OTHER
  • Job Details

    Job Location:    W Des Moines Office - West Des Moines, IA
    Salary Range:    Undisclosed

    Description

    JOB SUMMARY

    The Operations and Clinical Claims Specialist is responsible for supporting the Revenue Cycle Management (RCM) operations, onboarding of client programs and process improvement while collaborating on strategic projects.

    ESSENTIAL DUTIES & RESPONSIBILITIES

    Revenue Cycle Management - Clinical Claims

    • Support all aspects of revenue cycle management (RCM) pertaining to pharmacy services provided as a medical benefit (claim posting and submission, payment posting and claim reconciliation, denials management, repot generation).
    • Understands and can speak to billing and reimbursement protocols, set forth by HIPAA and other government compliance authorities with whom pharmacy clients are contracted.
      Responsible for special program implementation requiring pharmacy clinical billing.

    Operational Analysis and Process Implementation

    • Analyze organizational processes and data as required.
    • Identify areas for process improvement to improve quality, productivity, and efficiency.
    • Implement process improvements based on the defined requirements and objectives.
    • Synthesize data and feedback from users, clients, management, and data reporting tools to deliver progress reports, and enhancement evaluations
    • Assist with ad-hoc projects as required.

    Subject matter expert on all product offerings

    • Acquire a high-level competency in full offering of Company’s software products or services.
    • Possess advanced knowledge and understanding of healthcare industry and all assigned products.

    Qualifications


    KNOWLEDGE & REQUIREMENTS

    What is expected of you and others at this level

    • Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
    • May contribute to the development of policies and procedures
    • Develops technical solutions to a wide range of difficult problems
    • Completes work; independently receives general guidance on new projects
    • Work reviewed for purpose of meeting objectives

    Preferred Qualifications

    • Minimum of 2 years’ experience in revenue cycle management within a healthcare clinic or hospital
    • Minimum of 2 years’ experience with practice management and electronic medical records (EMR) application integrations, or training
    • Minimum of 2 years’ experience with EDI clearinghouses such as Availity or CHANGE Healthcare, and direct EDI connection to payers
    • Thorough understanding of EDI concepts, role of clearinghouse and ANSI 837P and 835 formats
    • Minimum of 2 years’ experience with provider credentialing either direct with payer or CAQH
    • Project management experience preferred

    EDUCATION & EXPERIENCE REQUIREMENTS

    • Minimum years of work experience: 2 years in healthcare industry preferably in revenue cycle management
    • Minimum level of education or education/experience: Bachelors Degree or equivalent experience

    PHYSICAL REQUIREMENTS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    • Frequent sitting in stationary position at a desk
    • Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
    • Occasional twisting of body
    • Occasional reaching by extending hands and arms in any direction
    • Occasional lifting, pulling, or pushing
  • 1 Month Ago

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Contracts Manager
  • Outcomes Operating Inc
  • Des Moines, IA FULL_TIME
  • JOB SUMMARY (added Nov 2023) Contract Manager is responsible for coordinating administration of customer and vendor contract terms and conditions across multiple areas to maximize contract value; resp...
  • 20 Days Ago

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Contracts Manager
  • OUTCOMES OPERATING INC
  • Des Moines, IA OTHER
  • Job Details Job Location: W Des Moines Office - West Des Moines, IA Salary Range: Undisclosed DescriptionJOB SUMMARY (added Nov 2023) Contract Manager is responsible for coordinating administration of...
  • 27 Days Ago

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Senior Network Enablement Specialist
  • OUTCOMES OPERATING INC
  • Des Moines, IA OTHER
  • Job Details Job Location: W Des Moines Office - West Des Moines, IA Salary Range: Undisclosed DescriptionQualifications
  • 1 Month Ago

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Clinical IT Analyst (Ambulatory)
  • Floyd County Medical Center
  • Charles, IA FULL_TIME
  • Department: Clinical Informatics and Information Systems Hours: Fulltime Description: Position Overview: The Clinical IT Analyst (Ambulatory) troubleshoots, analyzes, develops, and maintains MEDITECH ...
  • 8 Days Ago

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Clinical Informatics Analyst II
  • Boone County Hospital - Information Systems
  • Boone, IA FULL_TIME
  • Join our Information Systems team today! Our mission is to improve and enhance the health and well-being of those we serve. We offer a team approach to healthcare and a competitive benefits package. S...
  • 12 Days Ago

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Board Certified Behavior Analyst (Bcba)
  • Centria Autism
  • Tempe, AZ
  • Life Skills Autism Academy is a center-based therapy program focusing on children ages 2-6 who need Early Intensive Beha...
  • 3/29/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba)
  • Centria Autism
  • Germantown, MD
  • Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (AS...
  • 3/29/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba)
  • Centria Autism
  • Temple Hills, MD
  • Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (AS...
  • 3/29/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba) OR BC
  • Centria Autism
  • Mesa, AZ
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
  • 3/29/2024 12:00:00 AM

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Epic Analyst Senior - Ambulatory
  • Christus Health
  • Tyler, TX
  • Description Summary: The Clinical Informatics Systems Analyst Senior is primarily responsible for assisting in the opera...
  • 3/29/2024 12:00:00 AM

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Epic Analyst Senior - Ambulatory
  • Christus Health
  • Irving, TX
  • Description Summary: The Clinical Informatics Systems Analyst Senior is primarily responsible for assisting in the opera...
  • 3/29/2024 12:00:00 AM

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Application System Analyst Senior - Community Connect Ambulatory
  • Christus Health
  • Tyler, TX
  • Description Summary: The Application System Analyst Senior serves as a liaison between system end-users (customers), ope...
  • 3/29/2024 12:00:00 AM

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Application System Analyst Senior - Community Connect Ambulatory
  • Christus Health
  • Longview, TX
  • Description Summary: The Application System Analyst Senior serves as a liaison between system end-users (customers), ope...
  • 3/29/2024 12:00:00 AM

Iowa (/ˈaɪəwə/ (listen)) is a state in the Midwestern United States, bordered by the Mississippi River to the east and the Missouri River and Big Sioux River to the west. It is bordered by six states; Wisconsin to the northeast, Illinois to the east, Missouri to the south, Nebraska to the west, South Dakota to the northwest and Minnesota to the north. In colonial times, Iowa was a part of French Louisiana and Spanish Louisiana; its state flag is patterned after the flag of France. After the Louisiana Purchase, people laid the foundation for an agriculture-based economy in the heart of the Corn...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Clinical Outcomes Analyst jobs
$56,089 to $71,205