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Description

Introduction

Do you want to join an organization that invests in you as a Consulting Clinical Analyst? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Consulting Clinical Analyst like you to be a part of our team.

Job Summary and Qualifications

The DT&I Consulting Clinical Analyst is a licensed registered nurse who serves as a subject matter expert and possesses a strong understanding of current state clinical practice standards, medical necessity, payer and governmental clinical guidelines and requirements, physician documentation requirements, and systems, as well as clinical workflows across a variety of acute care environments. Further, this role is able to engage in the identification of key clinical data elements and sets, and retrieve, analyze, and interpret clinical data in a manner that supports efficient and effective DT&I decision-making, as well as design and development of iterative digital products.

Specifically, the DT&I Consulting Clinical Analyst will support the product owners in the design, validation, and testing of information work streams in order to support clinically-led design of transformative and innovate products. Additionally, this role must work across multiple domains regarding the design and development of informatics and system-level solutions.

What you will do in this role:

+ Adheres to DT&I standard operating procedures

+ Continuously collaborates and iterates with DT&I Data Science and Information Technology Group, as well as multiple key partners to source and validate data

+ Continuously collaborates and iterates with DT&I Process Engineering, Innovation Site subject matter experts, and Strategy, as well as multiple key partners to serve as a clinical subject matter expert

+ Source data elements for projects or coordinate with Corporate or Division teams to obtain needed information

+ Review data elements that are sourced

+ Assist with validation efforts in proof of concept or pilot projects specifically around medical necessity and physician documentation

+ Participate in product design when interoperability is needed

+ Obtain feedback during proof of concept and pilots from clinical teams

+ Ensure vendor priorities align with clinical needs and that development efforts are focused on features that provide measurable value

+ Facilitate feedback loops and maintain clear documentation to support transparency and accountability

What qualifications you will need:

+ Bachelor Degree in Nursing or other clinically relevant experience - Required

+ Master Degree in Nursing or other clinically relevant field - Preferred

+ Minimum 7 years of demonstrated experience and expertise in the domain area – Required

+ Payer/governmental guidelines including InterQual and Milliman Care Guidelines experience and expertise – Preferred

+ Must be able to work effectively alongside operational staff, leadership at multiple levels of the organization, as well as Subject Matter Advisors and Subject Matter Experts.

+ Previous hospital-based experience - Preferred

Licenses, Certifications, & Training:

+ Active clinical licensure (nursing preferred) - Required

+ Clinical informatics or Case Management/Care Coordination certification - Preferred

+ InterQual and/or Milliman Care Guidelines Certification - Preferred

Other Knowledge/Skills/Abilities:

+ Proven ability to effectively manage multiple and frequently changing priorities, and demonstrates strong time management skills to deliver high-quality work products/artifacts in a dynamic environment with critical deadlines

+ Strong analytical skills required to address clinical and systems-related challenges, gather and interpret clinical data, and prepare a concise synthesis of both data and observations

+ Ability to analyze and synthesize quantitative and qualitative data, as well as identify innovative solutions to complex and challenging clinical problems

+ Detail-oriented

+ Excellent communication skills (written and verbal) with all levels of the organization

+ Ability to participate in multiple projects or activities simultaneously

+ Ability to assist with obtaining clinician feedback related to projects or discovery work

+ Ability to identify data elements that are sourced from the electronic health records

+ Knowledge of clinician documentation and ordering in Meditech 5.6/Meditech Expanse across different service lines

+ Documentation of work in Microsoft applications: Azure Dev Ops, Word, Excel, SharePoint, etc

+ Transformative and innovative mindset

+ Ability to work with individuals across the enterprise

+ Proven ability to work within teams and problem solve are required

+ Highly motivated, self-driven and a desire to shape a strong culture of comfort around change

+ Proficient in Microsoft Office suite

+ Demonstrated ability to work independently

Work Location/Schedule:

+ Nashville, TN area (near Centennial Park)

+ Onsite: M-F, 8am – 5pm

Travel Required:

+ This job may require up to 25% travel.

Visa Sponsorship:

+ Not offered, now or in the future

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Consulting Clinical Analyst opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.