InfoMC, Inc. · 4 months ago
Clinical Business Analyst
United States
Full-time
Remote
Mid, Senior Level
5+ years expInfoMC, Inc. is a fast-paced healthcare technology company that provides integrated care management and population health solutions. The Clinical Business Analyst will act as a Subject Matter Expert for utilization management and care management applications, guiding clients in optimizing solutions to enhance whole-person care and meet clinical and regulatory needs.
CRMInformation TechnologySoftware
No H1B
Responsibilities
Provide expert guidance on InfoMC’s UM/CM, resolving clinical issues and ensuring alignment with payer workflows
Collaborate with product management, development, and implementation teams to recommend system enhancements based on clinical trends, AI capabilities, and regulatory requirements (e.g., CMS Interoperability Rule)
Develop and deliver engaging training for staff and clients on new features, AI-driven tools, and clinical workflows, emphasizing value for payers and providers
Actively contribute to designing, testing, and documenting clinical initiatives, ensuring seamless integration with client UM/CM processes
Assist sales teams in lead generation, pre-sale evaluations, and product demonstrations, showcasing clinical value to payers and providers (e.g., AI analytics, real-time provider portals)
Create detailed documentation on product configurations, clinical workflows, and best practices, collaborating with Product Management, Sales Engineering, and Client Services
Apply clinical and product expertise to troubleshoot and resolve client issues, ensuring high satisfaction and regulatory compliance
Stay current on HIT trends, clinical practices, and regulations, particularly in UM/CM, AI applications, and compliance standards like MARS-E and FedRAMP
Qualification
Required
5+ years of clinical experience in payer or integrated health systems, with direct UM/CM expertise
2+ years in the healthcare software industry, preferably with UM/CM platforms
Degree in Nursing (RN) or related healthcare field; advanced certifications (e.g., CCM, CPUM) a plus
Strong understanding of clinical practices, federal/state regulations (e.g., CMS, HIPAA), and payer programs (Medicare Advantage, Managed Medicaid preferred)
Experience with healthcare IT systems, including AI-driven analytics, FHIR-compliant interoperability, and provider portal integration
Exceptional analytical and conceptual skills to identify innovative solutions, proactively address challenges, and drive cross-functional collaboration
Strong presentation and interpersonal skills to engage clients and stakeholders effectively
Authorized to work in the U.S.; no sponsorship provided
Preferred
Registered Nurse (RN) or licensed healthcare professional with deep experience in payer-based UM/CM and familiarity with integrated health systems
Company
InfoMC, Inc.
InfoMC is a leading provider of cloud-based enterprise care management software.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Harm Scherpbier MD MS
Chief Medical Information Officer
Lauren Barsa
Solutions Partner, Complex Populations
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