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Physician Advisor Clinical Inf...

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Job Summary

Company
Anthem
Location
Chicago, IL
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_PS4744

Physician Advisor Clinical Informatics - AIM Chicago - PS4744

About the Job

Description

This position will be located in our Chicago Corporate office (near O'Hare Airport).

Your Talent. Our Vision. At AIM Specialty Health (AIM), a proud member of the Anthem, Inc. family of companies, it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

The MD Physician Lead is responsible for using a clinical authoring tool and additional technologies to collaboratively codify clinical rules and implement evidence-based workflows into AIM's systems.

Specific duties may include, but are not limited to:

  • Use a clinical authoring tool and additional technologies to collaboratively codify clinical rules and implement evidence-based workflows
  • Work closely with AIM and client Medical Directors to capture clinical intent of guidelines and medical policies in algorithm design
  • Provide on-going technical and clinical expertise to assure the consistent delivery of clinical knowledge and clinical decision support
  • Create messaging with collaboration from legal and compliance stakeholders
  • Apply clinical information technology and clinical process improvement to support best clinical practices and standardization of care
  • Meet project milestones and objectives, and identify potential risks
  • Using software development life cycle methodology, adhere to best practices in clinical authoring and IT
  • Request and analyze reports to monitor performance of algorithms and identify opportunities for enhancements
  • Create reports and presentations for key stakeholders
  • Engage in mapping of ICD-10, CPT codes
  • In partnership with Reporting and Analytics, use data for predictive analysis and help guide business decisions
  • Work with advanced graphic tools, including dashboards and other visual displays, to
    provide reports that highlight variations in utilization, clinical practice, and clinical outcomes
  • Support research activities through basic reporting functions and analysis
Qualifications

The qualified candidate will have:

  • Active, unrestricted M.D. or D.O. license
  • Board certification approved by the American Board of Medical Specialties.
  • Familiarity with standard medical coding schemes (ICD-10, HCPCS, CPT-4)
  • Understanding of databases and basic querying
  • Knowledge of, and comfort using Microsoft Word, Excel, and Visio
  • Analytical understanding of clinical work processes
  • Minimum of 5 years of clinical practice preferred
  • Training/certification in informatics a plus
  • Familiarity with clinical decision support, electronic health records and interoperability desirable
  • Listens well and influences decisions through written and verbal communication
  • Lead meetings effectively

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.


 

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