Clinical Business Analyst

Clinical Business Analyst The Clinical Business Analyst serves as a Subject Matter Expert (SME) for InfoMC's utilization management (UM) and care management (CM) applications, acting as a trusted advisor to payer clients. This role requires candidates who are a Registered Nurse (RN) or licensed healthcare professional with deep experience in payer-based UM/CM and familiarity with integrated health systems. The ideal candidate stays current on clinical trends, healthcare regulations, and Health Information Technology (HIT), including AI-driven analytics and interoperability standards (e.g., FHIR, MARS-E). They will guide clients in optimizing InfoMC's solutions to meet clinical and regulatory needs, enhancing whole-person care and exceeding expectations. What you'll doClinical SME: Provide expert guidance on InfoMC's UM/CM, resolving clinical issues and ensuring alignment with payer workflows. Product Feedback: 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).Training Delivery: Develop and deliver engaging training for staff and clients on new features, AI-driven tools, and clinical workflows, emphasizing value for payers and providers. Solution Design: Actively contribute to designing, testing, and documenting clinical initiatives, ensuring seamless integration with client UM/CM processes. Sales Support: 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).Documentation: Create detailed documentation on product configurations, clinical workflows, and best practices, collaborating with Product Management, Sales Engineering, and Client Services. Issue Resolution: Apply clinical and product expertise to troubleshoot and resolve client issues, ensuring high satisfaction and regulatory compliance. Industry Expertise: Stay current on HIT trends, clinical practices, and regulations, particularly in UM/CM, AI applications, and compliance standards like MARS-E and FedRAMP.