Clinical Quality Analyst (Doctors - BAMS/BDS/BHMS) at Ecorgy Solutions Pvt Ltd · trivandrum · 0 - 5 years · ₹2.4L - ₹4L / yr · Profitable · Posted 7 Mar 2024
Clinical Quality Analyst (Doctors - BAMS/BDS/BHMS)
Role Overview:
As our Clinical Quality Analyst, you will play a pivotal role in enhancing clinical processes and maintaining regulatory compliance. You will spearhead quality improvement initiatives and ensure adherence to established clinical standards. The role demands a meticulous approach and a commitment to clinical excellence.
Responsibilities:
- Clinical Process Enhancement: Evaluate clinical procedures and documentation to identify areas for improvement, ensuring adherence to industry standards.
- Audits and Assessments: Conduct compliance audits and assessments to provide continuous improvement feedback and maintain industry compliance.
- Team Collaboration: Collaborate with clinical teams, guiding them on best practices and fostering a culture of clinical excellence.
- Data Analysis: Collect, analyze, and interpret clinical quality data and metrics for performance evaluation and decision-making.
- Client Audit Preparedness: Prepare and engage in client audits, including regular mock audits, ensuring preparedness and compliance.
- Reporting and Recommendations: Create comprehensive reports and presentations on quality findings, suggesting enhancement strategies.
- Quality Initiative Support: Assist in developing and implementing initiatives focused on enhancing quality standards.
- Regulatory Adherence: Stay updated on industry regulations, clinical guidelines, and best practices to ensure compliance and innovation.
- Effective Communication: Communicate quality-related issues and recommendations to stakeholders efficiently.
- Training Participation: Engage in quality-focused training and educational programs for continuous professional development.
Qualifications:
- BAMS, BHMS, BDS
- 1–5 years of clinical or healthcare setting experience.
- Profound knowledge of medical terminology and clinical processes.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
- Excellent English communication, written and verbal.
- Strong attention to detail and analytical skills for complex data handling.
- Willing to work in both day and night shifts from our office at Elippode, Trivandrum.
Shubham Vishwakarma
Full Stack Developer - Averlon
About Ecorgy Solutions Pvt Ltd
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POSITION SUMMARY
The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines,summaries, masstort matrix andmedical opinions on case validity and valuation.
JOB RESPONSIBILITIES
o Analyzing and summarizing medical records for pre and postsettlement projects. o Interpreting clinical data in terms of medical terminology and diagnosis.
o Adhering to company policies/ARCHER principles and hence taking good care of Archer culture
. o Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.
o Daily reporting to Medical team lead for productivity & quality
KNOWLEDGE, SKILLS AND ABILITIES Technical Skills:
o Knowledge of basic level of health care data analysis and clinical review.
o Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine.
o Ability to work proficiently with Microsoft Word, Adobe, and Excel.
Interpersonal Skills:
o Ability to perform well in a team environment, with staff at all levels, to achieve business goals.
o Ability to function under pressure and with deadline-oriented project demands as well as manage multiple initiatives.
o Team player and motivated self-starter.
o Detail-oriented, organized, able to multi-task.
o Effective communication skills.
EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED
o MBBS graduate (No experience required)
o BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).
ADDITIONAL SKILLS
o HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization culture and behavior.
CAREER PATH
o Medical Officer
o Medical Team Lead
Follow CutshortShubham Vishwakarma
Full Stack Developer - Averlon