Anly Clinical Development

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description:

Job Description

3M HIS Clinical Analyst – Inpatient Methodology Groupers (Solventum)

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

The Impact You’ll Make in this Role
As a Solventum HIS Clinical Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. 3M HIS is an international leader in designing and maintaining healthcare payment systems.  We support more than ten countries on how they budget and pay for inpatient and outpatient care. This role would appeal to persons interested in playing a vital role in the equitable financing of healthcare globally. Here, you will make an impact by:

• Assuming the primary responsibility of Clinical Analyst in providing subject matter expertise in the clinical content development, specification, documentation, validation, and application of software modules related to Medicare Severity Diagnosis Related Groupers (MS-DRGs), TriCare, as well responsibility of maintaining the specifications of the map and any related mapping for variables required for the methodology, holding to standards and best practices.

• Align the discipline of inpatient patient classification, inpatient payment, regulatory update processes, demonstrating the underlying clinical concepts to various state/federal agencies, hospitals and/or organizations.

• Work directly with the Chief Product Owner, Product Owners, Research team and government agencies to drive enhancements to the methodologies by reviewing proposed suggested changes, defining evaluation approach and specifications, review of results and proposal of recommendations towards updates to clinical MS-DRG logic that include clear clinical logic specifications using existing coding system definitions. 

• Work directly and collaborate with the technical, quality and clinical team members, integrating product concepts to implement and test the clinical specification.

• Responsible for maintaining process documentation for the MS-DRG, TriCare, update using C&ER standards and methods.

Your Skills and Expertise 
 

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• Bachelor’s Degree or higher AND (4) years of (job related experience)  

OR

• High School Diploma/GED from AND (8) years of (the same job-related experience)  

Additional qualifications that could help you succeed even further in this role include:

•    Master's degree in related field, clinical informatics, coding, and/or HIM credentials.

•    Strong knowledge of patient classification research and development: 

•    Outpatient payment and risk adjustment

•    Efficiency measures

•    Commercial, Medicare and Medicaid environments

•    In-depth knowledge of ICD-10 CM/PCS diagnosis and procedure codes, awareness of ICD-11.

•    Experience with healthcare data, coding, billing, editing and payment, particularly for patient claims and HIPAA requirements

•    Experience with review and analysis of federal and state regulatory documentation related to healthcare claim processing and payment as well