Clinical Data Specialist
Healthmap Solutions
Full-time
Remote
Data Specialist
Description
Position at Healthmap Solutions
Company Background
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary:
The Clinical Data Specialist serves as a strategic team member identifying, analyzing and interpreting data to drive business outcomes and support clinical services operational outcomes. This role collaborates with intra- and interdepartmental leadership and cross-functional teams to develop actionable insights, optimize operational performance, and ensure compliance with contractual and NCQA requirements. The Specialist plays a critical role in managing high-priority initiatives, delivering data-driven reports, and leading the development of dashboards to support organizational goals.
Responsibilities:
- Research, analyze, and interpret complex data to identify trends, outliers, and opportunities that support organizational decisions, KPIs, and SLAs
- Design and maintain advanced dashboards and reporting solutions that inform strategy, drive decision-making, and monitor program performance. Partnering with data team as appropriate
- Collaborate with cross-functional teams to identify opportunities for improving clinical outcomes and operational efficiency
- Provide actionable recommendations and ensure timely resolution of identified opportunities through detailed documentation and feedback
- Lead cross-departmental initiatives to streamline processes and optimize workflows in alignment with business objectives
- Act as a subject-matter expert in clinical reporting and serve as a key point of contact for internal stakeholders
- Develop and present data visualization and self-service reporting tools to internal departments, empowering stakeholders with actionable insights
- Research and resolve service tickets with a focus on continuous process improvement and adherence to current protocols
- Support the development and implementation of new processes, policies, and tools to enhance clinical reporting and organizational efficiency
- Ensure data accuracy and integrity by overseeing the collection, management, and maintenance of critical information, including member discharge summaries and documentation in Electronic Medical Records (EMR)
- Ensure adherence to HIPAA and other regulatory standards while implementing best practices for data privacy and governance
- Maintain a high level of flexibility to address emerging business priorities
- Perform other duties as assigned
Requirements:
- Bachelor’s degree in Data Analytics, Healthcare Administration, Business or related field
- 3 years of experience in data analysis, clinical reporting, or a related role within a healthcare or business environment
- Strong proficiency in data visualization tools (e.g., Tableau, Power BI) and advanced knowledge of EMR systems
- Demonstrated expertise in operational performance optimization and process improvement
- Strong understanding of regulatory compliance, including HIPAA and other healthcare standards
- Excellent communication, problem-solving, and project management skills
Skills:
- Excellent written and verbal communication, problem-solving, and project management skills
- Proficiency in Microsoft Office: Outlook, Word, PowerPoint
- Strong attention to detail in the completion of deadline driven tasks
- Ability to work collaboratively with data and cross-functional partners
- Strong strategic thinking analytical and organizational skills
- Cooperative and communicative attitude with leadership and team
- Skilled at dealing with confidential information and/or issues using discretion and judgment, independent of direct guidance
- Flexible with the ability to manage and adapt to changing priorities
Travel:
No Travel
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Americans with Disability Specifications
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.