AIA Hong Kong and Macau | Clinical Tools Developer
1 day ago
At Amplify Health, we’re looking for individuals with ambition, resilience, and passion for healthcare, insurance, wellness, and digital technology. As a fast-growing business with the ambition of making people and communities across Asia healthier, we have exciting career opportunities available to help us achieve our vision.
Do meaningful work with us. Every day.
Core responsibilities include:
Assist and lead in the research, creation, and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation.
Evaluate and recommend improvements to the current clinical tools including but not limited to diagnosis-related groupers, disease episode groupers, patient risk scores, disease staging tools.
Evaluate and recommend improvements for relative indices such as risk scores, disease burden index, and case mix that support our clinical tools.
Understand the final usage of the tools and recommend relevant insights for clinical tool evolution.
Provide clinical support in the analysis of claims data to derive actionable clinical insights.
Participate in the application of the tools in various business processes and engage with customers to discuss the effective usage of clinical tools.
Create and assist in the development of Clinical Pathways for a range of products such as Condition Management, Hospital Optimization, Palliative Care, etc.
Review the clinical appropriateness of product designs.
Support clinical coding teams in the creation, update, and maintenance of clinical classifications.
Research and develop/implement various clinical terminologies and ontologies (such as SNOMED-CT, LOINC, WHO ICD-10, ICD10CM, ICD11, CPT, ATC, etc.) for integration and enhancement for our clinical tooling.
What skills do you need?
Behavioural skills
Exceptional communication skills across a wide range of stakeholders.
Ability to work cohesively in a team environment while balancing multiple priorities.
High level of attention to detail, resilience, enthusiasm, energy, and drive.
Positive, can-do attitude focused on continuous improvement.
Ability to take feedback and constructive criticism to drive improved delivery.
Rigorous ability to problem-solve and optimize environment.
Excellent coordination skills.
Technical understanding
A working understanding of the data used in healthcare is optimal as data forms the basis of our products; as such, the following core understandings are required:
Understanding of healthcare-specific data/health insurance claims is a must.
Reasonable competence in the use of Microsoft Office suite of tools, especially Excel, Access, and PowerPoint.
Knowledge of patient health management, provider profiling, healthcare reporting, and other key healthcare technologies.
Knowledge of clinical tools and coding including coders, groupers, cross walks, and classifications.
Jira and Confluence knowledge.
Agile ways of working.
Understanding of Tech Products Lifecycle.
Strong DRG and Clinical Coding foundation.
Databricks knowledge.
Experience in clinical reviews for output sanity checks.
Experience in Closed File Review for missed recovery/prevent FWA opportunities.
Experience in working with Health Tech Team (Project Manager, Data Scientists, Data Analysts).
The below understandings are advantageous; however, not compulsory:
SQL, Python, and advanced Excel.
Understanding of advanced statistics, risk adjustment, and health outcome indices and metrics.
Knowledge of usage of data science in the healthcare space.
Experience in Microsoft Azure (Databricks, Synapse, Data Factory, etc.).
Qualifications
The following requirements are essential:
Graduate Health Care qualification required, preferably a Medical degree with a minimum of 5 years of post-qualification experience.
Private healthcare experience would be an advantage.
Qualifications or training in Health informatics, clinical coding, or Health Administration would be very helpful.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
ABOUT AMPLIFY HEALTH
Amplify Health is a leading health insurtech business that offers integrated, digital health technology and data analytics solutions to payors, insurers, employers, and providers. We partner with all participants in the healthcare system to transform healthcare delivery and insurance. The result is a better healthcare system and a healthier society for all.
We have a bold vision: to make Asia healthier by creating and sharing value in health systems through best-in-class technology, data science, and talent.
Healthcare is one of the fastest-changing industries today. Globally, new health digital technology is creating opportunities to positively shape the lives of people and communities. If you’re passionate about digital tech, health, and changing healthcare for the better, join us and do meaningful work, every day.
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Singapore AIA Hong Kong and Macau Full timeAt Amplify Health, we’re looking for individuals with ambition, resilience and passion for healthcare, insurance, wellness and digital technology. As a fast-growing business with the ambition of making people and communities across Asia healthier, we have exciting career opportunities available to help us achieve our vision. Assist and lead in the...
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