Clinical Business Analyst

Job not on LinkedIn

🔥 3 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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InfoMC, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1994

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

InfoMC, Inc. is a healthcare technology and services company that implements and supports enterprise care-management software (branded Incedo™ in the provided materials) for health plans and provider networks. The company focuses on enabling value-based care through modules such as care management, behavioral health, utilization management, CMS compliance, and employee assistance/work-life programs. InfoMC works with Medicare Advantage plans, managed Medicaid, managed behavioral health organizations, employee assistance programs, and accountable care organizations to help scale operations, improve member outcomes, and meet regulatory requirements.

📋 Description

• Serve as a Subject Matter Expert for InfoMC’s utilization management and care management applications • Provide expert guidance on UM/CM solutions and resolve clinical issues • Collaborate with product management, development, and implementation teams to recommend system enhancements • Develop and deliver training for staff and clients on new features, AI-driven tools, and clinical workflows • Contribute to designing, testing, and documenting clinical initiatives • Assist sales teams with lead generation, pre-sale evaluations, and product demonstrations • Create documentation on product configurations, clinical workflows, and best practices • Troubleshoot and resolve client issues while ensuring satisfaction and regulatory compliance • Stay current on healthcare IT trends, clinical practices, and regulations

🎯 Requirements

• 5+ years of clinical experience in payer or integrated health systems, with direct UM/CM expertise • 2+ years in the healthcare software industry, preferably with UM/CM platforms • Registered Nurse (RN) or licensed healthcare professional with a clinical background • Degree in Nursing (RN) or related healthcare field • Advanced certifications such as CCM or CPUM • Strong understanding of clinical practices, federal/state regulations, CMS, HIPAA, and payer programs • Medicare Advantage and Managed Medicaid knowledge preferred • Experience with healthcare IT systems, AI-driven analytics, FHIR-compliant interoperability, and provider portal integration • Exceptional analytical and conceptual skills • Strong presentation and interpersonal skills • Authorized to work in the U.S.; no sponsorship provided

🏖️ Benefits

• Best Place to Work culture • People-first culture • Continuous investment in team and people • Remote work arrangement

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