Job Description
Write simplified healthcare code to represent healthcare specifications
Research innovative healthcare data models (FHIR), healthcare logic expressions (CQL) and healthcare definitional models (FHIR) to correctly express healthcare specifications.
Design test plans that ensure the code generates the correct data (expressed FHIR).
Generate sample data to exercise the defined test plan and/or criteria (FHIR).
Collaborate cross-functionally and with healthcare specialists, clinicians, and terminologists to understand and implement the requirements (L1/L2), and test the implementation (L3).
Providing expert feedback on prior authorization policies, including analysis for complexity, scope and effort, as needed.
Identify and capture best practices and lessons learned.
Accountable for ensuring that all working hours are accurately reported in Time Tracki...