Clinical and Economic Research Patient Classification Senior Research Specialist (Finance)

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:

Patient Classification Researcher Clinical and Economic Research (Solventum)

3M Health Care is now 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

The Clinical and Economic Research (CER) Senior Patient Classification Research Specialist is a key member of the CER team, engaged in enhancing our clinical patient classification systems. You will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. We are an international leader in designing and maintaining healthcare payment and value-based care systems. We support the United States and 14 other countries on how they budget and pay for inpatient and outpatient care and incenting high quality outcomes. This role would appeal to highly motivated self-starters interested in playing a vital role in the equitable improvement of driving efficiency and value across the healthcare delivery system. Being part of a team that has more than 40 years of experience developing classification, grouping and reimbursement calculation systems globally for inpatient, outpatient and professional settings addressing healthcare payment reform, value-based care and population health. Here, you will make an impact by:

• Contributing subject matter expertise in the research, clinical logic content design, evaluation, development and application of Solventum Clinical and Economic Research clinical categorical patient classification methodologies for inpatient, outpatient facility, population care, risk adjustment and payment with particular focus on Solventum's outpatient Enhanced Ambulatory Patient Groups (EAPGs), inpatient All Patient Refined DRGs (APR-DRGs), and Clinical Risk Groups (CRGs) to advance effective and efficient payment and utilization solutions and ensuring its meaningful integration into end user operations.
• Collaborate with research team to create and develop research approaches and plans with academic rigor that combine the power of categorical models with big data to drive further refinement of our models enhancing our analytic abilities to express and summarize clinically relevant results of analyzing big data making results that much more understandable and actionable across the entire health system.
• Advance and enhance methodology impact and usability in improving payment accuracy and measure efficiency by users across payer, provider, government, business partner, and non-profit clients.
• Bring an apply strong and broad understanding of the applicable healthcare landscape and inpatient/outpatient/population payment classification solutions / risk adjustment. Bring forward emerging clinical categorical patient classification models and trends in the healthcare delivery market and usage in US Medicare, Medicaid, commercial and global health care policy. Perform and interpret review of healthcare patient classification, healthcare delivery reform and market trends related to EAPG, APR-DRG and CRGs.
• Support application of clinical categorical patient classification systems into quality and patient safety methodologies and approaches/risk adjustment.
• Publish articles, blogs and comments on patient classification systems related issues as well as rebuttals to articles on patient classification systems
• Guide Product Owner and marketing/sales team in understanding and communicating the value of the methodologies and enhancements to drive growth. Support Product Owner in efforts to influence the adoption of patient classification systems with payers, business partners both domestically and internationally.

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 from an accredited university and (7) seven years in business healthcare related field, healthcare policy, health policy, health research, health economics, clinical informatics i n a private, public, government or military environment

OR

High School Diploma/GED AND (14) fourteen years of in healthcare related field, healthcare policy, health policy, health research, health economics, clinical informatics a private, public, government or military environment

AND

4 years healthcare organization experience (e.g. government payer, provider, hospital, insurance company, health care consulting, software, research, services firm)

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

• The candidate should have a strong familiarity with Solventum's patient classification systems including APR-DRGs, CRGs and EAPGs.
• PhD or MD or equivalent degree completed

• Strong knowledge of payment policy both within the US and Internationally.
• Experience of working with and/or within health systems, health plans, State Medicaid programs, Commercial payers, value-based care arrangements, Medicaid MCOs or international.
• Strong knowledge of disease and procedure classification systems ICD-10-CM/PCS diagnosis and procedure coding, CPT/HCPCS. Advanced knowledge of medical terminology, anatomy, physiology, disease processes, surgical and non-surgical procedures, medical literature and revenue-based regulatory requirements
• Strong analytical thinking, strategic thinker, pattern recognition, creative methodical, detail oriented with clear written and verbal communication skills required to effectively communicate complex topics and information in a way that experts and non-experts will understand
• A demonstrated ability to take initiative and responsibility for assignments is a must. Working style is able to prioritize, multi-task, focus on goals, takes accountability and manages time well
• Must be comfortable in a fast-paced environment with challenging deadlines, and multiple patient classification projects. Ability to excel in a complex, cross-functional and dynamic team work environment and strong business acumen with high integrity and work ethic.
• Candidate must have prior experience presenting health care related topics at national or regional conferences as well as have been lead author on healthcare related peer reviewed journal articles demonstrating evidence of thought leadership.

Work location: Remote-United States

Travel: May include up to 10% [domestic/international]

Relocation Assistance: Not authorized

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Supporting Your Well-being

Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.

Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.

Applicable to US Applicants Only:The expected compensation range for this position is $183,301 - $224,034, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards

Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.

Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.

Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.

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