Jeffrey van Horne
Senior Clinical Business Analyst @b.well Connected Health
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WORK HISTORY
Senior Clinical Business Analyst @b.well Connected Health
Baltimore, MD, US
Senior Clinical Business Systems Analyst with deep expertise in healthcare IT, data interoperability, and population health analytics. Led FHIR-based clinical measure development and multi-source data integration initiatives within cloud-native platforms supporting value-based care delivery. Acted as the clinical coding SME (ICD-10, SNOMED, CPT, HCPCS, LOINC, RxNorm), enabling scalable analytics and improved data quality for EMR and claims-based workflows.Spearheaded the design and optimization of a proprietary clinical scheduling system aligned with FHIR standards and integrated with broader interoperability frameworks to enhance patient access and streamline provider workflows. Managed cloud-based ingestion pipelines across EMR and payer systems using Databricks and Azure for data normalization and transformation.Created actionable dashboards using Power BI, supported predictive modeling and population health strategies, and contributed to real-time clinical reporting. Developed and productionalized complex SQL queries for QA, data validation, and compliance tracking across multiple data domains including Medicare, Medicaid, and commercial claims.Drove pre- and post-deployment testing, authored user stories and documentation in Agile settings, and collaborated with DevOps, data science, and product teams to troubleshoot system issues, streamline enhancements, and reduce clinical and operational inefficiencies.Led stakeholder workshops, translated ambiguous requirements into detailed specifications, and partnered with IT and leadership to align technical execution with strategic business goals. Supported regulatory compliance efforts for HIPAA, HEDIS, NCQA, CMS, and CDC standards while championing AI-driven data initiatives across the enterprise.Collaborated on revenue cycle data solutions, leveraging Power BI and Databricks to support value-based care reporting, claims normalization, and interoperability between EHR and payer systems.
EDUCATION
University of Central Florida
Bachelor of Arts (BA)
University of Phoenix
Master's degree
ABOUT JEFFREY VAN HORNE
Results-driven Senior Clinical Business Analyst with extensive experience in healthcare IT, interoperability, and clinical data analysis. Expertise in bridging business and technical requirements, optimizing system performance, and driving process improvements. Skilled in clinical coding, data integrity, and quality assurance, with a proven track record of delivering innovative solutions in fast-paced environments. Seeking a remote healthcare IT role to leverage deep industry knowledge and analytical expertise.
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