SUPPLEMENTAL QUESTIONNAIRE
Clinical Outcomes Analyst (1210004)
Applicant Name: / Date:
Supplemental questions are used to assist us in the evaluation of your application for interview purposes. By answering these questions, you help to reduce the amount of interpretation involved.
Please complete the questionnaire and attach to a completed application.
Position Requirements / Select one of the options below that best describes your education and experience. (Double click boxes to check)
I have:
I have a Bachelor’s Degree and;
And
I have 3 years of experiencewhere the primary function of the position was the statistical analyses of clinical health data using statistical software such as PERL, R, SAS, Business Objects, Excel, Access or Oracle.
OR:
A Master's Degree in a health related field or social science with a concentration in Biostatistics, Epidemiology or a business administration or public administration which includes nine semester hours of advanced statistical methods and/or medical certification/licensure for one year of experience.
OR:
An equivalent combination of 7 years of education and clinical health data experience.
OR:
I do not meet any of the requirements as described.
Information Requested / Please provide the following information
Degree: / Date Completed:
Please list the position(s) where you obtained clinical statistics work experience;
1)
2)
3)
Total experience: / Years / Months
Position Preferences / Check all that apply and indicate where you obtained the experience
I HAVE: / (Double click boxes to check)
Biostatistics, epidemiology, and/or bioinformatics education or experience (circle all applicable)
Place and dates where you obtained the experience:
Medical and diagnosis coding experience
Place and dates where you obtained the experience:
Statistical software experience
Which software and place and dates where you obtained the experience:
SoonerCare experience
Place and dates where you obtained the experience:
Other private/public health insurance claim/outcome analysis work experience
Place and dates where you obtained the experience:
Public speaking, presenting, defending results presentations
Place and dates where you obtained the experience:
Job related certifications;
Certification: / Date Completed:
Position Preferences / Check all that apply
I HAVE: / (Double click boxes to check)
I have experience with;
PERL / Proficient/Daily Use / Weekly/Monthly Use / None
R programming / Proficient/Daily Use / Weekly/Monthly Use / None
MS Access / Proficient/Daily Use / Weekly/Monthly Use / None
Statistical software – Other (write in) / Proficient/Daily Use / Weekly/Monthly Use / None
Oracle / Proficient/Daily Use / Weekly/Monthly Use / None
Business Objects / Proficient/Daily Use / Weekly/Monthly Use / None
SAS or SPSS / Proficient/Daily Use / Weekly/Monthly Use / None

A proficiency test may be administered prior to interviews.