The Clinical Informaticist acts as a Subject Matter Expert (SME) in clinical data and quality measurement, providing critical support to clinical evaluators, product teams, and data validation initiatives.
The ideal candidate will have:
· A strong understanding of clinical documentation, EHR systems, and data interoperability
· Experience working with clinical coding systems such as SNOMED CT, LOINC, ICD, CPT, and RxNorm
· Experience with quality measurement programs and tools (e.g., HEDIS, eCQMs, dQM)
· Ability to bridge clinical and technical domains
· Familiarity with NC HealthConnex or other HIE platforms
· Experience with CMS Data Aggregator Validation (DAV) and Primary Source Validation (PSV) programs
· Understanding of HL7, FHIR, and other healthcare data standards
· Knowledge of SAS tools and analytics platforms is a plus
· Strong clinical and analytical skills
· Effective communication and collaboration across clinical and technical teams
· A detail-oriented and highly organized approach
· Ability to work independently in a fast-paced environment
· Commitment to data quality and health system improvement
· Ability to participate in product testing and technical validation
Duties include but are not limited to:
· Serve as a clinical SME for NC HealthConnex solution teams, providing insights on clinical concepts and data use cases.
· NCQA Data Aggregator Validation Program
· Support clinical evaluators with interpretation and validation of clinical resources and content.
· Provide clinical expertise and guidance in support of the NCQA Data Aggregator Validation program activities, including primary source validation (PSV) processes
· Assist with preparation, submission, and maintenance of documentation required for DAV certification.
· Digital Quality Measurement (dQM)
· Support the implementation and operationalization of the dQM engine.
· Assist with aligning clinical data sources and formats to quality measurement specifications.
· Data Quality Improvement
· Collaborate with technical and clinical teams to identify and resolve data quality issues.
· Provide recommendations for improving the accuracy, completeness, and usability of clinical data within NC HealthConnex systems.
· Product Development Support
· Contribute to new product development and enhancements by offering clinical perspectives that inform technical design.
· Participate in product testing and validation for clinical functionality.
Education:
· Clinical degree or licensure (e.g., RN, MD, NP, PharmD, or other licensed healthcare professional).
· 3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments.
Skill/Experience Description
Required / Desired
Amount of Experience
Candidate Experience
Clinical Informatics Expertise - Knowledge of clinical workflows, EHRs, documentation, and healthcare data management
Required
5 Years
Healthcare Data Standards - Expertise in HL7, FHIR, SNOMED CT, LOINC, ICD, CPT, RxNorm, and interoperability standards
Required
5 Years
Quality Measurement & Validation - Experience with HEDIS, eCQMs, dQM, NCQA DAV, and Primary Source Validation programs
Required
3 Years
Data Quality & Analytics - Ability to analyze, validate, and improve clinical data quality, accuracy, and completeness
Required
3 Years
Collaboration & Communication - Ability to translate clinical needs into technical requirements and work across diverse teams
Required
3 Years