Title:Clinical Informatics Expertise
Location:Remote
Length:Long term
Restriction:w2 or c2c
Description:
Interview Type: ***Webcam Interview Only *** Very long term project; initial PO for 1 year, expect to go for 4+ years ***Remote***
Job Description
Ideal Candidate Requirements
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
Serve as a Clinical Subject Matter Expert
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
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.
Skills/Requirements
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