Clinical Informaticist

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.