Worksite Address: 221 E. Lane St. Raleigh NC 272553
Region Name: State of North Carolina
Engagement Type: Contract
Position Overview:
The Clinical Informaticist serves 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 bridge clinical and technical domains, ensuring clinical data accuracy, interoperability, and compliance with healthcare quality measurement standards.
Required Skills and Qualifications:
- Strong understanding of clinical documentation, Electronic Health Record (EHR) systems, and data interoperability.
- Experience with clinical coding systems, including SNOMED CT, LOINC, ICD, CPT, and RxNorm.
- Experience with quality measurement programs and tools, including HEDIS, eCQMs, and digital Quality Measurement (dQM).
- Familiarity with NC HealthConnex or other Health Information Exchange (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, analytical, and problem-solving skills.
- Excellent communication and collaboration skills across clinical and technical teams.
- Detail-oriented, highly organized, and able to work independently in a fast-paced environment.
- Commitment to data quality, health system improvement, product testing, and technical validation.
Key Responsibilities:
Clinical Subject Matter Expertise
- Serve as a clinical SME for NC HealthConnex solution teams, providing insights into clinical concepts, workflows, and data use cases.
- Support clinical evaluators in interpreting and validating clinical resources and content.
- Provide clinical expertise to support technical design, product development, and enhancements.
NCQA Data Aggregator Validation (DAV) Program
- Support NCQA Data Aggregator Validation program activities, including Primary Source Validation (PSV) processes.
- Assist with preparing, submitting, and maintaining documentation required for DAV certification.
Digital Quality Measurement (dQM)
- Support the implementation and operationalization of the dQM engine.
- Help align clinical data sources and formats with quality measurement specifications.
Data Quality Improvement
- Collaborate with clinical and technical teams to identify, investigate, and resolve data quality issues.
- Recommend improvements to the accuracy, completeness, and usability of clinical data within NC HealthConnex systems.
Product Development and Testing
- Contribute clinical perspectives to new product development and existing product enhancements.
- Participate in product testing and validation to ensure clinical functionality and technical accuracy.
Education and Experience:
- Clinical degree or professional licensure, such as RN, MD, NP, PharmD, or another licensed healthcare professional.
- 3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments.
