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.

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.
• 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.
• Provide recommendations for improving the accuracy, completeness, and usability of clinical data within NC HealthConnex systems.

Required Skills:

• 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
• 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.