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
