Why this role stands out
This role offers a unique opportunity to shape the future of digital quality measurement and health data interoperability while enjoying the balance of a flexible hybrid work environment. You will thrive here if you are a detail-oriented professional who enjoys bridging the gap between clinical expertise and technical innovation to drive meaningful improvements in healthcare systems. Apply today to advance your career at the forefront of clinical informatics with a team dedicated to excellence and professional growth.
Quick overview
Job description
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.
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