Clinical Informatics Expertise

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

Skill Required Years

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