NCDIT HIEA Clinical Informaticist
Raleigh, WV - USA
Job Summary
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.
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
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.
- 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 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.
| Skill | Required/Desired | Amount | of Experience |
|---|---|---|---|
| Clinical Informatics Expertise - Knowledge of clinical workflows EHRs documentation and healthcare data management. | Required | 5.0 | Years |
| Healthcare Data Standards - Expertise in HL7 FHIR SNOMED CT LOINC ICD CPT RxNorm and interoperability standards. | Required | 5.0 | Years |
| Quality Measurement & Validation - Experience with HEDIS eCQMs dQM NCQA DAV and Primary Source Validation programs. | Required | 3.0 | Years |
| Data Quality & Analytics - Ability to analyze validate and improve clinical data quality accuracy and completeness. | Required | 3.0 | Years |
| Collaboration & Communication - Ability to translate clinical needs into technical requirements and work across diverse teams. | Required | 3.0 | Years |
Required Skills:
Clinical Informatics Expertise - Knowledge of clinical workflowsEHRsdocumentationand healthcare data Data Standards - Expertise in HL7FHIRSNOMED CTLOINCICDCPTRxNormand interoperability Measurement & Validation - Experience with HEDISeCQMsdQMNCQA DAVand Primary Source Validation Quality & Analytics - Ability to analyzevalidateand improve clinical data qualityaccuracyand & Communication - Ability to translate clinical needs into technical requirements and work across diverse teams.