Job Description

Crop to Crop resumes are accepted 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. Required Skills Clinical Informatics Expertise - Knowledge of clinical workflows, EHRs, documentation, and healthcare data management. Healthcare Data Standards - Expertise in HL7, FHIR, SNOMED CT, LOINC, ICD, CPT, RxNorm, and interoperability standards. Quality Measurement & Validation - Experience with HEDIS, eCQMs, dQM, NCQA DAV, and Primary Source Validation programs. Data Quality & Analytics - Ability to analyze, validate, and improve clinical data quality, accuracy, and completeness. Collaboration & Communication - Ability to translate clinical needs into technical requirements and work across diverse teams.