[Hiring] Principal Clinical Informatics Analyst @Alliance

Role Description

The Principal Clinical Informatics Analyst supports the organization’s clinical and operational goals by collecting, analyzing, and interpreting healthcare data. This role develops dashboards, reports, and data visualizations that inform decision-making across departments. The Principal Clinical Informatics Analyst collaborates across departments to ensure data accuracy, optimize reporting tools, and enhance the usability of clinical platforms. This position will allow the successful candidate to work a schedule that will be primarily remote, with occasional in-office meetings as needed.

Responsibilities & Duties

• Data & Workflow Analysis
  • Analyze existing clinical workflows to identify areas for improvement and optimization.
  • Lead the development and maintenance of process documentation to support front line staff.
  • Ensure system configuration accurately reflects workflows in collaboration with IT, compliance, and Quality NCQA leadership.
  • Ensure workflows remain compliant with state regulatory and NCQA requirements.
  • Analyze large volumes of patient and health data to identify trends and opportunities for improvement.
• HEDIS Lifecycle Support & Analytics
  • Serve as subject matter expert (SME) for NCQA HEDIS Measures.
  • Review the quality of HEDIS internal processes/plans for alignment with procedures and best practices.
  • Participate in the development, research, and implementation of HEDIS improvement activities.
  • Interpret qualitative and quantitative information and document/share findings.
  • Make recommendations for improvement related to HEDIS Measures.
  • Identify system and/or operational issues hindering quality performance standards.
  • Motivate and provide direction to staff assigned to Hybrid and NCQA projects.
  • Analyze and interpret technical specifications and regulatory guidance.
  • Serve as a subject matter expert on NCQA and HEDIS resources.
  • Identify and escalate situations posing quality, compliance, and/or safety risks.
• System Implementation and Integration
  • Support Clinical Informatics Function by assisting in business requirement development.
  • Serve as a liaison between clinical staff and the IT department.
  • Collaborate with IT system configuration teams to improve system functionality.
• Data Management
  • Review, analyze, and report on data from internal users across clinical operations.
  • Ensure data management practices align with healthcare standards.
  • Identify and mitigate risks associated with clinical informatics systems.
  • Collect, analyze, and interpret healthcare data to support decision-making processes.
• Develop Reports and Data Visualization Solutions
  • Perform data acquisition, analysis, evaluation, and analytics via advanced SQL queries.
  • Design solutions using BI concepts including dynamic reporting and dashboards.
  • Lead the design and development of products that merge data from various sources.
  • Provide support to ensure the accuracy of developed reports and metrics.
  • Ensure reporting activities correspond with externally mandated specifications.
  • Provide consultative and analytical support to leadership.
  • Perform geocoding activities through GIS software.
• Regulatory Compliance and Audit Readiness
  • Ensure the accuracy and integrity of clinical data systems.
  • Facilitate appropriate readiness teams for regulatory bodies.
  • Own the documentation of compliance with standards.
  • Oversee Monthly State and NCQA Reporting.

Qualifications

• Bachelor's degree in Computer Science, Engineering, Healthcare Informatics, or a related field and seven (7) years of experience in healthcare informatics.
• Or Master’s degree in a related field and five (5) years of experience in healthcare informatics.
• Experience with NCQA Technical Specifications and Value Set Directory.
• Understanding of operational requirements for data collection in support of HEDIS or similar Quality programs.
• Experience with the Medicaid population related to HEDIS Measures.
• Experience with Medical Record Abstraction/Quality Analysis related to HEDIS duties.

Preferred

• A Master's degree in Healthcare Informatics.
• Certification in Health Informatics (e.g., CHISP).

Knowledge, Skills, & Abilities

• Clinical experience in a healthcare setting.
• Strong presentation, collaboration, and communication skills.
• Attention to detail, critical thinking, and problem-solving capabilities.
• Skills in computer software, spreadsheets, databases, and modeling programs.
• Experience collecting user requirements and translating to system feature enhancements.
• Knowledge of State and NCQA regulatory requirements.
• Ability to work independently and in a team setting.
• Ability to manage multiple priorities and adjust quickly to changing priorities.
• Knowledge of data analysis on databases/data sets.
• Excellent written communication skills, including technical writing.
• Advanced experience with SQL.

Salary Range

$91,192 - $116,270/ Annual. Exact compensation will be determined based on the candidate's education, experience, external market data, and consideration of internal equity.

Benefits

• Medical, Dental, Vision, Life, Long Term Disability.
• Generous retirement savings plan.
• Flexible work schedules including hybrid/remote options.
• Paid time off including vacation, sick leave, holiday, management leave.
• Dress flexibility.

Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.