[Hiring] Clinical Informaticist @Wiserhunt

Role 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.

• 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.
• 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.
• Support the implementation and operationalization of the dQM engine.
• Assist with aligning clinical data sources and formats to quality measurement specifications.
• 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.
• Contribute to new product development and enhancements by offering clinical perspectives that inform technical design.
• Participate in product testing and validation for clinical functionality.

Qualifications

• 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.

Requirements

• 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, 5 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)

Benefits

• Bill rate: $84.60/hr
• Work Arrangement: Remote
• Agency Interview Type: Webcam Interview Only