Clinical Informatics Subject Matter Expert - REMOTE
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.