Job Description
Typical Experience: 60-84 months
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.
Skills
Skill Required Required Experience Candidate Experience Last Used 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 3 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
Questions Questions Answers Question 1 Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement? Question 2 What is your candidate's email address? Question 3 How soon can your candidate start if selected for this opportunity? Question 4 Vendors are encouraged to submit candidates that are available for the duration of the assignment. Do you anticipate your candidate being able to work until the proposed end date listed on this VectorVMS req? Question 8 Payment for all approved hours will be paid at the straight hourly rate regardless of the total hours worked by the engaged resource. It is the responsibility of the Vendor to adhere to any applicable compensation laws including payment for overtime hours. Do you agree to this requirement?
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