Clinical Informaticist

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