Clinical Informaticist acts as a Subject Matter Expert (SME)

Clinical Informaticist

We are seeking a Clinical Informaticist to join our team. The selected candidate will work in a remote schedule.

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.

Qualifications and Skills

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 and Responsibilities

Duties include but are not limited to:

Clinical Subject Matter Expertise

• 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.

NCQA Data Aggregator Validation Program

• 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 and Experience

• 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.