CI
Healthcare Interoperability and Clinical Data Analyst
Crescens Inc.
- 🇺🇸 United States
- Remote
- 19 hours ago
- EHR
- CPT
- HEDIS
- CMS
- HL7
- FHIR
- SAS
- PharmD
19 hours ago
Location: Raleigh, NC (Remote)
Duration: 11+ Months
Type: Contract
Job 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.
- 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.
- 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.
Healthcare Interoperability and Clinical Data Analyst · Crescens Inc.