Subject Matter Expert :: Raleigh, NC (Remote)

Job Description

Job Description

Clinical Informaticist

Location: Raleigh, NC (Remote)

Duration: 11+ months

Seeking for a Subject Matter Expert (SME) in clinical data and quality measurement to support 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 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
• 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 HealthConnex solution teams, providing insights on clinical concepts and data use cases.
• Support clinical evaluators with interpretation and validation of clinical resources and content.
• Provide clinical expertise and guidance in support of the Data Aggregator Validation program activities, including primary source validation (PSV) processes.
• Assist with preparation, submission, and maintenance of documentation required for DAV certification.
• Support the implementation and operationalization of the dQM engine.
• Assist with aligning clinical data sources and formats to quality measurement specifications.
• Collaborate with technical and clinical teams to identify and resolve data quality issues.
• 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.

Must Have:

• Clinical Informatics Expertise - Knowledge of clinical workflows, EHRs, documentation, and healthcare data management. (5 Years)
• Healthcare Data Standards - Expertise in HL7, FHIR, SNOMED CT, LOINC, ICD, CPT, RxNorm, and interoperability standards. (5 Years)
• Quality Measurement & Validation - Experience with HEDIS, eCQMs, dQM, NCQA DAV, and Primary Source Validation programs. (3 Years)
• Data Quality & Analytics - Ability to analyze, validate, and improve clinical data quality, accuracy, and completeness. (3 Years)
• Collaboration & Communication - Ability to translate clinical needs into technical requirements and work across diverse teams. (3 Years)