Health Informaticist Senior

Highmark Health

This job promotes the understanding, integration, and use of healthcare data and information technology in support of scholarly research and addressing healthcare business challenges. Leveraging experience in and knowledge of clinical, technology, and data subject areas, the informaticist will play a crucial role in the design and development of fit-for-purpose research databases (or data sets) and analytic solutions. Their expertise in informatics will be used to tackle research questions of clinical and financial significance to the business, its customers, and the population at large. Serve as a liaison between physicians and research staff to translate data needs and assist in interpretation of analytic findings.

Combine knowledge of healthcare and experience in clinical settings to deliver value and insights through enterprise-grade data & analytic solutions.

Provide subject matter expertise related to the use of clinical ontologies, vocabularies and code sets in support of internally- and externally-sourced data. Includes support for bi-directional interoperability efforts across the enterprise.

In coordination with Enterprise Data Governance, assist with the development of business rules and associated code-based definitions related to clinical data domains. Includes but is not limited to sensitive data classification, disease states, clinical episodes, reimbursement episodes, pharamacy use, and care plans.

Work with teams across health plan, clinical, administrative, and IT business units to understand clinical data needs, evaluate opportunities to fullfill those needs through data and analytics, and participate in the build and delivery of analytic solutions.

Assist with design, build and deployment of robust analytic data solutions including but not limited to real-time/streaming analytics and alerting, data integration and interoperability, NLP, and AI/ML algorithms. Provide clinical process and system expertise and training.

Bachelor's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree

Master's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field

5 years of working in a Clinical Care setting - e.g., ambulatory, hospital, post-acute

3 years of hands-on experience with Electronic Health Record (EHR) system like EPIC, Cerner, Allscripts, or comparable

3 years in Clinical Workflow, Clinical Systems, and the underlying data used to support clinical decision-making

3 years in Data Analysis, Analytics, Business Intelligence or Reporting

1+ years of working with healthcare claims data

Experience supporting academic or scholarly research, including preparation of manuscripts and associated data documentation and reporting standards

Clinical coding certification

Analytically strong and familiar with clinical informatics concepts, practices, and procedures

Intermediate to advanced SQL coding skills

Familiarity with R / R Studio with basic R coding skills

Proficiency in data cleaning, preparation, and transformation (e.g., Language (Other than English):
Travel Requirement:
Office-based

Travel regularly from the office to various work sites or from site-to-site

Works primarily out-of-the office selling products/services (sales employees)

Physical work site required

It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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