Job Description

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. 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 o Support clinical evaluators with interpretation and validation of clinical resources and content. o Provide clinical expertise and guidance in support of the NCQA Data Aggregator Validation program activities, including primary source validation (PSV) processes o Assist with preparation, submission, and maintenance of documentation required for DAV certification. - Digital Quality Measurement (dQM) o Support the implementation and operationalization of the dQM engine. o Assist with aligning clinical data sources and formats to quality measurement specifications. - Data Quality Improvement o Collaborate with technical and clinical teams to identify and resolve data quality issues. o Provide recommendations for improving the accuracy, completeness, and usability of clinical data within NC HealthConnex systems. - Product Development Support o Contribute to new product development and enhancements by offering clinical perspectives that inform technical design. o Participate in product testing and validation for clinical functionality. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements - 3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments. - Clinical degree or licensure (e.g., RN, MD, NP, PharmD, or other licensed healthcare professional). - A strong understanding of clinical documentation, EHR systems, and data interoperability - 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 - State government experience

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