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Healthcare Interoperability and Clinical Data Analyst

Crescens Inc.

  • Raleigh, NC
  • 3 days ago
  • Remote

    Highlights

    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. Provide clinical expertise and guidance in support of the NCQA Data Aggregator Validation program activities, including primary source validation (PSV) processes.

    Numbers & Facts

    LocationRaleigh, NC (
    Remote
    )
    IndustryComputer/IT Services
    Company Size20 to 49 employees
    Year Founded2002
    Websitehttp://crescensinc.com/

    Description

    Title: Clinical Informaticist
    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.
    Required Skills:
    • 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.

    About Company

    Crescens Inc. is an industry leader in providing IT staffing services and tailored workforce solutions to meet the demanding expectations and distinctive needs of clients across the United States and Canada.  We have grown tremendously in the past years and have been applauded by our clients for the quality of workforce and the quick turnaround time. We have evolved from good service to great service and all management plans are geared towards quality. 

    Our vision is to be the best in Talent Acquisition and strive for excellence consistently by focusing on four performance dimensions; Quality, Efficiency, Cost and Risk.  A satisfied client and candidate are the backbone to our continued success. Headquartered in New Jersey, we are a team with unique expertise to deliver exceptional results to our clients by setting benchmarks and establishing best practices. 

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