Clinical Informaticist/Analyst

About the role

This role promotes the understanding, integration, and use of healthcare data and information technology to support scholarly research and address healthcare business challenges. Leveraging experience in clinical, technology, and data subject areas, the informaticist will design and develop fit-for-purpose research databases (or data sets) and analytic solutions. Their expertise will tackle research questions of clinical and financial significance to the business, its customers, and the broader population. The role serves as a liaison between physicians and research staff to translate data needs and assist in interpreting analytic findings.

Responsibilities

• Combine knowledge of healthcare and clinical experience to deliver value and insights through enterprise-grade data and analytic solutions.
• Provide subject matter expertise on clinical ontologies, vocabularies, and code sets for internally- and externally-sourced data, including support for bi-directional interoperability efforts.
• Assist with developing business rules and code-based definitions for clinical data domains (e.g., sensitive data classification, disease states, clinical episodes, reimbursement episodes, pharmacy use, and care plans) in coordination with Enterprise Data Governance.
• Collaborate with teams across health plan, clinical, administrative, and IT business units to understand clinical data needs, evaluate opportunities, and participate in building and delivering analytic solutions.
• Assist in designing, building, and deploying robust analytic data solutions, including real-time/streaming analytics, alerting, data integration, interoperability, NLP, and AI/ML algorithms, with processes to convert prototypes into production solutions.
• Provide clinical process and system expertise and training.
• Perform other duties as assigned or requested.

Requirements

• Bachelor’s Degree in Nursing, Informatics, Health Information Management, Information Systems, or a related field (or relevant experience/education as determined by the company).
• 5 years of experience working in a clinical care setting (e.g., ambulatory, hospital, post-acute).
• 3 years of hands-on experience with an Electronic Health Record (EHR) system like EPIC, Cerner, Allscripts, or comparable.

Qualifications (Preferred)

• Master’s Degree in Nursing, Informatics, Health Information Management, Information Systems, or a related field.
• 3 years of experience in clinical workflow, clinical systems, and underlying data supporting clinical decision-making.
• 3 years of experience in data analysis, analytics, business intelligence, or reporting.
• 1+ years of experience working with healthcare claims data.
• Experience supporting academic or scholarly research, including preparation of manuscripts and associated data documentation and reporting standards.
• Clinical licensure (e.g., nursing) or clinical coding certification.

Skills

• Analytically strong with familiarity in clinical informatics concepts, practices, and procedures.
• Experience with healthcare vocabularies and code sets, including ICD-10, CPT/HCPCS, SNOMED-CT, LOINC, and RxNorm.
• Familiarity with healthcare interoperability concepts, including HL7 v2.x, FHIR, IHE, and X12.
• Strong communication skills.
• Intermediate to advanced SQL coding skills.
• Familiarity with R/R Studio and basic R coding skills.
• Proficiency in data cleaning and preparation.