Full Job Description
Job Description :
This job promotes the understanding, integration, and application of data and information technology to solve critical healthcare business challenges across the IDFS enterprise. Leveraging experience in and knowledge of clinical, technology, and data subject areas, the informaticist will assist in the design, development and deployment of production-grade data and analytic solutions. In partnership with senior Informaticists, the incumbent will leverage knowledge in informatics to support change and support strategic and tactical initiatives at the enterprise level. Areas of influence will include but are not limited to data governance, data science, healthcare inter-operability, and reference data management. Serve as a liaison to bridge gaps between people, processes, clinical knowledge and technology across the enterprise.
Essential Job Functions:
Combine knowledge of healthcare and experience in clinical settings to support the delivery of value and insights through enterprise-grade data & analytic solutions.
Provide guidance 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.
Assist with the development of business rules and associated code-based definitions related to clinical data domains in coordination with Enterprise Data Governance. 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. Includes processes to convert prototypes into production solutions.
Other duties as assigned or requested.
Bachelor's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field
3 years of working in a clinical care setting - e.g., ambulatory, hospital, post-acute OR
3 years of hands-on experience with electronic health record (EHR) system like EPIC, Cerner, Allscripts, or comparable
Master's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field
3 years of understanding of clinical workflow, clinical systems, and the underlying data used to support clinical decision-making OR
3 years with Data Analysis, Analytics, Business intelligence or Reporting
Clinical license (e.g., nursing) or clinical coding certification
Knowledge, Skills, and Abilities:
Analytically strong and familiar with clinical informatics concepts, practices, and procedures
Experience with heatlhcare 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, X12
Strong communication skills
Referral Bonus: Level 2
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