Job : Clinical Informatics Specialist
Location:221 E. Lane St. Raleigh, NC 27601
Experience Required:
84+ months (7+ years)
Provides critical clinical informatics expertise to support digital quality measures , align clinical data with industry standards, ensure certification compliance, and resolve data quality issues. This role is essential to meeting Medicaid commitments and expanding the Data Aggregator Validation program.
Responsibilities:
• Support delivery of the Digital Quality Measure (dQM) use case
• Align complex clinical data with industry standards and regulatory requirements
• Prepare and maintain certification documentation (NCQA Data Aggregator Validation)
• Identify and resolve clinical data quality issues
• Provide clinical informatics guidance to technical and clinical teams
• Support Medicaid Quality Population Health and Evaluation (QPHE) IAPD initiatives
• Ensure program scalability and milestone achievement
Required Skills & Qualifications:
• Strong clinical informatics expertise
• Experience with digital quality measures (dQM)
• Knowledge of NCQA Data Aggregator Validation program
• Experience with healthcare data standards and interoperability
• Data quality analysis and issue resolution
• Certification documentation experience
• Ability to collaborate with both clinical and technical teams