Clinical Informaticist

Blue Cross Blue Shield Association•Fargo, ND

8d•$80,716 - $115,000•Hybrid

About The Position

The Clinical Informaticist plays a pivotal role in advancing the organization's clinical data strategy by enabling the effective use, exchange, and integration of health care data across systems. This role bridges clinical expertise with data analytics and technology to advance the payer's clinical data enablement and interoperability initiatives. This role supports the design, implementation, and optimization of health information systems, ensuring that clinical data is actionable, high-quality, and aligned with regulatory and value-based care goals.

Requirements

At least 5 years of experience with clinical informatics, healthcare analytics, healthcare delivery, experience in a provider setting, or other related experience.
Bachelor's degree in healthcare, health informatics, or related field.
Demonstrated ability to identify issues, evaluate options, and implement effective solutions in complex scenarios.
Strong capability to interpret data, recognize patterns, and synthesize information into actionable insights.
Skilled in gathering information from multiple sources and integrating findings to support decision-making.
Ability to clearly articulate ideas and findings through verbal and written communication for internal stakeholders.
Proven ability to work effectively across teams, including clinicians, data analysts, and technical staff.
Experience managing timelines, deliverables, and stakeholder expectations for projects of moderate complexity.
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Nice To Haves

North Dakota (ND) Registered Nurse (RN) License or RN License valid for work in ND preferred.
Deep understanding of clinical workflows, terminology, and standards; experience on the provider side strongly preferred.

Responsibilities

Collaborates with clinicians, data scientists, and IT teams to translate clinical workflows into system requirements and data models.
Ensures accurate mapping of clinical coding ontologies to support claims, risk adjustment, quality reporting, and interoperability.
Supports integration of Electronic Health Record (EHR) data, Health Information Exchange (HIE) feeds, and claims data into enterprise platforms.
Serves as a subject matter expert on clinical data standards and interoperability frameworks, as well as integration of clinical knowledge into payer-driven transformation projects (e.g., value-based care, alternative payment models, health equity).
Partners with analytics teams to develop actionable insights via dashboards, quality measure reports, and predictive models for utilization, cost, and outcomes.
Collaborates with technical and clinical teams to validate clinical data sets, identify and resolve data quality issues.
Provides recommendations for improving the accuracy, completeness, and usability of clinical data from internal and external data sources.
Works with external stakeholders including providers, health systems and others to optimize care delivery for all members.
Provides informatics expertise for care management, quality management, population health management, utilization management, and disease management programs.
Identifies opportunities for closing care gaps, reducing avoidable admissions, and improving member engagement.
Supports clinical decision support tools and evidence-based guideline implementation.
Participates in data governance and interoperability initiatives.
Ensures compliance with regulatory requirements.
Supports audits and regulatory reporting by ensuring clinical data integrity.
Contributes to enterprise initiatives in artificial intelligence/machine learning, predictive analytics, and digital health tools that improve member outcomes.
Performs work under minimal supervision.
Handles complex issues and problems and refers only the most complex issues to higher-level staff.
Coaches and mentor's department staff and collaborates with leadership to support strategic goals within the team.

Benefits

Affordable medical, dental and vision coverage accepted throughout the United States
Employer funded Lifestyle Spending Accounts and Health Savings Accounts.
Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts
Employer-paid life and disability insurance
401(k) retirement plan with company match and immediate vesting
Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave
Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more
Additional company perks
Robust mental health offerings including an Employee Assistance Program, Learn to Live, meQ
Comprehensive learning and development opportunities and an Educational Assistance Program
16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours
Employee recognition, community initiative events and yearly company outings
Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments
Opportunities to connect through employee committees