Contractor, Clinical Informatics Data Consultant

Carrum Health•,

2d•$50,000•Remote

About The Position

At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you. In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 90% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study [https://www.carrumhealth.com/rand-corp-study-bundled-payments-save/] and featured as a Harvard Business School (HBS) case study [https://www.hbs.edu/faculty/Pages/item.aspx?num=51867]. This is a contract role, with the potential to go up to $50,000.

Requirements

3+ years of experience working in clinical informatics, healthcare claims analytics, clinical coding, quality measurement, or a closely related healthcare data role.
Strong working knowledge of clinical code sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitions.
Demonstrated experience translating clinical concepts into structured code logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupings.
Experience working with claims data and/or clinical quality data to support reporting, algorithm development, measure definitions, or clinical review workflows.
Ability to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case.
Ability to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholders.
Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly.

Nice To Haves

5+ years of experience in clinical informatics, healthcare claims analytics, quality measurement, clinical coding, or a related role.
Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting.
Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas.
Familiarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators.
Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience.
Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training.
Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review.
Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries.
Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders.
Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment.