Senior Clinical Informaticist

Highmark Health • PA, Working at Home - Pennsylvania, NV

5d • $86,400 - $138,600 • Onsite

About The Position

This job promotes the understanding, integration, and use of healthcare data and information technology in support of scholarly research and addressing healthcare business challenges. Leveraging experience in and knowledge of clinical, technology, and data subject areas, the informaticist will play a crucial role in the design and development of fit-for-purpose research databases (or data sets) and analytic solutions. Their expertise in informatics will be used to tackle research questions of clinical and financial significance to the business, its customers, and the population at large. Serve as a liaison between physicians and research staff to translate data needs and assist in interpretation of analytic findings.

Requirements

• Bachelor's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 5 years of working in a Clinical Care setting - e.g., ambulatory, hospital, post-acute
• 3 years of hands-on experience with Electronic Health Record (EHR) system like EPIC, Cerner, Allscripts, or comparable
• Analytically strong and familiar with 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, X12
• Strong communication skills

Nice To Haves

• Master's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field
• 3 years in Clinical Workflow, Clinical Systems, and the underlying data used to support clinical decision-making
• 3 years in Data Analysis, Analytics, Business Intelligence or Reporting
• 1+ years of 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
• Intermediate to advanced SQL coding skills
• Familiarity with R/R Studio with basic R coding skills
• Proficiency in data cleaning, preparation, and transformation (e.g., restructuring) for analytic and research purposes

Responsibilities

• Combine knowledge of healthcare and experience in clinical settings to deliver value and insights through enterprise-grade data & analytic solutions.
• Provide subject matter expertise 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.
• In coordination with Enterprise Data Governance, assist with the development of business rules and associated code-based definitions related to clinical data domains. 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.
• Provide clinical process and system expertise and training.
• Other duties as assigned or requested.

Benefits

• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior