Senior Clinical Informaticist

Highmark Health; Pennsylvania; Hybrid; USD 86,000 - 139,000; Full time

Job summary

Highmark Health is seeking an Informatics Professional to advance research data initiatives. You will design and develop fit-for-purpose data sets and analytic solutions, translating clinical and business questions into actionable insights.

Collaborate with physicians, researchers, and IT to implement real-time analytics, data governance, and interoperability efforts; experience with EHR data (EPIC/Cerner) and healthcare vocabularies is valued.

Qualifications

• Requires 5 years in a clinical care setting.
• 3 years hands-on experience with EHR systems (EPIC, Cerner, Allscripts).
• Preferred 3 years in clinical workflow and data used to support decisions.
• 3 years in data analysis, BI or reporting.

Responsibilities

• Combine knowledge of healthcare and clinical settings to deliver value through analytics.
• Provide SME on clinical vocabularies and code sets.
• Support interoperability efforts across the enterprise.
• Design, build and deploy analytic data solutions including real-time analytics and NLP/AI/ML.
• Translate data needs between physicians and research staff and assist in interpretation of analytic findings.
• Train users and support data governance efforts.

Skills

Clinical informatics

Healthcare data concepts

EHR data experience

SQL

R/R Studio

Communication skills

Interoperability (HL7/FHIR)

Education

Bachelor's degree in Nursing, Informatics, Health Information Management, Information Systems or related field

Tools

EPIC

Cerner

Allscripts

Job description

Company : Highmark Health Job Description : JOB SUMMARY 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.

Essential 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.

Education

• Required 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
• Preferred Master's Degree in Nursing, Informatics, Health Information Management, Information Systems or related field

Experience

• Required 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
• Preferred 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 dataExperience supporting academic or scholarly research, including preparation of manuscripts and associated data documentation and reporting standards

Licenses or Certifications

• Required None
• Preferred Clinical licensure (e.g., nursing) OR Clinical coding certification

Skills

• 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
• Preferred 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

Language (Other than English): None

Travel Requirement: None

Physical, Mental Demands and Working Conditions

• Position Type Office-based
• Teaches / trains others regularly
• Occasionally Travel regularly from the office to various work sites or from site-to-site
• Never Works primarily out-of-the office selling products/services (sales employees)
• Never Physical work site required Yes
• Lifting: up to 10 pounds
• Constantly Lifting: 10 to 25 pounds
• Occasionally Lifting: 25 to 50 pounds
• Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum: $86,400.00 Pay Range Maximum: $138,600.00 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.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services.