Job Description

Job Description

Job Description

J ob Title: Clinical Informaticist

Job Summary:
The Clinical Informaticist will bridge the gap between clinical and technical teams by interpreting clinical guidelines from CMS and Health Plans, and transforming them into models for automation. This role requires close collaboration with clinicians and engineers to ensure that automated models are accurate, clinically sound, and technically feasible.

Key Responsibilities:

• Interpret clinical guidelines and policies from CMS and Health Plans

• Build and validate clinical automation models based on policy requirements

• Collaborate with clinicians (MDs, Nurses) to ensure clinical accuracy

• Act as liaison between clinical, business, and technical teams

• Support engineering teams through the development and QA lifecycle

• Analyze clinical data and develop data mapping and transformation rules

• Develop use cases, user stories, and support resolution of production issues

Required Qualifications:

• Bachelors degree

• 3+ years of experience in Healthcare IT

• Strong clinical understanding and experience

• Familiarity with medical coding (CPT, ICD, etc.)

• Experience as a Business Analyst or in a similar liaison role

• Strong communication and analytical skills

• Proficient in Excel, Visio; able to explain and understand technical solutions

Preferred Qualifications:

• Degree in Clinical Informatics

• Familiarity with CMS, MCG, InterQual guidelines

• Experience with EMRs and querying using SQL

• Experience analyzing large clinical datasets

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