Job 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:

Bachelor’s 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