Job Description
Insight Global is seeking a Clinical Informaticist to join a health tech company.
The successful candidate is responsible for expressing medical specifications as data queries using software language designed to be accessible to non-technical individuals. These queries are employed by healthcare systems around the world to support healthcare providers in making the best clinical decisions possible and to measure the quality of healthcare they provide. This role will include researching and writing simplified healthcare code, researching healthcare data models, designing test plans to ensure data accuracy, building data models that exercise the test plan, and iteratively employing feedback from the results to correct the code.
Responsibilities:
• Write simplified healthcare code to represent healthcare specifications
• Research innovative healthcare data models (FHIR), healthcare logic expressions (CQL) and healthcare definitional models (FHIR) to correctly express healthcare specifications.
• Design test plans that ensure the code generates the correct data (expressed FHIR).
• Generate sample data to exercise the defined test plan and/or criteria (FHIR).
• Collaborate cross-functionally and with healthcare specialists, clinicians, and terminologists to understand and implement the requirements (L1/L2), and test the implementation (L3).
• Providing expert feedback on prior authorization policies, including analysis for complexity, scope and effort, as needed.
• Identify and capture best practices and lessons learned.
• Accountable for ensuring that all working hours are accurately reported in Time Tracking System on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the project management tool in the time tracking system is properly and fully utilized.
• Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.
Comply with the privacy, security and confidentiality policies.
This role is remote, US- Canada wide and will go full-time based on performance after 6 months.
We may use artificial intelligence tools to assist with the screening, assessment, or selection of potential applicants for this position.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
Prior experience with any query language i.e. SQL
Programming background
Strong understanding
Clinical domain knowledge including code/data structures
Strong understanding and experience with Hl7/FHIR
Strong collaborative and verbal and written communication skills.
Nice to Have Skills & Experience
Strong preference for candidates with prior understanding of: 1. Prior authorization 2. clinical support algorithms 3. quality measures
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.