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The analyst will serve as a clinical data subject matter expert to support requirements gathering, solution design, and data integration for Medicaid systems. They will also troubleshoot clinical data flows and collaborate with stakeholders to ensure compliance with healthcare interoperability standards.
We are seeking an experienced Health IT Technical Analyst with expertise in clinical data, healthcare interoperability, and Medicaid systems. The candidate will serve as a clinical data SME, supporting requirements gathering, solution design, data validation, integration, testing, and implementation while ensuring compliance with CMS timelines.
Key Responsibilities:
Analyze, validate, and troubleshoot HealthConnex clinical data for Medicaid eligibility and HR1 work requirement exemption determinations.
Support API development and refinement for clinical data exchange with eligibility systems.
Collaborate with SAS, J2, NC Medicaid, and other stakeholders to test data flows and resolve integration issues.
Support new project scoping, feasibility assessments, requirements gathering, and implementation.
Ensure clinical data accuracy, standardization, and compliance with healthcare interoperability standards.
Required Skills & Experience:
3+ years of experience with healthcare interoperability standards, including HL7 and FHIR.
3+ years of clinical data analysis, validation, and troubleshooting.
2+ years of experience with clinical coding systems: SNOMED CT, LOINC, ICD, CPT, and RxNorm.
2+ years of Health Information Exchange (HIE), clinical data exchange, or integration experience.
Strong analytical, problem-solving, communication, and stakeholder collaboration skills.
Education:
Bachelor’s degree in Health Informatics, Information Science, Public Health, or a related field, or equivalent experience.
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