Health Informatics Specialist

Knowledge, Skills, and Abilities

• Knowledge of primary care office practices and procedures.
• Knowledge regarding the organization’s ongoing regulatory program requirements.
• Knowledge regarding the ongoing reporting requirements.
• Knowledge of 3rd party P4P plans and requirements.
• Ability to validate data for reporting inconsistencies.
• Possesses strong written and verbal communication skills.
• Knowledge/Ability for HIT data extraction and population analytics.
• Ability to work independently with high motivation, strong sense of moral attitude, duty and responsibility as well as within a group.
• Ability to problem solve and think critically to identify potential issues within a variety of compliance areas.
• Ability to perform job duties in an effective and appropriate manner according to practice standards.
• Must be detailed oriented with ability to organize time and resources effectively.
• Must be able to sit, stand, bend, lift and move intermittently during the workday.

Qualifications/Education Requirements

To qualify for this position, a minimum of a Registered Nursing (RN) associate degree or other healthcare emphasis is required. Master’s degree is preferred. Minimum Experience: 2 – 3 years of experience in a health care setting: Primary Care Medical Practice, Community or Public Health, PMHC, Hospital, etc. Any combination of education and experience that would likely provide the required knowledge, skills and abilities identified for the role. Health Informatics Nursing/Specialist or Quality Improvement Certification preferred. Reliable transportation is necessary. Must provide proof of minimal liability coverage as required by the state and will be required to provide updates when renewed.

Physical Demands

Core Competencies

• Works with Department Directors to ensure that policies and procedures are maintained in accordance with the approval process and that new policies are developed as needed.
• Ensures, in conjunction with the Quality Director, that all reports are validated and submitted in accordance with MIPS, HRSA, NCQA, CMS, etc. guidelines.
• Assists with quality measure validations for MIPS, HRSA, CMS, NCQA, 3rd party P4P programs, and ad hoc organizational reports.
• Works with Executive Leadership and Department Directors to develop and implement plans to ensure compliance with ACO and 3rd party payer P4P programs to maximize incentive payments.
• Assists in conducting workflow analyses in the clinics and works with organizational training experts in the development/maintenance of the organization’s master training plan in accordance with licensure, billing, and reporting requirements.
• Assists in maintaining program requirements and training for PCMH compliance under NCQA.
• Assist in maintaining JCAHO and other accreditation agencies.
• Contributes to the HIT Steering Committee by being an active participant in the group.
• Works within a multi-disciplinary team to address identified workflow and other operational issues/enhancements.
• Chairs various quality-related meetings and attends other Quality Committee meetings as required.
• Perform other duties as assigned.
• Upholds, complies with, and enforces the Core Principles and Code of Conduct.