Informaticist

Overview:
The Informaticist will serve as a key hands-on contributor within the Enterprise Data Informatics team, reporting directly to the Senior Director, Informatics. This role is responsible for executing the day-to-day operational and analytical work that underpins the integrity of Inovalon's clinical data assets. The Informaticist will apply deep expertise in clinical coding, ontology mapping, and data quality analysis to support the organization's data normalization strategy and ensure that enterprise data products meet rigorous clinical and technical standards.

Duties and Responsibilities:

• Clinical Ontology Maintenance: Support and maintain internal reference data processes aligned with industry-standard clinical ontologies, including ICD-10, SNOMED CT, LOINC, and RxNorm, ensuring accuracy and currency of code mappings.
• Data Quality Analysis: Execute data quality monitoring routines to identify, document, and remediate gaps or inconsistencies in healthcare data assets; escalate systemic issues to the Senior Director, Informatics.
• Clinical Normalization: Apply and refine clinical normalization techniques to map unstructured and semi-structured clinical information to standardized codified data elements.
• Data Asset Assessment: Support the evaluation of new data assets for depth, specificity, and quality; support Expert Determination workflow; prepare structured assessments and summaries for leadership review.
• Cross-Functional Collaboration: Collaborate closely with Data Engineering, Product, and Clinical teams to ensure that data specifications are accurately implemented and downstream data products reflect high-fidelity source data.
• KPI Reporting & Tracking: Contribute to the development and tracking of Data Quality (DQ) KPIs and benchmarks; generate periodic reporting to inform stakeholder decision-making.
• Pipeline Modernization Support: Participate in pipeline modernization initiatives, assisting with the migration of legacy reference tables to modern, scalable terminology service frameworks.
• Maintain compliance with lnovalon's policies, procedures and mission statement.
• Adhere to all confidentiality and HIPAA requirements as outlined within lnovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
• Fulfill those responsibilities and/or duties that may be reasonably provided by lnovalon for the purpose of achieving operational and financial success of the Company.
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
• We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Education:

• Bachelor’s Degree in Arts/Sciences (B.A./B.S.) in Health Informatics, Medical Informatics, Computer Science, Health Information Management, or a related field required
• Master’s Degree in Arts/Sciences (M.A./M.S.) in Medical Informatics, Health Informatics, or a related discipline preferred
• Relevant professional certifications (e.g., RHIA, CCS, CHDA, or equivalent) a plus.

Experience:

• 8+ Years of experience in healthcare data, clinical informatics, or a related field, with direct hands-on experience in clinical ontologies and terminology management (with Bachelor's degree) required or
• 5+ Years of experience in healthcare data, clinical informatics, or a related field, with direct hands-on experience in clinical ontologies and terminology management (with Master's degree) required

Skills and Abilities:

• Technical Expertise: Proficiency with clinical code sets including ICD-10-CM, CPT, HCPCS, SNOMED CT, LOINC, and RxNorm. Familiarity with EHR and claims data, as well as real-world data (RWD) environments.
• SQL Skills: Proficiency in SQL for querying, analyzing, and validating large-scale healthcare datasets.
• Data Normalization: Demonstrated experience with clinical data normalization, including mapping unstructured data to standardized terminologies.
• Communication: Ability to clearly document findings, prepare summaries, and communicate data quality insights to both technical and non-technical stakeholders.
• Organizational Skills: Ability to manage multiple workstreams and prioritize deliverables in a fast-paced, agile environment.

Working Conditions and Physical Demands:

• This is a primarily sedentary role. The employee is regularly required to sit, talk, and hear for extended periods of time, and also required to repetitively use manual labor to operate a computer keyboard and other office equipment.
• The employee may occasionally need to stand, walk, or lift and/or move up to 10 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.