Massachusetts Jobs

Why This Role is Important to Us:

The Clinical Informaticist is a Registered Nurse, clinician or individual experienced in working in clinical environments who provides expertise and support in the development and implementation of clinical applications, data and workflows to improve (1) the lives of our members/patients, (2) the delivery of healthcare and services to our members/patients, and (3) the efficiency and efficacy of clinical operations, direct care, and care management activities.

This role proactively creates innovative solutions in our care management and electronic medical record platforms, ensuring that the new technology is optimally leveraged within technical and quality standards to drive member/patient outcomes, contractual and care compliance and clinician/user experience.

An expert in not only one or more of our clinical platforms but also in the Clinical responsibilities and workflows of CCA's unique Model of Care, the Clinical Informaticist coordinates with their manager to manage their projects from initial request to post-implementation, including establishing business need, workflow/configuration design, standard configuration changes or coordination with IT or vendor for larger builds, testing and production. This work is conducted through a mix of project management and adherence to the IT Software Delivery Lifecycle (SDLC) standards. This role independently sketches timelines, provides ongoing updates to Clinical partners and leadership, and ensures on time delivery of high quality, effective, compliant workflows.

The successful candidate will help Clinical in thinking through our best approaches and ensure appropriate data capture to support a data-driven performance culture. In addition, as experts in the system, our Clinical Informaticists serve as trusted advisors, brought into initial Clinical discussions and client meetings, as well as IT meetings, to explain Clinical perspectives.

What You'll Be Doing:

• CCA's systems used for clinical care, clinical operations, and care management (systems include but not limited to EHR and care management systems); and systems' ability and future roadmap to meet needs of CCA clinical teams

• CCA's business operation model, culture, alignment of department and roles

• Best practices of using technology or new technology to support clinical practice

• Lead solutioning and development to address evolving Clinical needs and continuous improvement through technology and process improvement. Manage overall workflow improvement projects, ensuring high quality work delivered on time.

• Stay up to date across Clinical workflows and responsibilities, as well as platform developments, to maintain relevant expertise

• Facilitate sessions across internal and external Clinical users and other departments to develop a shared understanding of a business problem and document requirements based on the outcome of the sessions.

• Leverage expert knowledge, clinical content, clinical practice experience and knowledge of standard practice guidelines to independently design and define workflows and processes that use best-practices within clinical care, clinical operations, and care management to address need. Recommend possible solutions and gain agreement on decision. Serve as a communication intermediary between clinical and technical stakeholders to elaborate, direct, mitigate or enhance negative or positive change

• Consult closely with IT partners to ensure optimized solution.

• Ensure the process and systems designs support ongoing compliance with contractual obligations and regulatory requirements throughout the continuous improvement process.

• Perform standard configuration changes and shepherd testing through the lower environments. Coordinate deployment, testing and sign off.

• Coordinate with IT and vendor in design for larger changes. Develop testing plan and shepherd testing through environments. Assist IT as they coordinate deployment, testing and sign off.

• Coordinate with Training teams and clinical teams to ensure appropriate training and change management for users.

• Follow up post-implementation to ensure new workflows are followed and assess impact.

• Perform or provide expert knowledge to impact analyses for system changes upon clinical care, clinical operations, and care management at CCA, with minimal instruction from management

• Serve as trusted consultant, providing expert knowledge to Clinical and IT Teams to rapidly orient to and analyze ongoing questions and developments

• Drive business review of proposed and scheduled clinical application updates (including but not limited to routine patch update, major version upgrade, configuration, and enhancement changes). Identify impact to current business workflow and make recommendations for necessary workflow changes. Work with business and IT partners to develop appropriate testing plan for application updates, to ensure successful implementation

• Participate in ongoing care management and care delivery platform discovery through new releases, identifying new features to incorporate into workflows.

• Identify business impact of any application issues, via in- depth of understanding in business use of application, enabling identification of most appropriate technical solution; provide business workaround to ensure continuity of member care and compliance, provide leadership with updates of impact and resolution.

Working Conditions: Standard office conditions.

What We're Looking For:

Education Required:

• Bachelor of Science in Healthcare, Health Information, Clinical Informatics, or similar field

Education Desired:

• MS in a technical or clinical field or strongly supporting work or academic experience preferred

• NP, PA, RN, BH specialist or Pharmacy degree or licensure strongly preferred

Experience Required:

• 1-3 years of clinical informatics experience or healthcare management role using informatics principles to guide quality care, compliance, and standard practice

• Formal informatics training or equivalent informatics experience

• Experience working with care management or electronic medical record platforms, as well as in working with clinicians.

Knowledge, Skills & Abilities Required:

• Excellent understanding of clinical informatics principles such as but not limited to terminologies, workflow mapping and design, EHR data modeling, and interoperability

• Strong ability to discover and map clinical/business processes and associated data/insight needs

• Excellent ability to cultivate and maintain interpersonal and professional relationships across multidisciplinary functional teams and staff of all skill and experience levels

• Strong self-directed organizational and time management skills, including the ability to work independently, prioritize multiple projects and assignments and deliver high quality work in a timely manner

• Must be able to exercise a high level of diplomacy to recognize and navigate politically sensitive issues

• Ability to be flexible and a proponent of change to drive improvements, while recognizing the impacts of change across users and areas.

• Excellent verbal and written communication skills and the ability to adjust delivery appropriately for various audiences' Strong ability to explain technical and clinical informatics concepts to non-technical audiences.

• Intermediate computer skills (Word, Excel, and PowerPoint)

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.