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Blue Cross Blue Shield of North Dakota · 19 hours ago

Clinical Informaticist

Fargo, North Dakota, United States

Full-time

Hybrid

Senior Level

$81K/yr - $115K/yr

5+ years exp

Blue Cross Blue Shield of North Dakota is committed to providing personalized service and access to care for North Dakotans. The Clinical Informaticist plays a pivotal role in advancing the organization’s clinical data strategy by enabling the effective use, exchange, and integration of health care data across systems.

Health Care

Growth Opportunities

No H1B

Responsibilities

Collaborates with clinicians, data scientists, and IT teams to translate clinical workflows into system requirements and data models

Ensures accurate mapping of clinical coding ontologies to support claims, risk adjustment, quality reporting, and interoperability

Supports integration of Electronic Health Record (EHR) data, Health Information Exchange (HIE) feeds, and claims data into enterprise platforms

Serves as a subject matter expert on clinical data standards and interoperability frameworks, as well as integration of clinical knowledge into payer-driven transformation projects (e.g., value-based care, alternative payment models, health equity)

Partners with analytics teams to develop actionable insights via dashboards, quality measure reports, and predictive models for utilization, cost, and outcomes

Collaborates with technical and clinical teams to validate clinical data sets, identify and resolve data quality issues. Provides recommendations for improving the accuracy, completeness, and usability of clinical data from internal and external data sources

Works with external stakeholders including providers, health systems and others to optimize care delivery for all members

Provides informatics expertise for care management, quality management, population health management, utilization management, and disease management programs

Identifies opportunities for closing care gaps, reducing avoidable admissions, and improving member engagement

Supports clinical decision support tools and evidence-based guideline implementation

Participates in data governance and interoperability initiatives

Ensures compliance with regulatory requirements. Supports audits and regulatory reporting by ensuring clinical data integrity

Contributes to enterprise initiatives in artificial intelligence/machine learning, predictive analytics, and digital health tools that improve member outcomes

Performs work under minimal supervision. Handles complex issues and problems and refers only the most complex issues to higher-level staff

Coaches and mentor's department staff and collaborates with leadership to support strategic goals within the team

Qualification

Clinical InformaticsHealthcare AnalyticsElectronic Health Records (EHR)Data IntegrationClinical WorkflowsCommunication SkillsTeam CollaborationProblem Solving

Required

At least 5 years of experience with clinical informatics, healthcare analytics, healthcare delivery, experience in a provider setting, or other related experience

Bachelor's degree in healthcare, health informatics, or related field

Demonstrated ability to identify issues, evaluate options, and implement effective solutions in complex scenarios

Strong capability to interpret data, recognize patterns, and synthesize information into actionable insights

Skilled in gathering information from multiple sources and integrating findings to support decision-making

Deep understanding of clinical workflows, terminology, and standards; experience on the provider side strongly preferred

Ability to clearly articulate ideas and findings through verbal and written communication for internal stakeholders

Proven ability to work effectively across teams, including clinicians, data analysts, and technical staff

Experience managing timelines, deliverables, and stakeholder expectations for projects of moderate complexity

Preferred

North Dakota (ND) Registered Nurse (RN) License or RN License valid for work in ND preferred

Benefits

Affordable medical, dental and vision coverage accepted throughout the United States

Employer funded Lifestyle Spending Accounts and Health Savings Accounts. Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts

Employer-paid life and disability insurance

401(k) retirement plan with company match and immediate vesting

Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave

Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more

Robust mental health offerings including an Employee Assistance Program, Learn to Live, meQ

Comprehensive learning and development opportunities and an Educational Assistance Program

16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours

Employee recognition, community initiative events and yearly company outings

Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments

Opportunities to connect through employee committees