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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
FHIR LOINC CPT HEDIS Certification Consultant
(Jobs in Raleigh, NC)
 
Requirement id 159406
Job title Consultant
Job location in Raleigh, NC
Skills required Healthcare Knowledge, FHIR, LOINC, CPT HEDIS Certification
Open Date 26-Oct-2026
Close Date
Job type Contract
Duration 11 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Consultant: Healthcare Knowledge, FHIR, LOINC, CPT HEDIS Certification

Start date : 11/02/2026

End Date :09/30/2027

Submission deadline :10/29/2026

Client Info : NCDIT-HIEA

Note:

*Remote
*Webcam Interview Only

Description:


A strong understanding of clinical documentation, EHR systems, and data interoperability


Experience working with clinical coding systems such as SNOMED CT, LOINC, ICD, CPT, and RxNorm


Experience with quality measurement programs and tools (e.g., HEDIS, eCQMs, dQM)


Ability to bridge clinical and technical domains


Familiarity with NC HealthConnex or other HIE platforms


Experience with CMS Data Aggregator Validation (DAV) and Primary Source Validation (PSV) programs


Understanding of HL7, FHIR, and other healthcare data standards


Knowledge of SAS tools and analytics platforms is a plus


Strong clinical and analytical skills


Effective communication and collaboration across clinical and technical teams


A detail-oriented and highly organized approach


Ability to work independently in a fast-paced environment


Commitment to data quality and health system improvement


Ability to participate in product testing and technical validation


Duties include but are not limited to:


Serve as a clinical SME for NC HealthConnex solution teams, providing insights on clinical concepts and data use cases.


NCQA Data Aggregator Validation Program


Support clinical evaluators with interpretation and validation of clinical resources and content.


Provide clinical expertise and guidance in support of the NCQA Data Aggregator Validation program activities, including primary source validation (PSV) processes


Assist with preparation, submission, and maintenance of documentation required for DAV certification.


Digital Quality Measurement (dQM)


Support the implementation and operationalization of the dQM engine.


Assist with aligning clinical data sources and formats to quality measurement specifications.


Data Quality Improvement


Collaborate with technical and clinical teams to identify and resolve data quality issues.


Provide recommendations for improving the accuracy, completeness, and usability of clinical data within NC HealthConnex systems.


Product Development Support


Contribute to new product development and enhancements by offering clinical perspectives that inform technical design.


Participate in product testing and validation for clinical functionality.

Education:


Clinical degree or licensure (e.g., RN, MD, NP, PharmD, or other licensed healthcare professional).


3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 159406 while calling.
 
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(Consultant: Healthcare Knowledge, FHIR, LOINC, CPT HEDIS Certification in Raleigh, NC)
     
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