Integrate clinical and medical data with automated technologies to support healthcare operations and informatics
Act as a liaison between clinical expertise, data systems, and regulatory standards to ensure compliance and improve service delivery
Evaluate system performance, validate workflows, and drive process improvements that enhance provider and patient experiences while reducing compliance risk
Submit IT data requests, conduct validity testing, perform quality check processes, manage escalations, contribute to process improvements, and communicate updates to key stakeholders
Analyze prior authorization and code set data to ensure alignment with clinical guidelines, regulatory standards, contracts, and operational requirements
Partner with operations, IT, and vendors to implement and validate clinical decision rules and workflows that support strategic and regulatory objectives
Identify opportunities to enhance automation, reduce provider friction, and improve service turnaround times through collaboration with internal teams and external partners
Monitor data quality and develop reporting tools for leadership and compliance purposes
Translate complex clinical and data insights into actionable strategies
Evaluate system enhancements and participate in testing and validation activities to ensure successful implementation and continuous improvement

Bachelors in a job-related field
7 years’ clinical experience
3 years’ experience in medical systems coordination/project implementation (concurrent with the 7 years)
Excellent organizational, customer service, verbal and written communication, and analytical or critical thinking skills
Strong problem solving, presentation and project management skills
Good judgment skills
Proficient basic business math
Ability to handle confidential or sensitive information with discretion
Microsoft Office
Advanced knowledge of medical systems support and medical terminology
Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)

RN Medical Informatics Administrator – Anywhere

Key skills