Healthcare Data Quality & Clinical Analytics SME

About the Position

PGT Solutions seeks an experienced Healthcare Data Quality & Clinical Analytics Subject Matter Expert to support the VA’s Veterans Health Administration (VHA) Digital Health Office (DHO) Data Quality Program. In this role, you will apply your clinical expertise and data analytics skills to improve the quality of healthcare data within VHA. This position offers the opportunity to make a significant impact on the delivery of healthcare services to our nation's veterans through enhanced data management and quality control.

This is a proposal stage Key Personnel search. A pre-award employment offer may be extended contingent upon receiving the contract award.

Primary Responsibilities

Lead clinical data quality analytics initiatives, including monitoring and improvement of clinical documentation integrity (CDI), LOINC standards, and EHR data quality
Develop, implement, and monitor clinical data quality metrics and key performance indicators for internal and external stakeholders
Conduct formal analytics using methodologies such as Healthcare Failure Mode and Effect Analysis (HFMEA) and Root Cause Analysis (RCA)
Perform clinical record reviews to validate data quality, support electronic quality measures (eQM), and ensure data integrity
Analyze clinical data trends and patterns to identify improvement opportunities and support decision-making
Participate actively in data governance councils, stewardship activities, and accreditation support processes
Review and provide expert input into business requirements, executive decision memos, and project charters to ensure alignment with data quality standards
Develop, modify, and validate business rules and requirements supporting Data Quality, Clinical Data Quality, and Healthcare Identity Management
Support User Acceptance Testing (UAT) for clinical systems and applications
Collaborate with internal and external stakeholders, including program offices, to address data quality issues and implement solutions
Create and maintain dashboards for monitoring clinical data quality
Provide recommendations and guidance to improve the quality of organizational data

Required Qualifications

Bachelor's degree required in a formal clinical (nursing, medicine, etc.) or health informatics related field
Formal clinical education with a minimum of 10 years' experience in clinical informatics, clinical data quality analytics, and healthcare accreditation support
Demonstrated experience with Electronic Health Record (EHR) systems (VA EHR and/or Oracle Health (formerly Cerner) experience preferred)
Proficiency in clinical data standards, terminology, and electronic quality measures
Experience with data quality tools, metrics development, and performance monitoring
Knowledge of healthcare accreditation requirements and processes
Strong analytical and problem-solving skills with attention to detail
Excellent communication skills and ability to translate complex data concepts to diverse stakeholders
Experience with data governance principles and practices
Experience with Oracle Health Data Intelligence, Clinical Documentation Integrity processes, and LOINC standards is highly desired
Proven expertise in Healthcare Failure Mode and Effect Analysis (HFMEA) and Root Cause Analysis (RCA)
Demonstrated proficiency reviewing business requirement documents (BRDs), EDMs, and NSRs for compliance with clinical data quality standards

Preferred Qualifications

Master's degree or higher in clinical, health informatics, or related field
Experience working with VA or other federal healthcare data systems
Certifications in healthcare informatics, data governance, or related areas
Experience with Power BI, SQL, or other data analytics tools
Knowledge of VA Master Person Index (VA MPI) and identity management concepts
Familiarity with HIPAA regulations and protected health information (PHI) handling

Work Environment

Full-time position with contractor facility-based work location
May require occasional travel to VA facilities for meetings or presentations (up to 5 trips per year)
Must be a US citizen or Permanent Resident and to pass a mandatory background investigation
Requires Public Trust security clearance and compliance with VA security and privacy requirements
This is a contractor position with a period of performance of 11 months plus four 12-month option periods
The position is subject to security requirements including a background investigation commensurate with the level of access required

In your application, please highlight specific experience related to clinical data quality, analytics, and healthcare information systems. When called for an interview, be ready to provide up to three professional references.

Job Type: Full-time

Pay: $95,000.00 - $115,000.00 per year

Benefits:

401(k)
401(k) matching
AD&D insurance
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid sick time
Professional development assistance
Tuition reimbursement
Visa sponsorship

Schedule:

8 hour shift
Monday to Friday

Work Location: Remote

PGT Solutions jobs

Healthcare Specialist - Data Quality & Clinical Analytics SME