[Remote] Contractor, Clinical Informatics Data Consultant
Note: The job is a remote job and is open to candidates in USA. Carrum Health is a health tech company focused on transforming the healthcare system to enhance patient experiences. They are seeking a Clinical Informatics Data Consultant to support their clinical business intelligence team by leveraging clinical data for reporting and algorithm development.ResponsibilitiesHelp support our clinical business intelligence teamSkills3+ years of experience working in clinical informatics, healthcare claims analytics, clinical coding, quality measurement, or a closely related healthcare data roleStrong working knowledge of clinical code sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitionsDemonstrated experience translating clinical concepts into structured code logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupingsExperience working with claims data and/or clinical quality data to support reporting, algorithm development, measure definitions, or clinical review workflowsAbility to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use caseAbility to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholdersStrong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly5+ years of experience in clinical informatics, healthcare claims analytics, quality measurement, clinical coding, or a related roleExperience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reportingExperience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areasFamiliarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicatorsCoding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experienceClinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare trainingExperience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case reviewFamiliarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionariesExperience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholdersPrior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environmentBenefitsRemote-first company with employees all over the United States and two office locations in San Francisco and ChicagoFlexible working hoursGenerous time offPaid parental leaveOpportunities to connect with coworkers both virtually and in-personActive employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs)Company OverviewCarrum Health is a value-based centers of platform that ensures patients receive quality and less expensive care. It was founded in 2014, and is headquartered in San Francisco, California, USA, with a workforce of 51-200 employees. Its website is https://www.carrumhealth.com.