Hms Analyst

Job: HMS Analyst (813952)

Location : 221 E. Lane St. Raleigh, NC 27601 Remote

This is a hybrid/remote position. The candidate will only need to come onsite a couple times a year. preference will be given to applicants residing in North Carolina.

Sample Role Types:

Healthcare Systems Analyst, EHR Optimization Specialist, Health IT Analyst

Expected Skills:

Able to work successfully with guidance; cannot provide leadership to others; able to manage simple to medium complexity work efforts.

This position supports the HIE Medicaid Services (HMS) program, a collaboration between NC HIEA and the NC Department of Health and Human Services (NCDHHS) Division of Health Benefits (DHB), also known as NC Medicaid. Part of this program focuses on enhancing Medicaid quality and population health efforts through improved data exchange, focusing on:

1. Transitioning to digital quality measures (dQMs),

2. Improving health-related social needs (HRSN) data exchange, and

3. Enhancing care management data sharing.

The HMS Analyst will support the implementation, expansion, and ongoing operations of Medicaid data exchange services within NC HIEA, with a strong focus on improving HRSN data capture and onboarding early adopters. This role is responsible for translating program and partner needs into clear technical and workflow requirements, supporting Continuity of Care Document (CCD) / Admission-Discharge-Transfer (ADT) data integration efforts, and coordinating cross team activities to enhance data quality and interoperability. The analyst will work closely with internal teams and external stakeholders to troubleshoot issues, guide testing and onboarding, and ensure that new data connections are implemented accurately, securely, and in alignment with statewide population health priorities. The position requires strong analytical skills, deep familiarity with health information exchange standards, and the ability to communicate effectively with both technical and non technical partners.

Healthcare IT & EHR Operations 5+ years supporting healthcare systems, analytics, technical support, and EHR workflows. Required 5 Years

SQL & Reporting Advanced SQL, relational databases, BI dashboards, and data analysis for healthcare reporting. Required 3 Years

Business Analysis & Requirements Gathering Requirements documentation, process analysis, troubleshooting, and solution design. Required 3 Years

Healthcare Data Standards & Compliance Knowledge of ICD-10, CPT, LOINC, HIPAA, and healthcare regulatory requirements. Required 3 Years

Stakeholder Communication & Collaboration Translate technical concepts, manage priorities, and work effectively with teams and vendors Required 3 Years