Clinical Informaticists III

Job Summary

Aptive is seeking an experienced Clinical Informaticist III to support the Veterans Health Administration (VHA) Office of Health Informatics (OHI), Clinical Informatics and Data Management Office (OCI), in advancing the enterprise standard of care through improved data, tools, and informatics processes across 170+ VA Medical Centers.

This is a senior clinical informatics role. You will assess the information and knowledge-based needs of clinicians and Veterans, characterize and refine clinical processes, and lead the analysis, design, and continuous improvement of clinical decision support, clinical content, and standardized national workflows in the modernized electronic health record. You will translate complex clinical and operational problems into documented, defensible recommendations that VHA governance bodies and Tier 1 Subject Matter Experts can act on quickly.

Work on this program is organized under the Scaled Agile Framework (SAFe). Analyses, decision support, and recommendations are delivered as Features within quarterly Planning Intervals, demonstrated to the government on a two-week cadence, and tracked in Jira and Jira Align.

The ideal candidate brings a clinical background, deep informatics expertise, strong facilitation skills, and the judgment to lead others and operate independently in a fast-moving, decision-driven environment.
Primary Responsibilities

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Clinical Needs Assessment. Assess the information and knowledge-based needs of healthcare professionals and Veterans; characterize, evaluate, and refine clinical processes to improve safety, quality, and efficiency at the point of care.

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Clinical Workflow Analysis and Standardization. Analyze current- and future-state clinical workflows across surgical, primary care, dental, specialty care, pharmacy, and ancillary service areas; document processes using BPM+ notation and value stream mapping to drive enterprise workflow standardization.

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Clinical Decision Support. Develop, implement, evaluate, and continuously refine clinical decision support, order sets, PowerPlans, templates, alerts, and standardized clinical content in the federal EHR.

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Clinical Systems Lifecycle. Lead or participate in the customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems and order-entry systems.

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Feature Delivery. Analyze government-provided problem statements and develop the lean business cases, epics, features, user stories, acceptance criteria, and non-functional requirements needed to execute work prioritized in Planning Interval planning.

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Agile Team Participation. Serve as a clinical subject matter expert on interdisciplinary agile teams; participate in daily stand-ups, iteration planning, PI planning, retrospectives, roadmap updates, and biweekly demonstration ceremonies, presenting both completed work and work in progress.

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Decision Management Support. Intake, capture, and triage incoming clinical decisions through a standardized process; determine the appropriate decision-making authority based on established criteria; and create, maintain, and disseminate decision logs communicating Tier 1 SME decisions to stakeholders.

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Governance and Consensus Building. Facilitate continuous exploration and iteration of standard configuration National Workflows, obtaining renewed consensus with Tier 1 SMEs, governing bodies, and VHA stakeholders; analyze emergent Courses of Action for adoption as standard workflow configurations or contingency plans.

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Clinical Content Migration. Support migration of Design Decision Matrices (DDMs), Data Collection Workbooks (DCWs), and problem resolution artifacts, and integrate workflows into a VA National Standards of Practice Model in partnership with Oracle Health.

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Value and Outcome Measurement. Perform value-based analysis of available healthcare data to assess and recommend how VA measures value delivered at the point o