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.
Responsibilities
- Help support our clinical business intelligence team
Skills
- 3+ years of experience working in clinical informatics, healthcare claims analytics, clinical coding, quality measurement, or a closely related healthcare data role
- Strong 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 definitions
- Demonstrated experience translating clinical concepts into structured code logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupings
- Experience working with claims data and/or clinical quality data to support reporting, algorithm development, measure definitions, or clinical review workflows
- Ability to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case
- Ability to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholders
- Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly
- 5+ years of experience in clinical informatics, healthcare claims analytics, quality measurement, clinical coding, or a related role
- Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting
- Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas
- Familiarity 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 indicators
- Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience
- Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training
- Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review
- Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries
- Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders
- Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment
Benefits
- Remote-first company with employees all over the United States and two office locations in San Francisco and Chicago
- Flexible working hours
- Generous time off
- Paid parental leave
- Opportunities to connect with coworkers both virtually and in-person
- Active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs)
Company Overview
Carrum 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.