Lead Interface & Interoperability Analyst
Duration: 12 months to start
Job Description:
Our client�is modernizing its healthcare interoperability program to meet new federal data-exchange mandates, and is looking for a Lead Interface & Interoperability Analyst to take technical ownership of that work. You'll manage and optimize a complex portfolio of HL7 and FHIR-based interfaces built on Infor Cloverleaf and MarkLogic, lead compliance work for CMS's Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs, and help plan a migration of the Cloverleaf integration engine to new infrastructure. You'll also lead a small team of interoperability contractors and act as the primary technical liaison to IT leadership senior, highly visible technical leadership on live federal compliance work, not routine interface maintenance.
Responsibilities:
- Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces, ensuring availability, accuracy, and reliable data exchange
- Oversee the Infor Cloverleaf integration engine, including interface configuration, message routing, transformation, error handling, and performance tuning
- Triage and resolve interface failures, message errors, and data exchange issues, coordinating with external trading partners (MCOs, providers, payers, and agencies) as needed
Support compliance with CMS-9115-F and CMS-0057-F interoperability rules, including FHIR API implementation, testing, validation, and go-live support across Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIsConduct a current-state assessment of existing interfaces and lead a structured process-improvement effort to close gaps and improve reliability and performance
Develop and maintain interface specifications, data flow diagrams, mapping documents, SOPs, and runbooks
Implement and govern document management practices (version control, access, retention) for interoperability and compliance documentation
Plan and execute the Cloverleaf configuration migration to new infrastructure, including validation testing and post-migration verification
Lead and direct a small team of interoperability contractors assigning work, reviewing deliverables, and providing technical direction
Serve as the primary technical liaison between the interoperability function and IT leadership, including status reporting and participation in compliance reviews
Qualifications:
- 10+ years of progressive healthcare IT experience with hands-on HL7 and/or FHIR-based interface work
- Hands-on experience with a healthcare integration engine (Infor Cloverleaf, Rhapsody, MuleSoft, InterSystems, or similar)
- Strong knowledge of healthcare data standards: HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data elements
- Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment, including EHR interfaces and clinical data exchangeExperience implementing and governing document management systems
- Experience leading or supervising technical teams or contractors, including work assignment and quality review
- Strong understanding of HIPAA Privacy and Security Rule requirements as they apply to healthcare data exchangeExperience with interface documentation and data flow mapping
- Strong written and verbal communication skills, including presenting findings to IT leadership
- Master's degree in Information Technology, Health Informatics, or a related field
- Must be able to pass a background investigation prior to starting
- Willingness to complete required security awareness training and sign a confidentiality agreement (NDA)
Preferred
Experience in state or federal government IT, ideally within a Medicaid, healthcare, or human services agency
Direct experience supporting CMS-9115-F and CMS-0057-F mandates, including FHIR API implementation and compliance documentation
Experience with Infor Cloverleaf configuration, administration, and environment migration
Experience with MarkLogic or a similar NoSQL database in a healthcare data context
Experience with FHIR API development or testing, including US Core and Da Vinci Implementation Guides
Experience with SMART on FHIR and OAuth 2.0 authentication frameworksHL7 certification or equivalent industry credential
Experience with AWS in a healthcare or government contextPMP or similar project management certification
Experience with CMS ARC-AMPE security requirements