Interface Analyst

KēSTA I.T.•Jackson, MS

About The Position

KēSTA I.T. is seeking an Interface Analyst for a full-time contract engagement supporting an agency implementing federal interoperability mandates under CMS-0057-F and maintaining a portfolio of HL7- and FHIR-based healthcare interfaces. The environment uses Infor Cloverleaf as its primary integration engine, MarkLogic as its data store, and FHIR-based APIs to exchange data with managed care organizations, providers, payers, and state and federal agencies. The analyst will provide technical leadership for daily interface operations, FHIR API compliance support, interface assessment and documentation, document management, and a possible Cloverleaf configuration migration to new infrastructure. The role leads a small team of contractors focused on interoperability and data movement between applications and reports to IT executive leadership. Success involves reliable, accurate, well-documented data exchange; interfaces that meet current standards; and clear communication to IT leadership about status, risks, and compliance implications.

Requirements

Ten or more years of progressive healthcare information technology experience with direct, hands-on HL7 and/or FHIR healthcare interface experience; any combination of HL7 v2.x and HL7 FHIR experience totaling ten or more years is acceptable.
Demonstrated experience with healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or an equivalent enterprise integration platform.
Strong understanding of healthcare data standards, including HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data element requirements.
Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment.
Experience with EHR interfaces and clinical data exchange.
Demonstrated experience implementing and maintaining document management systems and establishing document governance processes.
Experience leading or supervising technical teams or contractors, including work assignment, quality review, and performance oversight.
Strong understanding of HIPAA Privacy and Security Rule requirements as they relate to healthcare data exchange and interface operations.
Experience with interface documentation, data flow mapping, and interface process improvement.
Excellent written and verbal communication skills, including the ability to create technical documentation and present findings and recommendations to IT leadership audiences.
Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.
Ability to pass a state background investigation, comply with HIPAA requirements, sign an NDA, and complete security awareness training within 30 days of onboarding and annually thereafter.

Nice To Haves

Experience working in state or federal government IT environments, preferably within a Medicaid, healthcare, or human services agency.
Direct experience supporting CMS interoperability mandates, including CMS-9115-F and CMS-0057-F, FHIR API implementation, and compliance documentation.
Experience with Infor Cloverleaf configuration, administration, and environment migration.
Experience with MarkLogic or similar NoSQL databases in a healthcare data management context.
Experience with FHIR API development, testing, or implementation, including US Core and Da Vinci Implementation Guides.
Experience with SMART on FHIR and OAuth 2.0 authentication frameworks for FHIR API access management.
HL7 certification or an equivalent industry credential in healthcare informatics or integration.
Experience with corporate or enterprise document management platforms.
Experience with cloud platforms, particularly Amazon Web Services (AWS), in a healthcare or government context.
Project Management Professional (PMP) or similar project management certification.
Experience with CMS ARC-AMPE security requirements and Medicaid system security compliance.

Responsibilities

Manage, monitor, and maintain HL7- and FHIR-based healthcare interfaces to ensure availability, accuracy, performance, 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 according to incident severity; be available on call during major incidents, planned maintenance windows, and critical data exchange events.
Coordinate with external trading partners, including MCOs, providers, payers, and state and federal agencies, on connectivity, onboarding, and issue resolution.
Support compliance with CMS-9115-F and CMS-0057-F, including FHIR API testing, validation, documentation, and go-live support for Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs.
Ensure interfaces and data exchange align with HL7 FHIR standards, US Core Implementation Guides, Da Vinci Implementation Guides, and USCDI data element requirements.
Coordinate with AWS, MarkLogic, Cloverleaf, and other vendor and platform teams on solution delivery and technical issues.
Monitor CMS interoperability regulations and advise IT leadership on compliance implications, required actions, and timelines.
Complete a current-state assessment of existing interfaces, prioritize gaps, and implement optimization, standardization, and automation improvements.
Develop and maintain interface documentation, including specifications, data flow diagrams, mapping documents, message type inventories, SOPs, runbooks, troubleshooting guides, a knowledge base, and interface standards and naming conventions.
Map and document all HIPAA-covered interfaces, including sources, destinations, message types, exchange frequency, and data elements.
If a solution is procured, implement and maintain document management systems and governance processes, including version control, access management, naming conventions, and retention, aligned with HIPAA, CMS, and State of Mississippi records requirements.
Plan and execute the potential Cloverleaf configuration migration, including migration plans, validation test strategies, rollback procedures, infrastructure and vendor coordination, and post-migration interface validation.
Lead and coordinate a small team of contractors, providing technical direction, mentorship, work assignments, configuration and code reviews, and quality assurance reviews.
Facilitate team meetings, manage workload and deliverable timelines, escalate resource or scope conflicts, and provide IT leadership with status reports on interface operations, open issues, and project progress.
Participate in interoperability project meetings, vendor coordination calls, and CMS compliance reviews, with occasional in-state travel.