Interoperability Engineer

Blue Cross and Blue Shield of Kansas•Topeka, KS

2d•$94,400 - $118,000•Hybrid

About The Position

The Interoperability Engineer is a hands-on technical role responsible for driving technical design, development, and operational ownership of interoperability applications and services that enable real-time healthcare data exchange across internal systems, external partners, and regulatory APIs. This role builds production-grade applications, APIs, and event-driven services, while defining and implementing integration patterns and ensuring solutions are scalable, reliable, and compliant with CMS, ONC, and BCBSA interoperability mandates. Operating at the intersection of application development, integration engineering, platform ownership, and regulated production operations, this role is accountable for delivering and sustaining solutions from design through deployment, monitoring, and continuous improvement. Ownership is focused on the interoperability application layer and InterSystems HealthShare platform. This role influences technical direction within the interoperability domain and is accountable for ensuring solutions meet performance, reliability, and regulatory expectations. “This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy.”

Requirements

Strong experience designing and building interoperability applications, APIs, and event-driven services in production environments
Ability to drive or contribute to technical design decisions and implement scalable integration patterns across APIs, ingestion frameworks, and event-driven systems
Proficiency in modern development languages (e.g., Java, .NET), SQL, and data validation techniques for building and optimizing data pipelines
Experience developing and securing APIs using OAuth2, SMART on FHIR, or similar authentication and authorization frameworks
Familiarity with healthcare interoperability standards (FHIR, HL7, CDA, X12, US Core, USCDI), implementation guides, terminology (SNOMED, LOINC, ICD-10, RxNorm), and validation tools (e.g., Inferno, Touchstone), or ability to quickly develop expertise
Experience designing and supporting high-volume, enterprise-scale data exchange and ingestion processes
Strong troubleshooting and root cause analysis skills across complex, distributed systems, including integration and data flow failures
Experience working in production environments with responsibility for system reliability, monitoring, incident response, and performance optimization
Familiarity with modern SDLC practices, version control (e.g., Git), Agile methodologies, and API testing tools (e.g., Postman or similar)
Minimum 5 years of experience in software engineering, systems integration, or health IT environments
Direct experience building or supporting FHIR-based systems in a payer or provider organization is strongly preferred
Experience in regulated healthcare settings, especially those involving CMS or ONC oversight, is a plus

Nice To Haves

Experience with interoperability platforms such as InterSystems HealthShare, including development in ObjectScript (or similar technologies), is preferred

Responsibilities

Design, develop, and support interoperability applications, APIs, and event-driven services enabling real-time and near-real-time healthcare data exchange
Build and maintain FHIR-based APIs aligned with CMS interoperability requirements and HL7 implementation guides (e.g., Patient Access, Payer-to-Payer, Provider Directory)
Drive technical design decisions and implement integration patterns across APIs, ingestion frameworks, and event-driven systems
Design and deliver scalable solutions for complex, high-volume data exchange scenarios across internal and external systems
Develop and optimize ingestion frameworks, data pipelines, and automation to support reliable and efficient data processing
Lead root cause analysis and resolution of complex integration and data flow issues; define reprocessing strategies and system improvements
Implement secure API access patterns, including OAuth2 and SMART on FHIR, ensuring proper authentication, authorization, and data protection
Configure, extend, and optimize the InterSystems HealthShare platform, including development of custom services and integrations
Ensure performance, reliability, scalability, and availability of interoperability services in production environments
Collaborate with cross-functional teams and provide technical guidance to translate business and regulatory requirements into scalable solutions