Interoperability & Standards Specialist (US)

Firely•New York, NY

3d•$90,000 - $110,000•Remote

About The Position

The Interoperability & Standards Specialist owns Firely’s US health IT certifications, monitors relevant regulatory activity, coordinates the company’s work in standards communities, and translates regulatory and standards developments into actionable product work. The role is part of the Product team and reports to the VP of Product & Standards, who sets regulatory and standards strategy and roadmap direction. The specialist executes certification work, conducts first-pass regulatory analysis, and provides research and recommendations to product and engineering teams. As expertise grows, the role may take on more independent analysis, external representation, workgroup presentations, and customer briefings. Certification responsibilities include preparing and submitting quarterly ONC/ASTP (g)(10) maintenance packages; filing SVAP submissions and biannual CHPL attestations; developing Real World Testing plans and reports when the program resumes; running and submitting NCQA HEDIS measure certification tests; supporting certified-version transitions; and tracking organizational obligations and public certification disclosures. The specialist monitors Federal Register, CMS, ASTP/ONC, and NCQA publications for developments relevant to FHIR, digital quality measures, USCDI, prior authorization, and payer APIs. They write impact analyses and recommendations, maintain a regulatory tracker, turn findings into Confluence documentation and Jira tickets, coordinate and submit regulatory comment letters, and attend relevant public sessions. The role also coordinates Firely’s participation in standards groups and events, including DQIC, HL7 Da Vinci, the HL7 FHIR Quality Accelerator, HL7 CQI, HL7 Connectathons, and ONC forums. Work includes preparing briefings, tracking decisions and follow-up actions, preparing test environments and tooling for Connectathons, and managing participation logistics. The specialist may also help prototype product-strategy ideas using interoperability expertise and AI tools, and contribute internal certification memos and technical documentation. This is a fully remote role for someone based in the US. The team is largely based in Europe, so some early-morning working-hour overlap is expected. Travel is approximately four to five week-long trips per year for Connectathons, working group meetings, and industry events, plus an annual trip to Amsterdam for International Week. The stated annual base salary is $90,000–$110,000.

Requirements

Roughly 3–5 years of relevant experience; the posting emphasizes the combination of interoperability and US healthcare experience over years alone.
Hands-on experience with interoperability and the US healthcare system, and curiosity about its regulatory landscape.
Ability to run software, read logs and test output, and investigate failures independently.
Ability to read FHIR resources, follow validation errors, and work with APIs and test tooling without hand-holding; production coding is not required.
Ability or willingness to learn to interpret regulations and distill lengthy rules into concise, relevant analysis.
Ability to connect regulatory requirements to product behavior and customer impact.
Clear written communication for memos, analyses, documentation, and comment letters.
Ability to manage fixed deadlines independently, particularly certification deadlines.
Self-sufficiency, sound judgment, and ability to work with senior stakeholders, ask questions when needed, and raise concerns when something does not add up.
Curiosity about AI and willingness to explore ways to use it productively and responsibly.
Based in the US and understanding of the US healthcare market, ideally including payers.

Nice To Haves

Hands-on experience with ONC/ASTP certification, including Inferno, CHPL, SVAP, Real World Testing, or working with an ONC-ACB such as Drummond.
Experience with NCQA HEDIS measure certification or digital quality measures.
Working knowledge of CQL.
Experience with CMS payer interoperability requirements such as CMS-0057-F.
Experience at a certified health IT vendor, EHR company, or health plan.
Existing participation in HL7, Da Vinci, DQIC, or similar standards communities.
Experience drafting or coordinating formal regulatory comment letters.

Responsibilities

Prepare and submit quarterly ONC/ASTP (g)(10) maintenance packages, including change summaries, Inferno test results, and required attestations.
File SVAP submissions when adopting new standards versions and complete biannual attestations in CHPL.
Prepare annual Real World Testing plans and results reports and run the supporting tests when Real World Testing resumes.
Run NCQA HEDIS measure test decks through Firely Server and the digital quality measure pipeline, review results, submit to NCQA, and manage tickets until measures pass.
Coordinate transitions of certified Firely Server versions, assess releases against (g)(10) criteria, work with Drummond, and submit withdrawal requests for retired versions.
Track non-product (g)(10) obligations, maintain accurate public certification disclosures, and flag gaps.
Monitor Federal Register, CMS, ASTP/ONC, and NCQA publications for relevant proposed and final rules, RFIs, and RFCs.
Write regulatory summaries explaining requirements, product and customer impact, and recommendations, including documenting when no action is needed.
Translate regulatory impact into Confluence pages and Jira tickets for engineering and maintain the regulatory tracker.
Track comment-letter deadlines, gather internal input, draft responses to CMS and ONC, obtain sign-off, and submit through regulations.gov.
Attend ONC roundtables, CMS seminars, and similar sessions to stay current.
Coordinate Firely’s communications and work items across standards groups and report actions needed to remain compliant and competitive.
Prepare background briefings on agenda items and ballot topics for the VP of Product & Standards.
Track standards-group decisions, document outcomes, create Jira tickets, and follow up on Firely-owned actions.
Prepare Connectathon test environments, Firely Server, and digital quality measure tooling; perform PR testing, route validation issues to engineering, and document results.
Register US members for Connectathons and Working Group Meetings, track ballot and comment deadlines, and manage participation logistics.
Help develop prototypes that test product-strategy ideas, using interoperability knowledge and AI tools.
Contribute internal certification memos and keep technical documentation up to date.