Lead Healthcare Interface & Interoperability Analyst

Cynet Systems•Jackson, MS

About The Position

The organization seeks one Lead Interface & Interoperability Analyst to provide senior-level technical leadership for healthcare interface operations, interoperability compliance, interface documentation and process improvement, document management, and small-team leadership. The role supports ongoing operations and active interoperability initiatives in an environment using Infor Cloverleaf, MarkLogic, and FHIR-based APIs to exchange health data with managed care organizations, providers, payers, and state and federal agencies. The contractor reports directly to the Chief Information Officer (CIO), Director of Solutions, and/or Chief Technology Officer (CTO). The analyst will manage HL7 and FHIR interfaces, oversee Cloverleaf configuration and operations, support CMS interoperability requirements and FHIR API implementations, and coordinate with trading partners and technology vendors. The role includes assessing and documenting existing interfaces, improving operational processes, establishing document governance, and potentially planning and supporting a Cloverleaf configuration migration anticipated within six months. The analyst will lead a small contractor team, review work, coordinate priorities, and report operational and project status to IT leadership. The technology environment includes Infor Cloverleaf, MarkLogic, HL7 v2.x, HL7 FHIR, AWS, Azure/Microsoft 365, Okta, Auth0, OAuth 2.0, SMART on FHIR, Smartsheet, SharePoint, Microsoft Teams, and GitLab. Direct experience with specific platforms is preferred but not required where the candidate can learn them within a reasonable onboarding period. The contractor must pass a required background investigation; comply with HIPAA, CMS ARC-AMPE, applicable federal and state security requirements; complete security awareness training within 30 days of onboarding and annually thereafter; and sign required confidentiality agreements. Organization data and materials may not be removed, copied, or transmitted without prior written authorization. At the end of the engagement, organization property must be returned and system access revoked on the last day of employment.

Requirements

At least 10 years of progressive healthcare information technology experience, including hands-on HL7 and/or FHIR healthcare interface experience; HL7 v2.x and HL7 FHIR experience may be combined to meet the requirement.
Experience with healthcare integration engines; experience with Infor Cloverleaf, Rhapsody, or equivalent enterprise platforms is specified.
Strong understanding of HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data requirements.
Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment.
Experience with EHR interfaces and clinical data exchange.
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 apply to healthcare data exchange and interface operations.
Experience with interface documentation, data flow mapping, and interface process improvement.
Strong verbal and written communication skills, including technical documentation and presenting findings and recommendations to IT leadership.
Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.
Ability to pass a required background investigation and comply with HIPAA, CMS ARC-AMPE, applicable federal and state security requirements, required training, and confidentiality obligations.

Nice To Haves

Experience in state or federal government IT environments, preferably Medicaid, healthcare, or human services.
Direct experience supporting CMS-9115-F and CMS-0057-F, including FHIR API implementation and compliance documentation.
Experience with Infor Cloverleaf configuration, administration, and environment migration.
Experience with MarkLogic or similar NoSQL databases in healthcare data management.
Experience developing, testing, or implementing FHIR APIs, 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 healthcare informatics or integration industry credential.
Experience with corporate or enterprise document management platforms.
Experience with cloud platforms, particularly AWS, in a healthcare or government context.
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 healthcare interfaces to support availability, accuracy, reliable data exchange, and performance.
Oversee Infor Cloverleaf configuration, message routing, transformation, error handling, and performance tuning.
Triage and resolve interface failures, message errors, and data exchange issues, coordinating with trading partners as needed.
Coordinate external trading partner onboarding, connectivity, and issue resolution with MCOs, providers, payers, and government agencies.
Support compliance with CMS-9115-F and CMS-0057-F, including Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization FHIR APIs.
Ensure interfaces and data exchange processes align with HL7 FHIR, US Core and Da Vinci Implementation Guides, and USCDI requirements.
Coordinate with AWS, MarkLogic, Cloverleaf, and other vendor and platform teams on interoperability delivery and technical issues.
Monitor regulatory developments and advise leadership about compliance implications, required actions, and timelines.
Develop and maintain interface specifications, data flow diagrams, mapping documents, message type inventories, SOPs, runbooks, troubleshooting guides, and knowledge-base materials.
Assess existing interfaces, document HIPAA-covered data flows, identify and prioritize gaps, and implement opportunities for standardization, automation, and operational improvement.
Implement, configure, and maintain document management systems if the organization decides to implement a solution; establish and enforce document governance practices.
Organize project artifacts, interface documentation, SOPs, and compliance records, aligning document practices with HIPAA, CMS, and state records management requirements.
Plan and support a potential Cloverleaf configuration migration, including migration plans, validation test strategies, rollback procedures, and coordination with infrastructure, network, and vendor teams.
Validate interfaces after migration to confirm data integrity, message accuracy, and operational continuity.
Lead and coordinate a small contractor team by assigning work, providing technical direction and mentorship, reviewing configurations and deliverables, and managing workload and timelines.
Facilitate team meetings, coordinate status reporting, and serve as the primary technical liaison between the interoperability team and IT leadership.
Prepare status reports on interface operations, issues, project progress, and team activities; participate in project meetings, vendor calls, and CMS compliance reviews.
Develop and maintain interface standards, naming conventions, and best-practice documentation.
Comply with required security, confidentiality, training, data handling, and property-return obligations.