16335 - Lead Interface & Interoperability Analyst

Smith Johnson Tech•Jackson, MS

1d•Onsite

About The Position

The State of Mississippi Division of Medicaid (DOM) seeks a Lead Interface & Interoperability Analyst to provide senior-level technical leadership and operational support for healthcare interface operations, interoperability compliance, interface documentation and process improvement, document management, and a small contractor team. The role supports ongoing operations and initiatives involving HL7 and FHIR-based data exchange with managed care organizations, providers, payers, and state and federal agencies. DOM's environment includes Infor Cloverleaf as its primary integration engine, MarkLogic as a data store, and FHIR-based APIs. The contractor will manage and optimize healthcare interfaces, oversee Cloverleaf configuration and operations, resolve interface and data-exchange issues, and coordinate with external trading partners and vendors. The position also supports compliance with CMS-9115-F and CMS-0057-F, including implementation and validation of Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs. Work includes ensuring alignment with HL7 FHIR, US Core, Da Vinci Implementation Guides, and USCDI requirements. The analyst will assess existing interfaces, maintain specifications and operational documentation, identify process improvements, and establish documentation and governance practices. If DOM elects to implement a document management system, the contractor will implement, configure, and maintain it. The role will also plan and support a possible migration of Cloverleaf configuration to new infrastructure, including validation and rollback planning, and lead a small team of contractors through technical direction, work assignment, and quality review. The contractor reports directly to the DOM Chief Information Officer (CIO), Director of Solutions, and/or Chief Technology Officer (CTO). The role is onsite, and relocation is allowed. The contractor must meet State of Mississippi and DOM security, confidentiality, background investigation, and HIPAA-related requirements.

Requirements

At least 10 years of progressive healthcare information technology experience with direct, hands-on experience in HL7 and/or FHIR-based healthcare interfaces.
Demonstrated experience with healthcare integration engines; Cloverleaf, Rhapsody, or equivalent enterprise platforms are identified.
Strong understanding of 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 related 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.
Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.
Successful completion of the required State of Mississippi and DOM background investigation before commencing work.
Compliance with required security awareness training, NDA and confidentiality requirements, and applicable security and data-handling policies.

Nice To Haves

Experience in state or federal government IT environments, preferably in a Medicaid, healthcare, or human services agency.
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 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 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.
Direct experience with specific platforms such as Cloverleaf, MarkLogic, AWS, Azure, Okta, Auth0, Smartsheet, SharePoint, Microsoft Teams, or GitLab is valued; the posting also says the ability to learn and adapt to tools is acceptable.

Responsibilities

Manage, monitor, and maintain HL7- and FHIR-based healthcare interfaces, ensuring availability, accuracy, performance, and reliable data exchange.
Oversee the Infor Cloverleaf integration engine, including 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 interface connectivity, onboarding, and issue resolution with MCOs, providers, payers, and state and federal agencies.
Support DOM's compliance with CMS-9115-F and CMS-0057-F and applicable FHIR API implementation requirements.
Support Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization API implementations, testing, validation, documentation, and go-live activities.
Ensure interfaces and data-exchange processes align with HL7 FHIR standards, 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 CMS interoperability regulations and advise DOM IT leadership on compliance implications, required actions, and timelines.
Assess existing interfaces, identify and prioritize documentation and standards gaps, and implement optimization and process-improvement opportunities.
Develop and maintain interface specifications, data-flow diagrams and maps, mapping documents, message inventories, SOPs, runbooks, troubleshooting guides, and knowledge-base materials.
Map and document HIPAA-covered interfaces, including data sources, destinations, message types, exchange frequency, and data elements.
Establish and maintain interface standards, naming conventions, best practices, and documentation governance processes.
Implement, configure, and maintain document management systems if DOM elects to implement a solution.
Manage project artifacts, SOPs, interface documentation, and compliance records in document management platforms, applying version control, access management, naming, and retention practices.
Plan and support potential Cloverleaf configuration migration, including migration plans, validation test strategies, and rollback procedures.
Coordinate migration activities with infrastructure, network, and vendor teams and validate interfaces after migration for data integrity and operational continuity.
Lead and coordinate a small interoperability contractor team; assign work, provide technical direction and mentorship, and manage workload, priorities, and timelines.
Review interface configurations, code, quality, and team deliverables for accuracy and adherence to standards.
Facilitate team meetings, coordinate status reporting, and serve as a technical liaison between the interoperability team and DOM IT leadership.
Escalate resource or scope conflicts to DOM leadership and prepare status reports on interface operations, issues, project progress, and team activities.
Participate in interoperability project meetings, vendor coordination calls, and CMS compliance reviews as required.
Comply with HIPAA, CMS ARC-AMPE, Mississippi ITS security policies, required training, confidentiality agreements, data-handling restrictions, and return-of-property requirements.