Lead Interface & Interoperability Analyst medicaid
About The Position
The Lead Interface & Interoperability Analyst will support a Medicaid-related engagement, providing technical leadership for healthcare interfaces, interoperability, and clinical data exchange. The role requires extensive hands-on experience with HL7 and/or FHIR-based interfaces, healthcare integration engines, healthcare data standards, EHR interfaces, and HIPAA requirements. It also includes leading or supervising technical teams or contractors and improving interface documentation, data-flow mapping, and processes. The position requires a master's degree in Information Technology, Health Informatics, or a related management or technology discipline. Preferred qualifications include government healthcare IT experience, CMS interoperability mandate support, FHIR API implementation, integration-engine and document-management platforms, cloud experience, and relevant professional certifications.
Requirements
- Ten or more years of progressive healthcare information technology experience with direct, hands-on HL7 and/or FHIR-based healthcare interface experience; combined HL7 v2.x and HL7 FHIR experience is acceptable.
- Demonstrated experience with healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or equivalent enterprise integration platforms.
- 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 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 creating technical documentation and presenting findings and recommendations to IT leadership audiences.
- Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.
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, 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 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
- Lead or supervise technical teams or contractors, including assigning work, reviewing quality, and overseeing performance.
- Support healthcare interfaces and clinical data exchange using HL7 and/or FHIR standards.
- Implement and maintain document management systems and establish document governance processes.
- Create and maintain interface documentation and data-flow mappings.
- Improve interface processes.
- Create technical documentation and present findings and recommendations to IT leadership audiences.
- Support healthcare data exchange and interface operations in accordance with HIPAA Privacy and Security Rule requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
