Lead Interface & Interoperability Analyst

Radiant Digital • Jackson, MS

1d • Onsite

About The Position

Beacon Systems, Inc. is seeking a Lead Interface & Interoperability Analyst to support healthcare interoperability initiatives in Jackson, Mississippi. The role involves implementing federal interoperability mandates under CMS-0057-F, including maintaining Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs based on HL7 FHIR standards.

The interoperability environment uses Infor Cloverleaf as its primary integration engine, MarkLogic as its data store, and FHIR-based APIs to exchange data with managed care organizations, providers, payers, and state and federal agencies. The position also involves healthcare interfaces and data exchange, document management and governance, technical team oversight, interface documentation, data-flow mapping, and process improvement.

Requirements

• At least 10 years of progressive healthcare information technology experience, including hands-on experience with HL7 and/or FHIR-based healthcare interfaces. A combination of HL7 v2.x and HL7 FHIR experience totaling at least 10 years is acceptable.
• Experience with healthcare integration engines; Infor 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 or 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 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 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.

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, with 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 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

• Implement and maintain Patient Access APIs, Provider Directory APIs, Provider Access APIs, Payer-to-Payer APIs, and Prior Authorization APIs based on HL7 FHIR standards.
• Support healthcare data exchange with managed care organizations, providers, payers, and state and federal agencies.
• Implement and maintain document management systems and establish document governance processes.
• Lead or supervise technical teams or contractors, including assigning work, reviewing quality, and overseeing performance.
• Create interface documentation and data-flow mappings.
• Improve interface processes.
• Create technical documentation and present findings and recommendations to IT leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior