Smile CDR Administrator/Platform Engineer

Highmark Health•Pittsburgh, PA
•Remote

About The Position

Airetel Staffing is seeking a Smile CDR Administrator to provide platform administration, configuration, support, and operational leadership for an enterprise interoperability platform. The role includes administering Smile CDR environments, supporting FHIR APIs, troubleshooting platform issues, managing environments, and helping ensure compliance with CMS and interoperability mandates. The ideal candidate has deep knowledge of Smile CDR architecture, FHIR standards, REST APIs, security, and healthcare interoperability solutions. The position supports Development, Test, and Production environments; FHIR R4 repositories and SMART on FHIR implementations; platform health and performance; API and data-ingestion troubleshooting; and interoperability programs. The administrator partners with architecture, engineering, and business teams, implements security and compliance controls, creates operational documentation and standards, and coordinates vendor support while building internal platform ownership.

Requirements

  • At least 5 years of healthcare interoperability experience.
  • At least 3 years administering or supporting Smile CDR.
  • Strong knowledge of HL7 FHIR (R4), REST APIs, SMART on FHIR, OAuth 2.0, JSON/XML, and healthcare data exchange.
  • Experience supporting production healthcare platforms.
  • Experience troubleshooting API integrations and platform performance issues.
  • Strong SQL and database fundamentals.
  • Experience with Linux and scripting.

Nice To Haves

  • Experience with CMS Interoperability Mandates.
  • Experience with Axway API Gateway.
  • Knowledge of Apache Camel.
  • Experience with cloud platforms.
  • Knowledge of healthcare payer systems.
  • Familiarity with DevOps, CI/CD, and GitLab pipelines.

Responsibilities

  • Administer and configure Smile CDR environments across Development, Test, and Production.
  • Manage Smile CDR modules, partitions, repositories, channels, security, and API configurations.
  • Support FHIR R4 repositories, SMART on FHIR, and interoperability implementations.
  • Monitor platform health, performance, availability, and capacity.
  • Troubleshoot platform, API, and data-ingestion issues.
  • Configure and support REST APIs and integration endpoints.
  • Partner with architecture, engineering, and business teams on interoperability initiatives.
  • Support CMS, ONC, Prior Authorization, Patient Access, Provider Access, Payer-to-Payer, and BCBSA Interoperability programs.
  • Implement security controls, access management, audit logging, and compliance requirements.
  • Create operational runbooks, deployment procedures, and platform standards.
  • Coordinate vendor support activities when required and drive internal ownership of the platform.
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