Job Description
Job Title: Lead Interface & Interoperability AnalystLocation: Onsite - Jackson, MS - 39211
Duration: 1 YearJob Description:Actively implementing federal interoperability mandates under CMS-0057-F (Interoperability and Prior Authorization Final Rule). These rules require to 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. Interoperability environment relies on Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and FHIR-based APIs for data exchange with multiple external partners including managed care organizations (MCOs), providers, payers, and state and federal agencies.
Required skills- Ten (10) or more years of progressive healthcare information technology experience with direct, hands-on experience in HL7 and/or FHIR-based healthcare interfaces. Any combination of HL7 v2.x and HL7 FHIR experience totaling ten (10) or more years is acceptable.
- Demonstrated experience with healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or equivalent enterprise integration platforms.
- Strong understanding of healthcare data standards including 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 the ability to create technical documentation and present findings and recommendations to IT leadership audiences.
- Master's degree in information technology, Health Informatics, or a related management or technology discipline.
Preferred skills- 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.
