D+H

Senior Manager - Interop Center of Excellence

D+H$125K — $150K *
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree or equivalent Technical / Business experience is required; Master's Degree is preferred.
  • 12+ years of relevant work experience in healthcare technology, integration services, or professional services is required.
  • 10+ years implementing healthcare technology solutions with experience in HL7 v2, FHIR R4, and clinical data exchange is required.
  • Excellent client-facing skills, especially in engaging senior executives on technical topics, are necessary.
  • Experience managing third-party vendor relationships, including oversight and contract negotiation, is required.

Responsibilities

  • Build and lead the Interoperability Center of Excellence, developing onboarding and operational processes.
  • Own the full interface services lifecycle, including lab orders, public health reporting, and custom client integrations.
  • Direct a Forward Development Team to create custom integration solutions using AI tools.
  • Scale the Integrator Program, establishing commercial frameworks and agreements with third-party partners.
  • Monitor service delivery metrics and ensure compliance with service level agreements.

Benefits

  • Flexibility for hybrid work, primarily requiring two days at the Raleigh office.
  • Potential for professional development opportunities with team management support.
  • Limitations on PTO during peak business periods to meet demands.
Full Job Description
Sr. Manager, Veradigm Interoperability Center of Excellence

JOB SUMMARY

Leads the Veradigm Interoperability Center of Excellence - a newly formed, strategic organizational capability that owns the full lifecycle of interface services across all Veradigm EHR and practice management platforms. The Interoperability Center of Excellence exists to solve one of Veradigm's most critical client experience gaps: ensuring that every client has a single, accountable Veradigm partner for every interface need, from pre-sales discovery through implementation, forward development, and ongoing support. This leader is responsible for building and operating a team of technical professionals organized into regional delivery pods, each staffed to handle lab orders and results, public health reporting, HIE and TEFCA connectivity, and custom client integrations across Practice Fusion and VEHR. The role provides subject matter authority across HL7 v2, FHIR R4, CareQuality, and clinical data exchange, and serves as the organizational owner for a commercial model - including an Integrator Program that structures third-party partner relationships - that transforms interface services from an informally distributed cost center into a revenue-generating line of business. In parallel, this leader serves as an organizational co-sponsor of the long-range Enterprise Integration Engine initiative: a cloud-native, AI-powered integration platform intended to replace Veradigm's legacy VEHR common components stack and ultimately compete in the broader healthcare interoperability market.

ESSENTIAL FUNCTIONS / MAJOR JOB RESPONSIBILITIES
  • Builds and leads the Interoperability Center of Excellence from initial team formation through full operational maturity, including sourcing roles internally where possible, establishing onboarding and training programs, and developing the operational playbook that governs delivery across all interface types and client segments.
  • Owns the full interface services lifecycle for Veradigm clients - lab orders and results (HL7 ORM/ORU), public health reporting (immunization registries, eCR, syndromic surveillance), HIE/QHIN/TEFCA connectivity, and custom client integrations - across Practice Fusion and VEHR platforms.
  • Directs a Forward Development Team of Interface Sales Engineers and Technical Interface Engineers capable of building custom integration solutions - adapters, routing logic, novel FHIR-based workflows - that fall outside standard configuration catalogs, using AI-powered tools to accelerate delivery.
  • Leads and scales the Integrator Program - the commercial framework governing third-party integrators including program tiers, API access rights, SLA obligations, pricing pass-through standards, and the formal agreements that give Veradigm control and leverage over its partner relationships.
  • Partners with EHR sales leadership to embed Interface Sales Engineers in pre-sales conversations, ensuring interface scope is accurately defined, formally quoted, and delivered as part of the EHR deal rather than escalated post-sale to outside resources.
  • Monitors service delivery metrics, interface SLA compliance, and quality indicators across all managed connections. Holds the team accountable to published targets: discovery to quote in 5 business days, standard implementation in 30 days, custom interfaces in 60-90 days, and 99.5% message delivery uptime.
  • Develops and executes an operational roadmap aligned to the broader Interoperability Center of Excellence strategic plan, including team formation, operational readiness, and market activation milestones.
  • Serves as a key escalation point for clients and internal stakeholders. Owns commercial exceptions, interface pricing decisions, and cross-functional disputes related to interoperability services.
  • Ensures high levels of client satisfaction through proactive communication, timely resolution of interface issues, and consistent delivery against service commitments.
  • Collaborates cross-functionally with product, engineering, sales, legal, compliance, and finance to advance the Interoperability Center of Excellence commercial model, the Enterprise Integration Engine product roadmap, and the long-range QHIN qualification pathway.
  • Ensures all interface services, data exchange workflows, and partner agreements comply with applicable healthcare regulations including HIPAA, ONC information blocking rules, CMS prior authorization requirements, and TEFCA participation standards.
  • Leads, manages, develops, mentors, and evaluates a geographically distributed team across U.S.-based and Pune, India-based roles, building a high-performing organization where technical depth, accountability, and client orientation are the cultural standard.
  • Identifies training and development opportunities for team members to keep skills current with evolving interoperability standards, AI-powered integration tools, and the healthcare technology landscape.


JOB REQUIREMENTS

Education
  • Bachelor's Degree or equivalent Technical / Business experience - Required
  • Master's Degree or equivalent Technical / Business experience - Preferred


Work Experience
  • 12+ years of relevant work experience in healthcare technology, integration services, or professional services - Required
  • 10+ years of relevant experience implementing healthcare technology solutions with demonstrated understanding of HL7 v2, FHIR R4, and clinical data exchange workflows; experience with EHR platform integration in ambulatory or specialty care settings preferred - Required
  • Excellent client-facing skills with demonstrated ability to engage senior and key executives on complex technical topics - Required
  • Experience managing third-party vendor or partner relationships, including commercial frameworks, SLA oversight, and contract negotiation - Required
  • Experience with budgeting, cost management, and building the business case for new organizational capabilities - Required
  • Demonstrated ability to build and scale a new team or practice, including internal sourcing, onboarding, and operational readiness - Preferred
  • Familiarity with healthcare interoperability market dynamics including TEFCA, QHIN, CareQuality, ONC information blocking, and the competitive landscape of integration engine and API broker vendors - Preferred
  • 7+ years of professional services consultancy and/or project management in a healthcare technology environment - Required


Management Experience
  • 4-7 years of relevant leadership experience including responsibility for organizational objectives and measurements, including management of geographically distributed teams across U.S. and India-based locations - Preferred


KNOWLEDGE, SKILLS, AND ABILITIES
  • In-depth understanding of healthcare IT systems including electronic health records (EHR), health information exchanges (HIE), diagnostic ordering and results networks, patient engagement platforms, and public health reporting infrastructure.
  • Deep knowledge of healthcare interoperability standards and protocols including HL7 v2 (ORM, ORU, ADT), FHIR R4, CDA, CareQuality, TEFCA, and QHIN participation requirements.
  • Working knowledge of integration engine technologies - including commercial platforms such as Rhapsody and Mirth Connect - and an understanding of how modern cloud-native integration platforms differ from legacy Windows-hosted architectures.
  • Familiarity with EHR platform architecture in ambulatory care settings, including Practice Fusion and VEHR integration layers, FHIR resource exposure, and API-based data exchange.
  • Understanding of the third-party integrator ecosystem - including the commercial dynamics, leverage considerations, and migration complexity involved in transitioning client interfaces from external vendors to an internally managed service model.
  • Knowledge of healthcare regulations and standards including HIPAA, ONC information blocking rules, CMS prior authorization requirements (CMS-0053-F, CMS-0057-F), and applicable TEFCA participation standards.
  • Strong leadership skills to build, guide, and develop a new organizational capability - including the ability to set culture, establish operating norms, and develop a team where many members are transitioning from existing internal roles rather than hired externally.
  • Ability to direct a technical team capable of building custom integration solutions, including custom HL7 adapters, FHIR-based workflows, and novel connection types that do not exist in any off-the-shelf catalog.
  • Strong analytical and problem-solving skills to address complex interface issues, manage competing delivery priorities, and drive operational improvement across a geographically distributed team.
  • Excellent communication skills with the ability to translate complex interoperability concepts for non-technical audiences including sales leadership, senior executives, and clients.
  • Ability to develop and execute a multi-phase operational and commercial roadmap - from immediate team formation through market activation, revenue generation, and long-range platform strategy.
  • Commercial orientation: ability to frame interoperability services as a revenue line, develop pricing models, manage partner commercial relationships, and contribute to the broader business case for infrastructure investment.
  • Strong interpersonal skills to build effective working relationships with clients, team members, cross-functional partners, and external integrators - including the ability to manage commercially sensitive partner transitions with professionalism and care.


WORKING ARRANGEMENTS
  • Standard work week or as defined by assignment requirements
  • Primarily works hybrid 2 days of week in Raleigh Office
  • May require after-hours, on-call support and/or holidays
  • On-call and after-hours work during peak times including end of month/quarter/year; during this time PTO may be limited to meet business needs
  • Travel: Up to 10% travel may be required


Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.

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About D+H

D+H is committed to being the technology partner that financial services organizations trust and rely on to build deeper and more profitable relationships with their own customers. In 1875, when D+H was founded, They may have looked a lot different than we do today, but the core of that commitment – being a trusted provider to our customers – has never changed. They have remained committed to delivering solutions that power our customers’ businesses in increasingly competitive markets. They are proud of their strong and vibrant history - it drives their culture and the way they do business today.

Veradigm Careers

Joining Veradigm presents an unparalleled opportunity to advance a career in healthcare technology with a company at the forefront of innovation and leadership. Veradigm, a leader in providing cutting-edge healthcare solutions, offers a range of job opportunities designed to empower professional growth and personal achievement.

Explore Career Opportunities

Veradigm is actively hiring and seeks professionals who are passionate about making a significant impact in the healthcare industry. With a variety of positions available, from technical roles to customer support, Veradigm ensures that every team member can find a place to excel.

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Veradigm's internship programs offer a robust introduction to the healthcare technology sector, providing hands-on experience and valuable networking opportunities. Interns at Veradigm gain practical skills and knowledge, setting the stage for future employment in a dynamic and evolving industry.

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Veradigm is committed to the professional growth of its employees, offering extensive training and development programs. These initiatives are designed to enhance skills and foster innovation, ensuring that every team member can achieve their career aspirations within the company.

Diversity and Inclusion

At Veradigm, diversity is celebrated and actively promoted through comprehensive diversity training programs. The company believes that a diverse team enriches the workplace culture and drives the innovation that Veradigm is known for.

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Employees at Veradigm enjoy a range of benefits that support both their professional and personal lives. The company culture emphasizes teamwork, leadership, and the well-being of its staff, creating an environment where individuals can thrive.

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Candidates interested in joining Veradigm are encouraged to explore available job opportunities on the Veradigm Careers page. The application process typically involves submitting a resume, completing an interview, and demonstrating how one's skills and experiences align with the company's needs.

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Veradigm supports a vibrant professional community where networking and peer interactions are encouraged. This community helps foster relationships that can lead to career advancement and continued employment opportunities within the company.

Join the Veradigm Team

Veradigm is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the Veradigm Jobs portal and discover how you can contribute to a leader in healthcare technology.

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