Lead Interface & Interoperability Analyst

• Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces to ensure reliable, accurate, and continuous data exchange.
• Administer and oversee the Infor Cloverleaf integration engine, including interface configuration, message routing, data transformation, error handling, and performance optimization.
• Evaluate and enhance existing interfaces to improve data accuracy, processing efficiency, reliability, and overall performance.
• Troubleshoot and resolve interface failures, message processing errors, and data exchange issues.
• Coordinate with external trading partners, including Managed Care Organizations (MCOs), healthcare providers, payers, and government agencies, to support interface connectivity, onboarding, and issue resolution.

• Support compliance with CMS-9115-F and CMS-0057-F interoperability requirements.
• Support the implementation and maintenance of FHIR-based APIs, including:
• Patient Access APIs
• Provider Directory APIs
• Provider Access APIs
• Payer-to-Payer APIs
• Prior Authorization APIs
• Ensure healthcare interfaces and data exchange processes align with HL7 FHIR standards, US Core Implementation Guides, Da Vinci Implementation Guides, and USCDI requirements.
• Collaborate with AWS, MarkLogic, Cloverleaf, and other technology vendors to support interoperability initiatives.
• Monitor evolving CMS interoperability regulations and provide technical recommendations to DOM IT leadership regarding compliance requirements and implementation timelines.

• Develop and maintain comprehensive technical documentation, including interface specifications, data flow diagrams, data mapping documents, message inventories, and Standard Operating Procedures (SOPs).
• Conduct a comprehensive assessment of existing healthcare interfaces to identify documentation gaps, performance issues, and opportunities for standardization.
• Document HIPAA-covered interfaces, including data sources, destinations, message types, exchange frequency, and data elements.
• Identify and implement process improvements, automation opportunities, and interface standardization practices.
• Develop and maintain operational runbooks, troubleshooting guides, and knowledge repositories to support operational continuity and team knowledge sharing.

• Implement, configure, and maintain document management solutions supporting interoperability operations, IT governance, and compliance documentation, should DOM decide to implement such a system.
• Establish document governance standards covering version control, access management, naming conventions, retention policies, and documentation procedures.
• Organize and maintain project artifacts, technical documentation, SOPs, and compliance records.
• Ensure document management practices comply with HIPAA, CMS, and State of Mississippi records management requirements.

• Plan and support the potential migration of Infor Cloverleaf integration engine configurations to a new infrastructure environment.
• Develop migration plans, interface validation strategies, testing procedures, and rollback plans.
• Coordinate with infrastructure, network, and vendor teams to minimize service disruptions during migration activities.
• Perform post-migration validation to ensure data integrity, message accuracy, interface functionality, and uninterrupted connectivity with external trading partners.

• Lead and coordinate a small team of contractors supporting healthcare interoperability and application-to-application data exchange.
• Provide technical guidance, mentorship, and day-to-day work assignments.
• Conduct interface configuration reviews, code reviews, quality assurance reviews, and deliverable assessments.
• Manage team priorities, workloads, and project timelines.
• Facilitate team meetings and provide regular status updates to DOM IT leadership.
• Serve as the primary technical liaison between the interoperability team and DOM leadership.
• Identify and escalate resource constraints, technical risks, and project delivery issues.

• Prepare and present regular status reports covering interface operations, technical issues, project milestones, and team activities.
• Participate in interoperability project meetings, vendor coordination sessions, and CMS compliance reviews.
• Establish and maintain interface standards, naming conventions, and technical best practices.

• Infor Cloverleaf
• HL7 v2.x
• HL7 FHIR R4
• Rhapsody, MuleSoft, InterSystems, or equivalent integration engines
• MarkLogic (NoSQL database)
• CDA / CCDA
• X12

• Amazon Web Services (AWS)
• Microsoft Azure
• Microsoft 365 (M365)
• SharePoint
• Exchange Online
• Microsoft Teams

• Okta
• Auth0
• OAuth 2.0
• SMART on FHIR

• Smartsheet
• Microsoft SharePoint
• Microsoft Teams
• GitLab

1. 10 years of healthcare IT experience, including direct, hands-on experience with HL7 and/or FHIR-based healthcare interfaces.
2. Demonstrated experience with enterprise healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or equivalent platforms.
3. Strong knowledge of healthcare data standards, including HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI.
4. Experience supporting healthcare interoperability initiatives within Medicaid, managed care, hospital/health system, or EHR environments.
5. Hands-on experience with EHR interfaces and clinical data exchange.
6. Demonstrated experience implementing and maintaining document management systems and establishing document governance processes.
7. Previous experience leading or supervising technical teams or contractors, including work assignments, quality reviews, and performance oversight.
8. Strong understanding of HIPAA Privacy and Security Rules as they relate to healthcare data exchange and interface operations.
9. Experience developing interface documentation, data flow diagrams, mapping documents, and process improvement initiatives.
10. Excellent written and verbal communication skills, including the ability to prepare technical documentation and present findings and recommendations to IT leadership.
11. Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.

• Experience working in state or federal government IT environments, particularly Medicaid, healthcare, or human services agencies.
• Direct experience supporting CMS-9115-F and CMS-0057-F interoperability mandates.
• Experience implementing and maintaining FHIR APIs and associated compliance documentation.
• Hands-on experience with Infor Cloverleaf configuration, administration, and infrastructure migration.
• Experience with MarkLogic or comparable NoSQL databases in healthcare data management environments.
• Experience with FHIR API development, testing, and implementation using US Core and Da Vinci Implementation Guides.
• Knowledge of SMART on FHIR and OAuth 2.0 authentication frameworks.
• HL7 certification or an equivalent healthcare informatics or integration credential.
• Experience with enterprise document management platforms.
• Experience with AWS or other cloud platforms in healthcare or government environments.
• Project Management Professional (PMP) certification or equivalent.
• Familiarity with CMS ARC-AMPE security requirements and Medicaid system security compliance.

• Successfully complete the State of Mississippi and DOM background investigation before beginning work.
• Comply with HIPAA Privacy and Security Rules and safeguard all Protected Health Information (PHI) and electronic Protected Health Information (ePHI).
• Comply with CMS Acceptable Risk Controls for Automated Medicaid Program Eligibility (ARC-AMPE) and applicable federal security requirements.
• Follow Mississippi ITS security policies, standards, and procedures applicable to Medicaid systems and data.
• Complete required security awareness training within 30 days of onboarding and annually thereafter.
• Execute a Non-Disclosure Agreement (NDA) and any additional confidentiality agreements required by DOM.
• Obtain prior written authorization before removing, copying, or transmitting DOM data, documents, or system information.
• Return all DOM property upon completion or termination of the engagement.

Best,

Bhavani
Recruiter | IT & Digital Marketing

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