What are the responsibilities and job description for the Lead Interface & Interoperability Analyst position at Talent Groups?
Duration: 12 months to start
Job Description
Our client�is modernizing its healthcare interoperability program to meet new federal data-exchange mandates, and is looking for a Lead Interface & Interoperability Analyst to take technical ownership of that work. You'll manage and optimize a complex portfolio of HL7 and FHIR-based interfaces built on Infor Cloverleaf and MarkLogic, lead compliance work for CMS's Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs, and help plan a migration of the Cloverleaf integration engine to new infrastructure. You'll also lead a small team of interoperability contractors and act as the primary technical liaison to IT leadership senior, highly visible technical leadership on live federal compliance work, not routine interface maintenance.
Responsibilities
Job Description
Our client�is modernizing its healthcare interoperability program to meet new federal data-exchange mandates, and is looking for a Lead Interface & Interoperability Analyst to take technical ownership of that work. You'll manage and optimize a complex portfolio of HL7 and FHIR-based interfaces built on Infor Cloverleaf and MarkLogic, lead compliance work for CMS's Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs, and help plan a migration of the Cloverleaf integration engine to new infrastructure. You'll also lead a small team of interoperability contractors and act as the primary technical liaison to IT leadership senior, highly visible technical leadership on live federal compliance work, not routine interface maintenance.
Responsibilities
- Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces, ensuring availability, accuracy, and reliable data exchange
- Oversee the Infor Cloverleaf integration engine, including interface configuration, message routing, transformation, error handling, and performance tuning
- Triage and resolve interface failures, message errors, and data exchange issues, coordinating with external trading partners (MCOs, providers, payers, and agencies) as needed
- Support compliance with CMS-9115-F and CMS-0057-F interoperability rules, including FHIR API implementation, testing, validation, and go-live support across Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs
- Conduct a current-state assessment of existing interfaces and lead a structured process-improvement effort to close gaps and improve reliability and performance
- Develop and maintain interface specifications, data flow diagrams, mapping documents, SOPs, and runbooks
- Implement and govern document management practices (version control, access, retention) for interoperability and compliance documentation
- Plan and execute the Cloverleaf configuration migration to new infrastructure, including validation testing and post-migration verification
- Lead and direct a small team of interoperability contractors assigning work, reviewing deliverables, and providing technical direction
- Serve as the primary technical liaison between the interoperability function and IT leadership, including status reporting and participation in compliance reviews
- 10 years of progressive healthcare IT experience with hands-on HL7 and/or FHIR-based interface work
- Hands-on experience with a healthcare integration engine (Infor Cloverleaf, Rhapsody, MuleSoft, InterSystems, or similar)
- Strong knowledge of healthcare data standards: HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data elements
- Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment, including EHR interfaces and clinical data exchange
- Experience implementing and governing document management systems
- Experience leading or supervising technical teams or contractors, including work assignment and quality review
- Strong understanding of HIPAA Privacy and Security Rule requirements as they apply to healthcare data exchange
- Experience with interface documentation and data flow mapping
- Strong written and verbal communication skills, including presenting findings to IT leadership
- Master's degree in Information Technology, Health Informatics, or a related field
- Must be able to pass a background investigation prior to starting
- Willingness to complete required security awareness training and sign a confidentiality agreement (NDA)
- Experience in state or federal government IT, ideally within a Medicaid, healthcare, or human services agency
- Direct experience supporting CMS-9115-F and CMS-0057-F mandates, including FHIR API implementation and compliance documentation
- Experience with Infor Cloverleaf configuration, administration, and environment migration
- Experience with MarkLogic or a similar NoSQL database in a healthcare data context
- Experience with FHIR API development or testing, including US Core and Da Vinci Implementation Guides
- Experience with SMART on FHIR and OAuth 2.0 authentication frameworks
- HL7 certification or equivalent industry credential
- Experience with AWS in a healthcare or government context
- PMP or similar project management certification
- Experience with CMS ARC-AMPE security requirements