What are the responsibilities and job description for the Senior Healthcare Integration Analyst position at TOPSYS IT?
We are seeking an experienced Lead Interface & Interoperability Analyst to provide senior-level technical leadership for the State of Mississippi’s Division of Medicaid (DOM). In this role, you will lead healthcare interface operations, drive federal interoperability compliance under CMS-0057-F and CMS-9115-F, oversee interface documentation, and lead a small technical team reporting to IT Leadership (CIO/CTO).
You will manage complex healthcare data exchanges leveraging Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and HL7 / FHIR standards for data exchange across managed care organizations (MCOs), providers, payers, and government agencies.
Key Responsibilities
- Interface Operations: Oversee daily operations, configuration, message routing, error handling, and performance tuning of Infor Cloverleaf integration engines and FHIR-based APIs.
- CMS Interoperability Compliance: Support implementations of Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs in compliance with CMS-0057-F and CMS-9115-F rules.
- Documentation & Assessment: Conduct current-state assessments of existing interfaces, establish standardized mapping documents, SOPs, runbooks, and HIPAA-covered interface inventories.
- Cloverleaf Migration: Plan and execute the upcoming migration of Infor Cloverleaf configuration environments, ensuring minimal disruption and full post-migration data integrity.
- Technical Team Leadership: Direct and mentor a small team of interface contractors, lead code/configuration reviews, coordinate workload priorities, and manage status reporting to IT leadership.
- Stakeholder Collaboration: Coordinate with external trading partners (MCOs, providers, state/federal agencies) and platform teams (AWS, MarkLogic, Cloverleaf) for connectivity and issue resolution.
Mandatory Qualifications (Must-Haves)
- 10 Years of progressive healthcare IT experience with direct, hands-on experience in HL7 v2.x and/or HL7 FHIR standards.
- Master’s Degree in Information Technology, Health Informatics, or a related technology/management discipline.
- Strong hands-on experience with healthcare integration engines (Infor Cloverleaf, Rhapsody, or equivalent).
- Solid domain experience in healthcare data exchange across Medicaid, managed care, EHRs, or hospital/health system environments.
- Deep knowledge of healthcare data standards: HL7 v2.x, HL7 FHIR R4, CDA/CCDA, X12, and USCDI.
- Demonstrated experience leading/supervising technical teams or contract personnel.
- Strong technical writing skills (interface mapping, SOPs, data flow diagrams) and presentation capabilities for executive leadership.
- In-depth understanding of HIPAA Privacy & Security Rules in relation to healthcare data exchange.
Preferred Skills (Nice-to-Haves)
- Direct experience supporting CMS interoperability mandates (CMS-9115-F & CMS-0057-F).
- Hands-on experience with Infor Cloverleaf administration, configuration, and environment migration.
- Experience with MarkLogic NoSQL databases in a healthcare context.
- Familiarity with SMART on FHIR, OAuth 2.0, and AWS cloud environments.
- HL7 Certification or PMP Certification.
- Knowledge of CMS ARC-AMPE security controls and state government/Medicaid IT environments.