Lead Interface & Interoperability Analyst

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

• 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

Qualifications

• 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)

Preferred

• 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

#LI-Onsite