Healthcare Interface & Interoperability Lead Analyst

Primary Skills : Healthcare information technology, HL7, HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, USCDI, healthcare integration engines (Infor Cloverleaf, Rhapsody, or equivalent), FHIR APIs, document management systems, document governance processes, leading technical teams, HIPAA Privacy and Security Rule, interface documentation, data flow mapping, interface process improvement, EHR interfaces, clinical data exchange. The interoperability environment relies on Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and FHIR-based APIs for data exchange with multiple external partners including managed care organizations (MCOs), providers, payers, and state and federal agencies.

Job Title: Healthcare Interface & Interoperability Lead Analyst
Job Location: Jackson, MS (Onsite)
Position Type: Contract
Duration: 12 months

Primary Skills: Healthcare information technology, HL7, HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, USCDI, healthcare integration engines (Infor Cloverleaf, Rhapsody, or equivalent), FHIR APIs, document management systems, document governance processes, leading technical teams, HIPAA Privacy and Security Rule, interface documentation, data flow mapping, interface process improvement, EHR interfaces, clinical data exchange

Preferred Skills: State/federal government IT environments (Medicaid/healthcare/human services), CMS interoperability mandates (CMS-9115-F, CMS-0057-F), Infor Cloverleaf configuration/administration/migration, MarkLogic/NoSQL, US Core and Da Vinci Implementation Guides, SMART on FHIR, OAuth 2.0, HL7 certification, enterprise document management platforms, AWS, PMP certification, CMS ARC-AMPE security requirements

Position Overview

The contractor will provide senior-level technical leadership for healthcare interface operations, interoperability compliance activities, interface documentation and process improvement, document management, and small team leadership. The contractor shall report directly to the Chief Information Officer (CIO), Director of Solutions, and/or Chief Technology Officer (CTO). The interoperability environment relies on Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and FHIR-based APIs for data exchange with multiple external partners including managed care organizations (MCOs), providers, payers, and state and federal agencies. The contractor will manage a complex portfolio of HL7 and FHIR-based healthcare interfaces, conduct a comprehensive current-state assessment, standardize documentation, and drive a structured process improvement program.

Daily Duties / Responsibilities

Technical

• Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces across the integration environment, ensuring availability, accuracy, and reliable data exchange.

• Oversee the Infor Cloverleaf integration engine, including interface configuration, message routing, transformation, error handling, and performance tuning.

• Interpret, refine, and optimize existing interfaces to improve data accuracy, reliability, processing throughput, and operational efficiency.

• Triage and resolve interface failures, message errors, and data exchange issues in a timely manner consistent with incident severity levels.

• Support compliance with CMS-9115-F and CMS-0057-F final rules, including all applicable FHIR API implementation requirements.

• Support FHIR API implementations including Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs.

• Ensure interfaces and data exchange processes align with HL7 FHIR standards, US Core Implementation Guides, Da Vinci Implementation Guides, and USCDI data element requirements.

• Develop and maintain comprehensive documentation for all healthcare interfaces, including interface specifications, data flow diagrams, mapping documents, message type inventories, and standard operating procedures (SOPs).

• Conduct a current-state assessment and evaluation of all existing interfaces to determine whether they are up to standard, optimized, and properly documented; identify and prioritize gaps.

• Map and document all HIPAA-covered interfaces, including data sources, destinations, message types, exchange frequency, and data elements exchanged.

• Identify and implement interface process improvement, standardization, and automation opportunities.

• Develop and maintain interface runbooks, troubleshooting guides, and a knowledge base.

• Implement, configure, and maintain document management systems supporting interoperability operations, IT governance, and compliance documentation requirements.

• Establish and enforce document governance processes including version control, access management, naming conventions, retention policies, and compliance documentation standards.

• Plan and support the potential migration of the Infor Cloverleaf integration engine configuration to a new infrastructure environment.

• Develop migration plans, interface validation test strategies, and rollback procedures for all Cloverleaf configuration changes and migration activities.

• Validate all interfaces post-migration to confirm data integrity, message accuracy, and full operational continuity.
  Non-Technical

• Coordinate with external trading partners, including MCOs, providers, payers, and state and federal agencies, on interface connectivity, onboarding, and issue resolution.

• Coordinate with AWS, MarkLogic, Cloverleaf, and other vendor and platform teams on interoperability solution delivery and technical issues.

• Keep current with CMS interoperability regulations and advise IT leadership on compliance implications, required actions, and implementation timelines.

• Lead and coordinate a small team of contractors focused on interoperability and data movement, providing technical direction, mentorship, and day-to-day work assignment.

• Conduct interface configuration and code reviews, quality assurance reviews, and peer review of team work products.

• Facilitate team meetings, coordinate status reporting, and serve as the primary technical liaison between the interoperability team and IT leadership.

• Manage team workload, priorities, and deliverable timelines; escalate resource or scope conflicts to leadership as appropriate.

• Prepare and deliver status reports to IT leadership summarizing interface operations, open issues, project progress, and team activities.

Required Skills

• Ten (10) or more years of progressive healthcare information technology experience with direct, hands-on experience in HL7 and/or FHIR-based healthcare interfaces (any combination of HL7 v2.x and HL7 FHIR totaling 10+ years is acceptable)

• Demonstrated experience with healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or equivalent enterprise integration platforms

• Strong understanding of healthcare data standards including HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data element requirements

• Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment

• Experience with EHR interfaces and clinical data exchange

• Demonstrated experience implementing and maintaining document management systems and establishing document governance processes

• Experience leading or supervising technical teams or contractors, including work assignment, quality review, and performance oversight

• Strong understanding of HIPAA Privacy and Security Rule requirements as they relate to healthcare data exchange and interface operations

• Experience with interface documentation, data flow mapping, and interface process improvement

• Excellent written and verbal communication skills, including the ability to create technical documentation and present findings and recommendations to IT leadership audiences

Preferred Skills

• Experience working in state or federal government IT environments, preferably within a Medicaid, healthcare, or human services agency

• Direct experience supporting CMS interoperability mandates including CMS-9115-F and CMS-0057-F, including FHIR API implementation and compliance documentation

• Experience with Infor Cloverleaf configuration, administration, and environment migration

• Experience with MarkLogic or similar NoSQL databases in a healthcare data management context

• Experience with FHIR API development, testing, or implementation 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 in healthcare informatics or integration

• Experience with corporate or enterprise document management platforms

• Experience with cloud platforms, particularly Amazon Web Services (AWS), in a healthcare or government context

• Project Management Professional (PMP) or similar project management certification

• Experience with CMS ARC-AMPE security requirements and Medicaid system security compliance

Required Education

• Master's degree in Information Technology, Health Informatics, or a related management or technology discipline

Required / Preferred Certifications

• Preferred: HL7 certification; PMP or similar project management certification