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

Work Schedule: Monday Friday, 8:00 AM 5:00 PM (40 hours/week)


Travel: Occasional in-state travel

Job Description

The Client is seeking an experienced Lead Interface & Interoperability Analyst to provide technical leadership and operational support for its healthcare interface and interoperability environment.

The selected candidate will manage, monitor, maintain, and optimize HL7 and FHIR-based healthcare interfaces, ensuring accurate, reliable, secure, and compliant data exchange between Medicaid systems, managed care organizations (MCOs), healthcare providers, payers, and state and federal agencies.

The role will support federal interoperability mandates under CMS-9115-F and CMS-0057-F, including the implementation and maintenance of Patient Access APIs, Provider Directory APIs, Provider Access APIs, Payer-to-Payer APIs, and Prior Authorization APIs.

The candidate will work with Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and HL7/FHIR-based APIs to support healthcare data exchange. The position also involves interface documentation, process improvement, document management, configuration migration, regulatory compliance, and technical team leadership.

Key Responsibilities

• Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces to ensure availability, accuracy, and reliable data exchange.

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

• Troubleshoot and resolve interface failures, message errors, connectivity issues, and data exchange problems.

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

• Support CMS-9115-F and CMS-0057-F interoperability compliance requirements.

• Support FHIR API implementation, testing, validation, documentation, and go-live activities.

• Ensure healthcare interfaces comply with HL7 FHIR standards, US Core Implementation Guides, Da Vinci Implementation Guides, and USCDI data requirements.

• Develop and maintain interface specifications, data flow diagrams, mapping documents, message inventories, and Standard Operating Procedures (SOPs).

• Conduct current-state assessments of existing interfaces, identify gaps, and recommend improvements to performance, reliability, and compliance.

• Document HIPAA-covered interfaces, including data sources, destinations, message types, exchange frequency, and data elements.

• Identify opportunities for process improvement, standardization, and automation to reduce manual operational work.

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

• Implement and maintain document management systems and governance processes, including version control, access management, naming conventions, and retention policies.

• Plan and support potential Infor Cloverleaf configuration migration to a new infrastructure environment.

• Develop migration plans, interface validation strategies, and rollback procedures.

• Coordinate with infrastructure, network, and vendor teams to ensure successful migration with minimal disruption.

• Lead and coordinate a small team of contractors, providing technical direction, mentoring, work assignments, and quality reviews.

• Manage team priorities, deliverables, and timelines, and provide status reports to DOM IT leadership.

• Coordinate interoperability project meetings, vendor calls, and CMS compliance reviews.

Required Skills and Qualifications

1. Healthcare IT Experience: 10+ years of progressive healthcare information technology experience with direct, hands-on HL7 and/or FHIR-based healthcare interface experience.

2. Healthcare Integration Engines: Experience with healthcare integration platforms such as Infor Cloverleaf, Rhapsody, InterSystems, MuleSoft, or equivalent.

3. Healthcare Data Standards: Strong understanding of HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data requirements.

4. Healthcare Interoperability: Experience working in Medicaid, managed care, hospital/health system, or EHR environments.

5. EHR Interfaces: Experience with EHR interfaces and clinical data exchange.

6. Document Management: Experience implementing and maintaining document management systems and document governance processes.

7. Team Leadership: Experience leading or supervising technical teams or contractors, including work assignment, quality reviews, and performance oversight.

8. HIPAA Compliance: Strong understanding of HIPAA Privacy and Security Rules related to healthcare data exchange and interface operations.

9. Interface Documentation: Experience with interface specifications, data flow mapping, technical documentation, and process improvement.

10. Communication: Excellent written and verbal communication skills, including the ability to present technical findings and recommendations to IT leadership.

11. Education: Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.