Position Description and Job Skill Set
DOM is actively implementing federal interoperability mandates under CMS-0057-F (Interoperability and Prior Authorization Final Rule). These rules require DOM to implement and maintain Patient Access APIs, Provider Directory APIs, Provider Access APIs, Payer-to-Payer APIs, and Prior Authorization APIs based on HL7 FHIR standards. DOM's
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.
DOM exchanges health data with multiple external sources and maintains a complex portfolio of HL7 and FHIR-based
healthcare interfaces. These interfaces require ongoing management, optimization, documentation, and governance to
ensure accurate, reliable, and compliant data exchange. Existing interfaces require a comprehensive current-state
assessment, standardized documentation, and a structured process improvement program to ensure they meet current
standards and are optimized for performance and reliability.
The purpose of this Statement of Work (SOW) is to procure staff augmentation services for one (1) Lead Interface &
Interoperability Analyst to provide senior-level technical leadership for DOM's healthcare interface operations,
interoperability compliance activities, interface documentation and process improvement, document management, and
small team leadership. The contractor shall report directly to the DOM Chief Information Officer (CIO), Director of
Solutions, and/or Chief Technology Officer (CTO).
