Position: Lead HL7 FHIR Analyst
Location: Onsite- Jackson, MS
Duration: 1 year but likely at least 3 years
Required Skills/Experience
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 experience totaling ten (10) or more 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.
Master's degree in Information Technology, Health Informatics, or a related management or technology discipline.
1) Healthcare Interface Management & Operations
Manage, monitor, and maintain HL7 and FHIR-based healthcare interfaces across DOM's integration environment, ensuring availability, accuracy, and reliable data exchange.
2) Interoperability & Regulatory Compliance
Support DOM's compliance with CMS-9115-F (Interoperability and Patient Access) and CMS-0057-F (Interoperability and Prior Authorization) 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.
3) Interface Documentation & Process Improvement
a) 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).
Key Duties
The contractor shall perform the following duties on an ongoing basis:
Manage daily healthcare interface operations, ensuring availability, accuracy, and performance of all data exchange processes across Cloverleaf and FHIR API environments.
Monitor, triage, and resolve interface errors, message failures, and data exchange issues; coordinate with trading partners as needed to restore normal operations.
Develop and maintain comprehensive interface documentation including interface specifications, data flow maps, SOPs, and operational runbooks.
Continue current-state assessment of all existing interfaces; identify and implement optimization opportunities to improve performance, reliability, and standards compliance.
Support CMS-9115-F and CMS-0057-F compliance activities including FHIR API testing, validation, documentation, and go-live support.
Coordinate with external trading partners, including MCOs, providers, and payers, on interface onboarding, connectivity, and issue resolution.
Lead and manage the interoperability contractor team; assign work, review deliverables, provide technical direction, and report team status to IT leadership.
Implement and maintain document management systems and governance processes for interoperability and IT operations documentation if DOM procures a solution.
Plan and execute Cloverleaf configuration migration activities, including coordination with infrastructure and vendor teams, validation testing, and post-migration verification.
Prepare and deliver status reports to IT leadership summarizing interface operations, open issues, project progress, and team activities.
Participate in interoperability project meetings, vendor coordination calls, and CMS compliance reviews as required.
Develop and maintain interface standards, naming conventions, and best practices documentation to support operational consistency across DOM's integration environment..
