Lead Interface & Interoperability Analyst
Description:
Diversified Systems is searching for a Lead Interface & Interoperability Analyst to provide senior-level technical leadership for healthcare interface operations, interoperability compliance activities, interface documentation and process improvement, document management, and team leadership. The selected consultant will support DOM's implementation of federal interoperability mandates, including CMS-9115-F and CMS-0057-F, and healthcare data exchange utilizing HL7 and FHIR standards. The contractor will report directly to the DOM Chief Information Officer (CIO), Director of Solutions, and/or Chief Technology Officer (CTO).
Responsibilities:
- 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.
- Oversee the Infor Cloverleaf integration engine, including interface configuration, message routing, transformation, error handling, and performance tuning.
- Optimize existing interfaces to improve data accuracy, reliability, processing throughput, and operational efficiency.
- Triage and resolve interface failures, message errors, and data exchange issues.
- Coordinate with MCOs, providers, payers, and state and federal agencies on interface connectivity, onboarding, and issue resolution.
- Healthcare Interface Management & Operations:
- Support DOM's compliance with CMS-9115-F and CMS-0057-F.
- 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 requirements.
- 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 DOM IT leadership on compliance implications, required actions, and implementation timelines.
- Interface Documentation & Process Improvement:
- Develop and maintain interface specifications, data flow diagrams, mapping documents, message type inventories, SOPs, runbooks, troubleshooting guides, and knowledge base documentation.
- Conduct current-state assessments of existing interfaces and identify and prioritize documentation, standards, and optimization gaps.
- Map and document 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.
- Document Management Systems:
- Implement, configure, and maintain document management systems if DOM implements a document management solution.
- Establish document governance processes including version control, access management, naming conventions, retention policies, and compliance documentation standards.
- Cloverleaf Configuration Migration:
- 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 Cloverleaf migration activities.
- Coordinate migration activities with infrastructure, network, and vendor teams.
- Validate interfaces following migration to confirm data integrity, message accuracy, and operational continuity.
- Team Leadership & Coordination:
- Lead and coordinate a small team of contractors focused on interoperability and data movement between applications.
- Provide technical direction, mentorship, and day-to-day work assignments.
- Conduct interface configuration, code reviews, quality assurance reviews, and peer reviews.
- Facilitate team meetings, coordinate status reporting, and serve as the primary technical liaison between the interoperability team and DOM IT leadership.
- Manage team workload, priorities, and deliverable timelines.
- Technology Environment:
- The following platforms, tools, and systems comprise DOM's current and target-state technology environment. The contractor will be expected to work within this environment and should possess a general understanding of the types of technologies listed below. Direct experience with specific platforms is preferred but not required; the ability to learn and adapt to new tools within a reasonable onboarding period is acceptable.
- Integration & Interoperability Platforms:
- DOM's interoperability environment is built around healthcare integration engines and data exchange standards. The contractor will work with platforms such as Infor Cloverleaf for HL7 and FHIR message routing and transformation, MarkLogic as a NoSQL data store supporting clinical and provider data, and standard healthcare messaging protocols
- including HL7 v2.x and HL7 FHIR. Experience with any major healthcare integration engine (e.g., Cloverleaf,
- Rhapsody, MuleSoft, InterSystems, or similar) is valued.
- Cloud & Infrastructure Platforms:
- DOM's infrastructure is primarily hosted on Amazon Web Services (AWS), with Microsoft Azure / M365 supporting identity services, enterprise productivity, and collaboration tools including SharePoint, Exchange Online, and Teams.
- Familiarity with cloud-hosted environments is expected; specific AWS and/or Azure experience is a plus.
- Authentication & Security:
- DOM utilizes modern identity and access management platforms including Okta and Auth0 for API and user authentication. FHIR API environments leverage OAuth 2.0 and SMART on FHIR authentication frameworks. A general understanding of identity management concepts and standards-based authentication is expected.
- Collaboration & Project Management:
- Day-to-day project coordination and documentation are managed through tools such as Smartsheet for project tracking,
- Microsoft SharePoint for document management, Microsoft Teams for communication, and GitLab for source code and configuration management. The contractor should be comfortable working within standard enterprise collaboration and project management toolsets.
Requirements:
- 10+ years of progressive healthcare information technology experience with direct hands-on experience in HL7 and/or FHIR-based healthcare interfaces required.
- Experience with healthcare integration engines such as Infor Cloverleaf, Rhapsody, or equivalent enterprise integration platforms required.
- Strong understanding of healthcare data standards including HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI requirements required.
- Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment required.
- Experience with EHR interfaces and clinical data exchange required.
- Experience implementing and maintaining document management systems and establishing document governance processes required.
- Experience leading or supervising technical teams or contractors, including work assignment, quality review, and performance oversight required.
- Strong understanding of HIPAA Privacy and Security Rule requirements related to healthcare data exchange and interface operations required.
- Experience with interface documentation, data flow mapping, and interface process improvement required.
- Excellent written and verbal communication skills, including the ability to create technical documentation and present findings and recommendations to IT leadership required.
- Master's degree in Information Technology, Health Informatics, or a related management or technology discipline required.
- Must pass a background investigation as required by the State of Mississippi and DOM prior to commencing work required.
- Must comply with HIPAA Privacy and Security Rule requirements required.
- Must comply with CMS ARC-AMPE and applicable federal security requirements required.
- Must adhere to Mississippi ITS security policies, standards, and procedures required.
- Must complete required security awareness training within 30 days of onboarding and annually thereafter required.
- Must execute a Non-Disclosure Agreement (NDA) and any additional confidentiality agreements required.
Desired Skills:
- Experience working in state or federal government IT environments, preferably within Medicaid, healthcare, or human services agencies preferred.
- Experience supporting CMS-9115-F and CMS-0057-F interoperability mandates preferred.
- Experience with FHIR API implementation and compliance documentation preferred.
- Experience with Infor Cloverleaf configuration, administration, and environment migration preferred.
- Experience with MarkLogic or similar NoSQL databases in a healthcare data management environment preferred.
- Experience with FHIR API development, testing, or implementation including US Core and Da Vinci Implementation Guides preferred.
- Experience with SMART on FHIR and OAuth 2.0 authentication frameworks preferred.
- HL7 certification or equivalent healthcare informatics or integration credential preferred.
- Experience with corporate or enterprise document management platforms preferred.
- Experience with AWS in a healthcare or government environment preferred.
- Project Management Professional (PMP) or similar project management certification preferred.
- Experience with CMS ARC-AMPE security requirements and Medicaid system security compliance preferred.
About Diversified Systems
Founded in 1990, Diversified Systems is an award-winning Technology Services corporation providing all levels of IT project consulting services nationwide. DSI is headquartered in Columbus, Ohio with regional offices in the American Midwest and East Coast. We offer our consultants a number of flexible and competitive compensation benefit packages.
Diversified Systems is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
Diversity, Equity and Inclusion
DSI values authenticity and is committed to making sure our employees and partners are valued and respected. At DSI, we believe building a diverse culture is important because we know when people work together, we can achieve better results as a team. DSI realizes that everyone comes from various backgrounds. We celebrate these differences because our employees are our greatest asset as we strive to best meet the needs of those we serve. As part of our ongoing efforts, DSI is focused on advancing equality, diversity, and inclusion by setting high standards to continually evolve our culture. This includes but is not limited to recruiting, community involvement, client delivery, and career development.
