Clinical Interfaces Engineer — HL7/FHIR Integration

Mosaic Health; United States; Remote; USD 77,000 - 116,000; Full time

Job summary

Mosaic Health is seeking a Clinical Integrations Interface Analyst to analyze, design, implement, monitor, and support healthcare data interfaces across systems. You will work with clinical, operational, product, engineering, and vendor teams to translate integration requirements into scalable solutions.

You will manage interface testing, production support, and governance, ensuring data quality and interoperability across EHRs, labs, HIEs, and external partners.

Responsibilities

• Analyze business, clinical, and technical requirements for new healthcare integrations.
• Design, configure, test, implement, and maintain interfaces between clinical systems and external partners.
• Develop and support interfaces using healthcare interoperability standards such as HL7 v2, FHIR, CDA/CCD, X12, and APIs.
• Perform interface mapping, transformation, filtering, routing, and data validation.
• Configure and support interface engines and integration platforms.
• Coordinate interface testing, including unit testing, integrated testing, user acceptance testing, and production validation.
• Support new customer, partner, facility, and vendor implementations from requirements gathering through go-live.
• Monitor interface queues, message processing, system alerts, and data exchange performance.
• Investigate and resolve failed, delayed, duplicated, or incorrectly formatted messages.
• Perform root-cause analysis for integration incidents and implement corrective and preventive solutions.
• Troubleshoot issues across source systems, interface engines, APIs, networks, and receiving applications.
• Coordinate resolution of complex interface issues with internal engineering teams, EHR vendors, laboratories, health systems, and other external partners.
• Participate in production support and incident-management processes as required.
• Understand clinical workflows and how data moves between healthcare applications.
• Analyze HL7 message structures and clinical data elements, including ADT, ORM, ORU, SIU, MDM, DFT, ACK
• Validate patient demographics, encounters, providers, orders, results, diagnoses, medications, and other clinical information across integrated systems.
• Identify data-quality issues and work with stakeholders to establish appropriate remediation processes.
• Ensure integrations support downstream clinical and operational workflows accurately and consistently.
• Develop and maintain interface specifications, data mappings, workflow diagrams, testing documentation, configuration records, and troubleshooting procedures.
• Maintain an accurate inventory of interfaces, endpoints, dependencies, and integration configurations.
• Document implementation decisions, known limitations, and operational support procedures.
• Follow established change-management, release-management, security, and integration governance processes.
• Contribute to the development of reusable interface standards, implementation templates, and integration best practices.
• Serve as a technical liaison between clinical operations, product teams, engineering teams, customers, and external vendors.
• Facilitate interface discovery and technical requirements discussions.
• Communicate technical issues and integration concepts clearly to both technical and non-technical stakeholders.
• Coordinate interface implementation activities, testing schedules, production cutovers, and post-go-live validation.
• Manage technical dependencies and elevate risks that may affect implementation timelines or production stability.

Job description

Mosaic Health is seeking a Clinical Integrations Interface Analyst to analyze, design, implement, monitor, and support healthcare data interfaces across systems. You will work with clinical, operational, product, engineering, and vendor teams to translate integration requirements into scalable solutions.

You will manage interface testing, production support, and governance, ensuring data quality and interoperability across EHRs, labs, HIEs, and external partners.