Lead Healthcare Interoperability Analyst

VIVA; Jackson (MS); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Onsite work in Jackson, MS

401(k) plan

Job summary

VIVA USA Inc. seeks a Lead Interface & Interoperability Analyst to provide senior technical leadership for healthcare interface operations and CMS compliance initiatives.

You will oversee Cloverleaf and FHIR APIs, drive documentation, and coordinate with MCOs, providers, and payers to ensure reliable data exchange. The role requires ten-plus years in healthcare IT, strong HL7/FHIR knowledge, and experience leading technical teams in Medicaid or EHR environments.

Qualifications

• Ten+ years in healthcare IT with HL7 and/or FHIR interfaces.
• Experience with healthcare integration engines (Cloverleaf, Rhapsody, or similar).
• Strong knowledge of HL7 v2.x, HL7 FHIR R4, CDA/CCDA, X12, USCDI.
• Experience in Medicaid/managed care or EHR environments.
• Experience with EHR interfaces and clinical data exchange.
• Document management systems and governance experience.
• Leadership of technical teams or contractors.
• Solid HIPAA Privacy/Security understanding in data exchange.
• Ability to create technical docs and present to IT leadership.
• Advanced degree in IT/health informatics or related fields.

Responsibilities

• Manage daily healthcare interface operations across Cloverleaf and FHIR APIs.
• Triage and resolve interface errors and data-exchange issues with partners.
• Develop and maintain interface documentation and runbooks.
• Assess current interfaces and implement optimization for performance and standards.
• Support CMS-9115-F and CMS-0057-F compliance testing, docs, and go-live.
• Coordinate onboarding with MCOs, providers, payers, and partners.
• Lead the interoperability contractor team and report status to IT leadership.
• Implement document management systems and governance for docs if needed.
• Plan Cloverleaf configuration migrations with infra and vendor teams.
• Prepare status reports on operations, issues, and progress.
• Participate in interoperability project meetings and CMS compliance reviews.
• Maintain interface standards and best practices for consistency across environments.

Skills

HL7

FHIR API

Cloverleaf

Rhapsody

HIPAA

Leadership

Education

Master's degree in Information Technology

Master's degree in Health Informatics

Tools

Infor Cloverleaf

MarkLogic

Rhapsody

FHIR testing tools

Job description

The client is actively implementing federal interoperability mandates under CMS-0057-F (Interoperability and Prior Authorization Final Rule). These rules require client 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. The client'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.

The client 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 client'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 client Chief Information Officer (CIO), Director of Solutions, and/or Chief Technology Officer (CTO).

The contractor shall provide technical leadership and operational services across the following functional domains. The scope encompasses both ongoing operational responsibilities and active interoperability initiatives.

Key Duties

1. 1) Manage daily healthcare interface operations, ensuring availability, accuracy, and performance of all data exchange processes across Cloverleaf and FHIR API environments.
2. 2) Monitor, triage, and resolve interface errors, message failures, and data exchange issues; coordinate with trading partners as needed to restore normal operations.
3. 3) Develop and maintain comprehensive interface documentation including interface specifications, data flow maps, SOPs, and operational runbooks.
4. 4) Continue current-state assessment of all existing interfaces; identify and implement optimization opportunities to improve performance, reliability, and standards compliance.
5. 5) Support CMS-9115-F and CMS-0057-F compliance activities including FHIR API testing, validation, documentation, and go-live support.
6. 6) Coordinate with external trading partners, including MCOs, providers, and payers, on interface onboarding, connectivity, and issue resolution.
7. 7) Lead and manage the interoperability contractor team; assign work, review deliverables, provide technical direction, and report team status to IT leadership.
8. 8) Implement and maintain document management systems and governance processes for interoperability and IT operations documentation if client procures a solution.
9. 9) Plan and execute Cloverleaf configuration migration activities, including coordination with infrastructure and vendor teams, validation testing, and post-migration verification.
10. 10) Prepare and deliver status reports to IT leadership summarizing interface operations, open issues, project progress, and team activities.
11. 11) Participate in interoperability project meetings, vendor coordination calls, and CMS compliance reviews as required.
12. 12) Develop and maintain interface standards, naming conventions, and best practices documentation to support operational consistency across client\'s integration environment.

Security and Compliance Requirements

1. The contractor shall pass a background investigation as required by the client prior to commencing work.
2. The contractor shall comply with all HIPAA Privacy and Security Rule requirements, including safeguarding of Protected Health Information (PHI) and electronic PHI (ePHI) encountered in the course of interface operations and data exchange activities.
3. The contractor shall comply with CMS Acceptable Risk Controls for Automated Medicaid Program Eligibility (ARC-AMPE) and all applicable federal security requirements.
4. The contractor shall adhere to the client ITS security policies, standards, and procedures applicable to Medicaid systems and data.
5. The contractor shall complete all required security awareness training within thirty (30) days of onboarding and annually thereafter.
6. The contractor shall execute a Non-Disclosure Agreement (NDA) and any additional confidentiality agreements required by client.
7. The contractor shall not remove, copy, or transmit client data, documents, or systems information without prior written authorization from client.
8. Upon termination or completion of the engagement, the contractor shall return all client property and all credentials and system access shall be revoked the last day of employment.

Required Skills/Experience

1. 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.
2. Demonstrated experience with healthcare integration engines, preferably Infor Cloverleaf, Rhapsody, or equivalent enterprise integration platforms.
3. Strong understanding of healthcare data standards including HL7 v2.x, HL7 FHIR R4, CDA, CCDA, X12, and USCDI data element requirements.
4. Experience with healthcare interoperability in a Medicaid, managed care, hospital/health system, or EHR environment.
5. Experience with EHR interfaces and clinical data exchange.
6. Demonstrated experience implementing and maintaining document management systems and establishing document governance processes.
7. Experience leading or supervising technical teams or contractors, including work assignment, quality review, and performance oversight.
8. Strong understanding of HIPAA Privacy and Security Rule requirements as they relate to healthcare data exchange and interface operations.
9. Experience with interface documentation, data flow mapping, and interface process improvement.
10. Excellent written and verbal communication skills, including the ability to create technical documentation and present findings and recommendations to IT leadership audiences.
11. Master\'s degree in Information Technology, Health Informatics, or a related management or technology discipline.

Preferred/Not Required

1. Experience working in state or federal government IT environments, preferably within a Medicaid, healthcare, or human services agency.
2. Direct experience supporting CMS interoperability mandates including CMS-9115-F and CMS-0057-F, including FHIR API implementation and compliance documentation.
3. Experience with Infor Cloverleaf configuration, administration, and environment migration.
4. Experience with MarkLogic or similar NoSQL databases in a healthcare data management context.
5. Experience with FHIR API development, testing, or implementation including US Core and Da Vinci Implementation Guides.
6. Experience with SMART on FHIR and OAuth 2.0 authentication frameworks for FHIR API access management.
7. HL7 certification or equivalent industry credential in healthcare informatics or integration.
8. Experience with corporate or enterprise document management platforms.
9. Experience with cloud platforms, particularly Amazon Web Services (AWS), in a healthcare or government context.
10. Project Management Professional (PMP) or similar project management certification.
11. Experience with CMS ARC-AMPE security requirements and Medicaid system security compliance.

Notes:

100% Onsite

8 - 5

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status