Remote Senior VA Health-Systems Interoperability Lead

LMI Consulting, LLC; United States; Remote; USD 125,000 - 200,000; Full time

Job summary

LMI Consulting, LLC is seeking a Senior VA Health Systems Integration & Interoperability Specialist to support VA modernization initiatives requiring reliable movement of clinical, operational, referral, authorization, and Community Care information. This role connects integration decisions to Veteran-care workflows.

The specialist will partner with VA clinical and operational stakeholders, IVC/Community Care teams, health informatics, data engineering, architecture, cybersecurity/privacy,

Qualifications

• Bachelor's degree in computer science or related field; equivalent directly relevant experience may be considered
• 10+ years healthcare claims review with EDI and X-12 formats, especially 270/271
• 5+ years healthcare systems integration, health IT, data integration, interoperability, or related enterprise tech
• 5+ years VA/VHA experience with practical knowledge of VA systems/workflows
• Deep VistA/CPRS expertise and Oracle Health/Cerner or Federal EHR experience across coexistence, interfaces, and migration
• Strong SQL skills for investigating complex issues across relational databases and reporting environments
• Experience with HL7 v2, APIs, JSON/XML, FHIR concepts, ETL/ELT, batch/file exchange

Responsibilities

• Serve as the senior technical lead for VA health-system integration across VistA/CPRS, Oracle Health/Federal EHR, IVC/VCC Community Care, and related enterprise data flows.
• Map and troubleshoot end-to-end direct-care and Community Care workflows, including consults/referrals, authorizations, scheduling, episodes of care, documentation, provider data, and returned medical records.
• Examine healthcare claims and data in X-12 data standards and formats to aggregate encounters and episodic data to identify objective healthcare outcomes and payment metrics
• Reconcile VistA/CPRS consult workflows with Oracle Health referral workflows, including statuses, identifiers, business rules, and reporting impacts.
• Support CCRA/HSRM integration for Community Care referrals and authorizations and isolate workflow, interface, configuration, and data-quality issues.
• Design and review source-to-target mappings, interface specifications, transformation rules, reconciliation logic, and validation criteria across VA and community-care exchanges.
• Evaluate VA integration approaches including VIA, RPC/RPC Broker patterns, HL7 v2, APIs, FHIR-based exchange, files, databases, and other approved mechanisms.
• Trace authoritative sources and lineage across VistA, Oracle Health, Community Care, enterprise repositories, and downstream analytics; resolve conflicting definitions and records.
• Diagnose failed or incomplete integrations by examining interface behavior, timing, identifiers, code sets, status transitions, missingness, duplicates, permissions, and dependencies.
• Support VistA-to-Federal-EHR coexistence, migration, cutover, and reconciliation by validating mappings, completeness, interface behavior, and continuity of critical data.
• Enable reporting, measurement, automation, and AI-enabled workflows while preserving source context, lineage, validation, and known limitations.
• Coordinate with clinical informatics, IVC/Community Care SMEs, application owners, architecture, platform, cybersecurity/privacy, data teams, and Government stakeholders to resolve cross-system issues.
• Define monitoring, exception handling, auditability, data-quality checks, interface-health indicators, and operational support expectations for critical integrations.
• Produce system/data-flow diagrams, interface inventories, mappings, business-rule crosswalks, lineage, reconciliation logic, known limitations, and operational dependencies.
• Provide senior technical review, mentoring, and knowledge transfer on VA-specific integration constraints, workflows, and authoritative sources.

Job description

LMI Consulting, LLC is seeking a Senior VA Health Systems Integration & Interoperability Specialist to support VA modernization initiatives requiring reliable movement of clinical, operational, referral, authorization, and Community Care information. This role connects integration decisions to Veteran-care workflows.

The specialist will partner with VA clinical and operational stakeholders, IVC/Community Care teams, health informatics, data engineering, architecture, cybersecurity/privacy,