Remote Smile CDR Admin – Interoperability Lead

CAI; San Juan (PR); Remote; USD 90,000 - 99,000; Full time

Job summary

CAI is seeking a Smile CDR Administrator to provide platform administration, configuration, and support for our enterprise interoperability platform. This remote, short-term contract role focuses on configuring Smile CDR, supporting FHIR APIs, troubleshooting platform issues, and ensuring compliance with interoperability mandates.

You will administer environments across Development, Test, and Production, manage modules, and coordinate with architecture, engineering, and business teams to advance

Qualifications

• Minimum 5 years of healthcare interoperability experience.
• Minimum 3 years’ experience administering or supporting Smile CDR.
• Strong working knowledge of HL7 FHIR (R4), REST APIs, SMART on FHIR, OAuth 2.0, JSON, and XML.
• Healthcare data exchange experience.
• Experience supporting production healthcare platforms.
• Experience troubleshooting API integrations and platform performance issues.
• Strong SQL and database fundamental experience.
• Experience with Linux and scripting.

Responsibilities

• Administer and configure Smile CDR environments across Development, Test, and Production.
• Manage Smile CDR modules, partitions, repositories, channels, security, and API configuration.
• Support FHIR R4 repositories, SMART on FHIR, and interoperability implementations.
• Monitor platform health, performance, availability, and capacity.
• Troubleshoot platform, API, and data ingestion issues.
• Configure and support REST APIs and integration endpoints.
• Partner with architecture, engineering, and business teams on interoperability initiatives.
• Support CMS, ONC, Prior Authorization, Patient Access, Provider Access, Payer-to-Payer, and BCBSA Interoperability programs.
• Implement security controls, access management, audit logging, and compliance requirements.
• Create operational runbooks, deployment procedures, and platform standards.
• Coordinate vendor support activities when required and drive internal ownership of the platform.

Skills

Healthcare interoperability

Smile CDR administration

FHIR (R4) & REST APIs

SQL & databases

Linux scripting

Tools

Smile CDR

Job description

CAI is seeking a Smile CDR Administrator to provide platform administration, configuration, and support for our enterprise interoperability platform. This remote, short-term contract role focuses on configuring Smile CDR, supporting FHIR APIs, troubleshooting platform issues, and ensuring compliance with interoperability mandates.

You will administer environments across Development, Test, and Production, manage modules, and coordinate with architecture, engineering, and business teams to advance