Senior Healthcare Data Interoperability Lead (Remote/Hybrid)

Blue Cross & Blue Shield of Rhode Island

Providence (RI)

Hybrid

USD 117,000 - 187,000

Full time

32 hours ago
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Benefits offered by this job

Health, dental, and vision insurance
Tuition reimbursement
Paid time off
Bonuses and investment plans

Job summary

BCBSRI in Providence leads end-to-end technical integration across core administrative systems, clinical data sources, and external partners. You will guide API patterns, FHIR-based exchanges, and data pipelines to ensure secure, scalable interoperability.

The role requires deep experience in healthcare data exchange, cloud technologies, and vendor coordination. BCBSRI offers hybrid work options, growth opportunities, and competitive compensation.

Qualifications

  • Seven or more years in systems integration or interoperability engineering.
  • Demonstrated experience with HL7 FHIR and API-driven health data exchange.
  • Bachelor’s degree in Computer Science, Information Systems, Engineering, Health Informatics, or related field.

Responsibilities

  • Lead end-to-end technical integration of core administrative systems, utilization management platforms, clinical data sources, and external partners.
  • Define reusable integration patterns for APIs, batch processing, messaging, and event-driven solutions.
  • Lead FHIR R4 solutions supporting Patient Access, Provider Access, Provider Directory, and electronic Prior Authorization using Da Vinci, US Core, CARIN, CDS Hooks, and SMART on FHIR standards.
  • Direct ingestion, transformation, and mapping of clinical data from EHRs, HIEs, labs, and vendors to ensure quality and provenance.
  • Design and optimize cloud-based APIs and data pipelines across Azure, Snowflake, Apigee, with CI/CD and secure authentication practices.
  • Manage integrations with vendors and trading partners, including testing, deployment readiness, and risk resolution.
  • Establish testing, monitoring, logging, alerting, and incident-management standards; perform root-cause analysis of failures.
  • Maintain technical documentation and provide guidance across Product, Engineering, Data, Architecture, Security, and Operations.

Skills

FHIR integration
API design
Cloud integration
SQL skills
Security & OAuth

Education

Bachelor’s degree in Computer Science or related field

Tools

Azure Data Factory
Snowflake
Apigee
Azure Functions
Azure API Management

Job description

BCBSRI in Providence leads end-to-end technical integration across core administrative systems, clinical data sources, and external partners. You will guide API patterns, FHIR-based exchanges, and data pipelines to ensure secure, scalable interoperability.

The role requires deep experience in healthcare data exchange, cloud technologies, and vendor coordination. BCBSRI offers hybrid work options, growth opportunities, and competitive compensation.

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