Senior Healthcare Integration Analyst

TOPSYS IT; Jackson (MS); On-site; USD 140,000 - 180,000; Full time

Job summary

Topsys IT seeks an experienced Lead Interface & Interoperability Analyst to provide senior technical leadership for the State of Mississippi’s Division of Medicaid. You will drive CMS interoperability compliance, oversee HL7/FHIR-based data exchanges, and guide a small technical team reporting to IT Leadership.

Responsibilities include managing Infor Cloverleaf integrations, ensuring data integrity during Cloverleaf migrations, and coordinating with MCOs, providers, and government partners to

Qualifications

• 10+ years healthcare IT experience with direct, hands-on HL7 v2.x and/or FHIR.
• Master’s degree in Information Technology, Health Informatics, or related field.
• Hands-on experience with healthcare integration engines (Infor Cloverleaf, Rhapsody, or equivalent).
• Domain experience in Medicaid, managed care, EHRs, or hospital/health system environments.
• Deep knowledge of HL7 v2.x, HL7 FHIR R4, CDA/CCDA, X12, and USCDI.
• Experience leading technical teams or contract personnel.
• Strong technical writing skills for interface mapping and SOPs.

Responsibilities

• Oversee daily interface operations, configuration, message routing, error handling, and performance tuning of Cloverleaf and FHIR-based APIs.
• Support CMS interoperability implementations (Patient Access, Provider Directory, Provider Access, Payer-to-Payer, Prior Authorization) per CMS-0057-F and CMS-9115-F.
• Conduct current-state assessments, establish standardized mapping documents, SOPs, runbooks, and HIPAA-covered interface inventories.
• Plan and execute migration of Cloverleaf configurations with minimal disruption and ensure data integrity post-migration.
• Lead and mentor a small team of interface contractors and coordinate workload priorities.
• Coordinate with external trading partners and platform teams (AWS, MarkLogic, Cloverleaf) for connectivity and issue resolution.

Skills

HL7 v2.x expertise

HL7 FHIR expertise

Healthcare IT leadership

Technical writing

Stakeholder collaboration

HIPAA knowledge

CMS interoperability knowledge

Team leadership

Education

Master’s Degree in IT/Health Informatics

Tools

Infor Cloverleaf

MarkLogic

Rhapsody

Job description

We are seeking an experienced Lead Interface & Interoperability Analyst to provide senior-level technical leadership for the State of Mississippi’s Division of Medicaid (DOM). In this role, you will lead healthcare interface operations, drive federal interoperability compliance under CMS-0057-F and CMS-9115-F, oversee interface documentation, and lead a small technical team reporting to IT Leadership (CIO/CTO).

You will manage complex healthcare data exchanges leveraging Infor Cloverleaf as the primary integration engine, MarkLogic as the data store, and HL7 / FHIR standards for data exchange across managed care organizations (MCOs), providers, payers, and government agencies.

Key Responsibilities

• Interface Operations: Oversee daily operations, configuration, message routing, error handling, and performance tuning of Infor Cloverleaf integration engines and FHIR-based APIs.
• CMS Interoperability Compliance: Support implementations of Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs in compliance with CMS-0057-F and CMS-9115-F rules.
• Documentation & Assessment: Conduct current-state assessments of existing interfaces, establish standardized mapping documents, SOPs, runbooks, and HIPAA-covered interface inventories.
• Cloverleaf Migration: Plan and execute the upcoming migration of Infor Cloverleaf configuration environments, ensuring minimal disruption and full post-migration data integrity.
• Technical Team Leadership: Direct and mentor a small team of interface contractors, lead code/configuration reviews, coordinate workload priorities, and manage status reporting to IT leadership.
• Stakeholder Collaboration: Coordinate with external trading partners (MCOs, providers, state/federal agencies) and platform teams (AWS, MarkLogic, Cloverleaf) for connectivity and issue resolution.

Mandatory Qualifications (Must-Haves)

• 10+ Years of progressive healthcare IT experience with direct, hands-on experience in HL7 v2.x and/or HL7 FHIR standards.
• Master’s Degree in Information Technology, Health Informatics, or a related technology/management discipline.
• Strong hands-on experience with healthcare integration engines (Infor Cloverleaf, Rhapsody, or equivalent).
• Solid domain experience in healthcare data exchange across Medicaid, managed care, EHRs, or hospital/health system environments.
• Deep knowledge of healthcare data standards: HL7 v2.x, HL7 FHIR R4, CDA/CCDA, X12, and USCDI.
• Demonstrated experience leading/supervising technical teams or contract personnel.
• Strong technical writing skills (interface mapping, SOPs, data flow diagrams) and presentation capabilities for executive leadership.
• In-depth understanding of HIPAA Privacy & Security Rules in relation to healthcare data exchange.

Preferred Skills (Nice-to-Haves)

• Direct experience supporting CMS interoperability mandates (CMS-9115-F & CMS-0057-F).
• Hands-on experience with Infor Cloverleaf administration, configuration, and environment migration.
• Experience with MarkLogic NoSQL databases in a healthcare context.
• Familiarity with SMART on FHIR, OAuth 2.0, and AWS cloud environments.
• HL7 Certification or PMP Certification.
• Knowledge of CMS ARC-AMPE security controls and state government/Medicaid IT environments.