Senior VA Health IT Interoperability Lead (Remote)

LMI

Oregon

Hybrid

USD 125,000 - 200,000

Full time

8 days ago

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Job summary

LMI seeks a Senior VA Health Systems Integration & Interoperability Specialist to drive modernization initiatives across VA workflows, including VistA/CPRS, Oracle Health/Federal EHR, and Community Care exchanges. You will partner with clinical informatics, data teams, and architecture to troubleshoot integrations and validate data used for analytics and AI-enabled solutions.

The role requires deep VA/VHA experience, strong data engineering skills, and the ability to translate complex federal

Qualifications

Bachelor's degree in computer science, information systems, health informatics, data engineering, engineering, or related field; equivalent directly relevant experience may be considered
10+ years healthcare claims review and processing with EDI transactions and X-12 formats, including 270/271
5+ years in healthcare systems integration, health IT, data integration, interoperability, EHR integration
5+ years VA/VHA experience with practical knowledge of VA systems and workflows
Deep VistA/CPRS expertise, including RPC/RPC Broker, HL7, VIA, or similar mechanisms
Experience with Oracle Health/Cerner or Federal EHR coexistence, migration, reconciliation, or workflow translation
Strong VA Community Care and IVC/VCC knowledge including referral/authorization lifecycles
Strong SQL skills for investigating complex issues across relational databases
Experience with HL7 v2, APIs, JSON/XML, FHIR, ETL/ELT, and data mapping
Ability to reconcile conflicting records and determine authoritative sources

Responsibilities

Serve as senior technical lead for VA health-system integration across multiple platforms.
Map end-to-end direct-care and Community Care workflows including consults/referrals and authorizations.
Examine X-12 data to identify healthcare outcomes and payment metrics.
Reconcile VistA/CPRS with Oracle Health referral workflows and reporting impacts.
Support CCRA/HSRM integration for referrals and authorizations and data-quality issues.
Define source-to-target mappings, interface specs, transformation rules, and validation criteria.
Evaluate integration approaches including HL7 v2, APIs, FHIR, and file-based exchanges.
Trace data lineage across VistA, Oracle Health, and Community Care; resolve conflicts.
Diagnose failed/incomplete integrations by examining interfaces, timing, and identifiers.
Support VistA-to-Federal-EHR coexistence, migration, and reconciliation strategies.
Enable reporting, automation, and AI-enabled workflows while preserving source context.
Coordinate with stakeholders to resolve cross-system issues.