Integration / Interoperability Solution Architect

Job Title: Integration / Interoperability Solution Architect

Location: Remote

Experience Required: 8 10+ years IT experience / 5+ years healthcare integration experience / 3+ years solution / integration architecture

Domain: Healthcare Payer / Provider / Managed Care / Insurance

Roles & Responsibilities (Integration / Interoperability Solution Architect)

• Lead end-to-end healthcare integration architecture design across payer, provider, and partner ecosystems.
• Design scalable interoperability solutions using HL7, FHIR, X12, CCDA, and EDI standards.
• Build and maintain integration architecture artifacts including system diagrams, data flow diagrams, interface specifications, and technical design documents.
• Design and support FHIR-based REST APIs and healthcare data exchange services.
• Configure, develop, and troubleshoot interfaces using Mirth Connect / NextGen Mirth Connect.
• Work with key healthcare transactions such as X12 278 (Utilization Management) and 834 (Enrollment).
• Collaborate with business, product, engineering, and external partners to translate requirements into technical solutions.
• Provide architectural governance, review designs, and ensure adherence to integration standards.
• Support production environments, including monitoring, debugging, and resolving interface failures.
• Optimize integration performance, identify risks, and improve data exchange workflows.
• Work in Agile environments and participate in estimation, planning, and solution reviews.
• Leverage Azure cloud and AI/GenAI tools for modern integration enhancements.

Must-Have Skills in current project:

• Healthcare integration: HL7 (v2), FHIR, X12 (278, 834), CCDA, EDI
• Strong experience with Mirth Connect / NextGen Mirth Connect
• REST APIs, JSON/XML, SOAP (good to have)
• Strong SQL for data validation and troubleshooting
• Payer workflows: eligibility, enrollment, utilization management (prior auth)
• Integration architecture: end-to-end design, interface specs, data flows
• Production support: monitoring, debugging, and issue resolution
• Azure cloud exposure (preferred)

Top 5 Must-Have Skills (with Experience)

1. Healthcare Integration Standards (5+ years) : HL7, FHIR, X12 (278, 834), CCDA, EDI
2. Mirth Connect / NextGen Mirth Connect (3 5 years) ; Interface development, configuration, troubleshooting
3. Healthcare Payer Domain Experience (5+ years): Enrollment, eligibility, utilization management workflows
4. Integration Architecture / Solution Design (3 5 years) : End-to-end architecture, APIs, system design, documentation
5. API, SQL & Production Support (4+ years): REST APIs, SQL troubleshooting, monitoring and incident resolution