MS - Lead Interface & Interoperability Analyst - 167866- Onsite

DOM is seeking a Lead Interface & Interoperability Analyst to provide technical leadership for healthcare interoperability, regulatory compliance, interface operations, documentation, and team management. The role supports CMS interoperability mandates (CMS-9115-F and CMS-0057-F) and oversees HL7/FHIR-based integrations across DOM's healthcare ecosystem.

Key Responsibilities

• Lead and manage HL7 v2.x and FHIR interface operations using Infor Cloverleaf, MarkLogic, and FHIR APIs.
• Support CMS interoperability initiatives including Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs.
• Monitor, troubleshoot, optimize, and maintain healthcare interfaces and data exchange processes.
• Ensure compliance with HL7 FHIR, US Core, Da Vinci IGs, USCDI, HIPAA, and CMS regulations.
• Conduct interface assessments, documentation, process improvements, and governance activities.
• Lead Cloverleaf migration planning, testing, validation, and post-migration support.
• Manage a small interoperability team, provide technical direction, and report status to leadership.
• Implement and oversee document management and governance processes.

Technology Environment

• Infor Cloverleaf, HL7 v2.x, HL7 FHIR R4
• MarkLogic (NoSQL)
• AWS, Azure/M365
• OAuth 2.0, SMART on FHIR, Okta, Auth0
• SharePoint, Teams, Smartsheet, GitLab

Required Qualifications

• 10+ years of healthcare IT experience with HL7 and/or FHIR interfaces.
• Experience with healthcare integration engines (Cloverleaf preferred).
• Strong knowledge of HL7, FHIR, CDA/CCDA, X12, USCDI, HIPAA.
• Healthcare interoperability experience in Medicaid, payer, provider, EHR, or managed care environments.
• Team leadership and documentation/process improvement experience.
• Master's degree in IT, Health Informatics, or related field.

Preferred Qualifications

• Medicaid or government healthcare experience.
• CMS-9115-F and CMS-0057-F compliance experience.
• Cloverleaf administration/migration expertise.
• MarkLogic experience.
• SMART on FHIR, OAuth 2.0, AWS knowledge.
• HL7 certification and/or PMP certification.