ead Interface & Interoperability Analyst

Healthcare Interface Management

• Manage, monitor, and maintain HL7 and FHIR healthcare interfaces.
• Support Infor Cloverleaf integration engine administration and optimization.
• Troubleshoot interface failures, data exchange issues, and message errors.
• Coordinate with providers, managed care organizations, payers, and government agencies.
• Optimize interface performance, reliability, and data quality.

Interoperability & Compliance

• Support compliance with CMS interoperability regulations including CMS-0057-F and CMS-9115-F.
• Support implementation of:
• Patient Access APIs
• Provider Directory APIs
• Provider Access APIs
• Payer-to-Payer APIs
• Prior Authorization APIs
• Ensure compliance with HL7 FHIR standards, US Core, Da Vinci Implementation Guides, and USCDI requirements.
• Work with AWS, MarkLogic, Cloverleaf, and vendor teams on interoperability solutions.

Documentation & Process Improvement

• Create and maintain:
• Interface specifications
• Data flow diagrams
• Mapping documents
• SOPs
• Runbooks
• Knowledge base articles
• Conduct current-state interface assessments.
• Identify and implement process improvements, automation opportunities, and standardization efforts.
• Document HIPAA-covered interfaces and data flows.

Document Management

• Support implementation and governance of document management solutions.
• Establish standards for:
• Version control
• Access management
• Naming conventions
• Retention policies
• Compliance documentation

Cloverleaf Migration Support

• Plan and support migration of Cloverleaf integration engine configurations.
• Develop migration, testing, validation, and rollback plans.
• Coordinate with infrastructure and vendor teams.
• Validate post-migration interface functionality and data integrity.

Team Leadership

• Lead a small interoperability team.
• Assign work and review deliverables.
• Conduct quality reviews and code/configuration reviews.
• Coordinate status reporting and stakeholder communications.
• Manage priorities and deliverable timelines.

EAD, Interoperability, Analysis Skills, Interoperability, Analysis Skills, Healthcare, HL7 (Health Level 7), Quovadx QDX Integrator (fka Cloverleaf), Identify Issues, Managed Care, Mandatory

• Minimum 10+ years of healthcare IT experience with HL7 and/or FHIR interfaces.
• Experience with healthcare integration engines such as:
• Infor Cloverleaf
• Rhapsody
• Equivalent enterprise integration platforms
• Strong knowledge of:
• HL7 v2.x
• HL7 FHIR R4
• CDA
• CCDA
• X12
• USCDI
• Healthcare interoperability experience in:
• Medicaid
• Managed Care
• Hospital/Health Systems
• EHR environments
• Experience supporting EHR interfaces and clinical data exchange.
• Experience implementing document management systems.
• Experience leading technical teams or contractors.
• Knowledge of HIPAA Privacy and Security requirements.
• Experience with interface documentation and process improvement.
• Excellent written and verbal communication skills.
• Master’s Degree in Information Technology, Health Informatics, or related field., * State government or federal government healthcare IT experience.
• CMS interoperability program experience.
• Direct experience with CMS-9115-F and CMS-0057-F.
• Infor Cloverleaf administration and migration experience.
• MarkLogic experience.
• FHIR API development and implementation experience.
• SMART on FHIR.
• OAuth 2.0.
• HL7 Certification.
• Enterprise Document Management Systems experience.
• AWS experience.
• PMP Certification.
• Medicaid security compliance and CMS ARC-AMPE experience., * Infor Cloverleaf
• HL7
• FHIR
• MarkLogic

Cloud & Infrastructure

• AWS
• Azure
• Microsoft 365

Security & Authentication

• Okta
• Auth0
• OAuth 2.0
• SMART on FHIR

Collaboration Tools

• Microsoft Teams
• SharePoint
• Smartsheet
• GitLab, Required: Master’s Degree in Information Technology, Health Informatics, or related management/technology discipline.