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# Interoperability & Data Integration Consultant

- **Company:** MIZZETO LLC
- **Location:** United States (Remote available)
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Cerner, Health Informatics, Clinical Data Repository, Data Integration, Data Sharing, Electronic Data Interchange (EDI), Health Information Management, Interoperability, Data Streaming, Systems Integration, File Transfer Protocol (FTP), EHR Systems, Fast Healthcare Interoperability Resources, QNXT
- **Published:** June 19, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=c88d88a160994e09

## About the Role

Do you have experience in Systems integration?, Mizzeto is seeking a consultant with strong knowledge of how clinical data-specifically ADT (Admit-Discharge-Transfer) feeds-flows from hospital EHR systems (Epic, Cerner) to health plans. We need someone who understands the architecture, integration pathways, and the operational and contractual landscape involved in payer-provider data exchange., * 7+ years in healthcare IT, health plan operations, or health information exchange

 * Strong working knowledge of how ADT feed integrations are established between provider health systems and payer organizations
 * Payer-side experience: Medicaid MCO, Medicare Advantage, or D-SNP in an interoperability, population health, or care management role
 * Understanding of HL7v2 ADT messaging, FHIR-based interoperability standards, and HIE infrastructure
 * Familiarity with the contracting and regulatory landscape for health system data sharing, including CMS Interoperability rule requirements

PREFERRED:

 * Experience at a Medicaid MCO or national managed care organization
 * Familiarity with claims platforms (QNXT, Facets) and care management system integration points
 * Background in ED diversion, avoidable ED, or high-utilizer intervention programs
 * Knowledge of how different health systems and EHR vendors approach data sharing with payers

## Description

* How ADT feeds move from Epic and Cerner to health plans: HL7v2 (MLLP/SFTP), FHIR Subscriptions, and HIE-mediated approaches
 * The end-to-end data flow from an ED admission event at a health system to a matched member record at an MCO
 * Health information exchange (HIE) infrastructure: what state and regional HIEs can and cannot do as intermediaries
 * Data use agreements, BAAs, and the contracting process required to establish data-sharing relationships with provider organizations
 * Member-matching logic: how ADT events map to health plan enrollment and eligibility files
 * Clinical classification of ED visits (NYU Algorithm, Billings, AHRQ PQI) to distinguish emergent from non-emergent utilization
 * The realities of working across health systems with varying EHR platforms and levels of technical maturity


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