Healthcare Interoperability Capability Lead

Healthcare Interoperability Capability Lead

Role Summary: We are seeking an accomplished, visionary leader to establish and drive our Healthcare Interoperability Capability within our Organization. This is a pivotal role responsible for supporting and shaping our enterprise-wide capabilities, and delivering innovative, standard-driven interoperability solutions.

The ideal candidate must possess deep, verifiable Subject Matter Expertise (SME) in healthcare interoperability standards, a proven ability to think strategically yet act hands-on, and a high comfort level in translating abstract business challenges into concrete, scalable technical solutions. This role requires a high degree of self-drive, initiative, and exceptional cross-functional collaboration skills.

Key Responsibilities

1. Strategy & Vision Leadership:

a. Define and champion the vision, strategy, and roadmap for the Interoperability COE, aligning capabilities with the Enterprise digital transformation goals.

b. Function as the thought leader and chief architect, translating ambiguous business requirements and market trends into clear, strategic priorities and actionable execution plans.

c. Monitor emerging industry standards (e.g., FHIR, API-driven architectures) and regulatory developments (e.g., US Cures Act, GDPR), ensuring the COE remains at the forefront of global interoperability.

2. Deep Subject Matter Expertise (SME)

a. Provide deep definitive Subject Matter Expertise across core healthcare interoperability standards and terminologies FHIR (Fast Healthcare Interoperability Resources). HL7 (v2, v3, CDA), X12/EDI (Claims, Enrollment, Eligibility), and other standards/ resources

b. Oversee the design, architecture, and implementation of secure, scalable, and compliant data exchange solutions for clinical, claims, and administrative data domains.

3. Payer and Provider Solution Delivery

a. Lead the development and delivery of end-to-end interoperability solutions specifically tailored for Healthcare Payers (e.g., claims data integration, member access) and Healthcare Providers (e.g., EHR integration, clinical data exchange).

b. Drive proofs of concept (POCs), reference architectures, and solution accelerators to rapidly deploy standards-based solutions.

4. Collaboration & Capability Building

a. Serve as the primary liaison, fostering strong collaborative relationships with product teams, engineering, operations, and external partners.

b. Demonstrate strong self-drive and initiative, anticipating needs, proactively resolving roadblocks, and serving as the bridge between technical and non-technical stakeholders.

c. Mentor and develop a high-performing team of interoperability experts, establishing governance frameworks, KPIs, and best practices for capability delivery and adoption.

Qualifications & Experience

Experience

15+ years in healthcare technology, with at least 5 years in a senior leadership role focused on data integration and interoperability.

Payer/Provider Experience

Proven, successful experience in implementing FHIR-, HL7-, and EDI-based solutions in both Payer and Provider environments.

Technical SME

Exceptional, verifiable deep SME in the specified standards (FHIR, HL7, EDI, SNOMED CT, LOINC).

Leadership

Proven record of thinking strategically (setting long-term direction) while maintaining the ability to act on the ground (personally driving critical-path deliverables).

Mindset

Demonstrated ability to thrive with abstract or incomplete information, rapidly structuring it to develop a clear, strategic path forward.

Communication

Exceptional written and verbal communication skills; able to articulate complex technical and strategic concepts to executive and highly technical audiences.

Education

Graduate or post-graduate degree in Computer Science, Health, or a related discipline.