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3 Days Left: Payer Interoperability Architect

1 month ago

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Job Description

About CitiusTech:

CitiusTech (www.citiustech.com) is a leading provider of healthcare technology services, solutions, and platforms, with a strong presence in the payer, provider, medical technology, and life sciences markets. Serving over 130 healthcare organizations worldwide, CitiusTech plays a vital role in shaping the future of healthcare.

CitiusTech has three subsidiaries: Citius Healthcare Consulting (www.citiustech.com/citius-healthcare-consulting), SDLC Partners (www.sdlcpartners.com), and Wilco Source (https://wilcosource.com/), each with deep expertise in healthcare consulting and payer technologies.

As a strategic partner to some of the worlds largest healthcare organizations, we accelerate digital innovation, drive sustainable value, and help improve outcomes across the healthcare ecosystem. Our deep healthcare domain knowledge, combined with a focus on next-generation technology, positions us to build digital capabilities and specialized platforms that empower healthcare organizations to adapt to changing industry needs and make a meaningful impact on patients.

Job Title:

Healthcare Interoperability Architect US Healthcare Payer Market

Overview:

We are a leading US Healthcare IT services & solutions provider, delivering innovative and scalable solutions for the Payer market. Our Healthcare Interoperability Practice is expanding, and we are looking for an experienced Architect to drive integration strategies, data interoperability, and cutting-edge solutions for our payer customers, leveraging platforms such as Epic Payer Platform, Availity, SmileCDR etc.

Responsibilities:

- Architect, design, and implement healthcare data exchange and interoperability solutions with a focus on Payers, HIEs, and value-based care models.
- Provide technical leadership for integration strategies and interoperability frameworks, leveraging HL7, FHIR, CCDA, X12, APIs, and IHE standards.
- Lead the development with hand-on experience of next-generation interoperability solutions, considering industry trends, regulatory compliance (CMS, ONC, TEFCA), and emerging technologies.
- Guide enterprise-wide data integration strategies, leveraging interface engines such as Mirth, Rhapsody, Cloverleaf, and API-driven architectures.
- Work closely with product, engineering, and client teams to align business requirements with interoperability best practices.
- Oversee large-scale implementation projects, ensuring adherence to security, compliance, and performance standards.
- Mentor and lead a team of healthcare interoperability experts, fostering innovation and technical excellence.
- Drive practice growth by identifying business development opportunities, new service offerings, and strategic partnerships.
- Collaborate with payer clients to optimize their interoperability frameworks, enhancing data exchange, care coordination, and analytics-driven decision-making.

Mandatory Technical Skills:

- 10+ years of experience in Healthcare Interoperability, focusing on payer-side data exchange.
- Deep expertise in HL7 FHIR, CCDA, X12, and healthcare API integration.
- Hands-on experience with Epic Payer Platform, Availity, SmileCDR, or equivalent solutions.
- Extensive experience integrating healthcare systems using interface engines such as Mirth, Rhapsody, Cloverleaf, or similar.
- Strong understanding of US healthcare data systems (EHRs, Payer Platforms, HIEs, PBMs, Lab Systems, PM Systems, etc.).
- Proficiency in data integration methodologies (SFTP, APIs, TCP/IP, Snowflake, IHE, cloud-based interoperability solutions, etc.).

Preferred Qualifications:

- Experience working with payer-side interoperability challenges, regulatory compliance (CMS, TEFCA, ONC), and value-based care models.
- Certifications in HL7, FHIR, interoperability standards, or relevant healthcare IT platforms.
- Prior experience working with large national payers, ACOs, CINs, HMOs, or MSOs.

Education Qualifications:

- Technical certification in multiple technologies is desirable
- Relevant certifications in HL7/FHIR are highly desirable
- Engineering Degree