▷ [High Salary] Payer Interoperability Architect

4 weeks ago

Bengaluru, India Citiustech Healthcare Technology Private Limited Full time

Job Description We are seeking an experienced Healthcare Interoperability Architect to lead payer-side data exchange and integration strategies. You will design and implement cutting-edge interoperability solutions, leveraging HL7 FHIR, CCDA, X12, APIs, and platforms such as Epic Payer Platform, Availity, and SmileCDR. This role requires strong technical leadership, a deep understanding of US healthcare regulations (CMS, TEFCA, ONC), and expertise in interface engines like Mirth, Rhapsody, and Cloverleaf. Key Responsibilities: - Architect and implement healthcare data exchange and interoperability solutions for Payers, HIEs, and value-based care models. - Provide technical leadership for integration strategies using HL7, FHIR, CCDA, X12, APIs, and IHE standards. - Lead next-gen interoperability solutions aligned with regulatory compliance (CMS, ONC, TEFCA) and industry trends. - Develop enterprise-wide data integration strategies using interface engines (Mirth, Rhapsody, Cloverleaf) and API-driven architectures. - Work closely with product, engineering, and client teams to align business needs with interoperability best practices. - Oversee large-scale implementation projects, ensuring security, compliance, and performance standards. - Mentor and lead a team of healthcare interoperability experts, fostering innovation and technical excellence. - Drive practice growth by identifying new business opportunities, service offerings, and strategic partnerships. - Collaborate with payer clients to optimize interoperability frameworks, improving data exchange, care coordination, and analytics-driven decision-making. Mandatory Technical Skills: - 10+ years of experience in Healthcare Interoperability (payer-side). - Deep expertise in HL7 FHIR, CCDA, X12, and healthcare API integration. - Hands-on experience with Epic Payer Platform, Availity, SmileCDR, or equivalent solutions. - Strong background in healthcare interface engines (Mirth, Rhapsody, Cloverleaf, or similar). - In-depth knowledge of US healthcare data systems (EHRs, Payer Platforms, HIEs, PBMs, Lab Systems, PM Systems). - Expertise in data integration methodologies (SFTP, APIs, TCP/IP, Snowflake, IHE, cloud-based interoperability solutions). Preferred Qualifications: - Experience addressing payer-side interoperability challenges and regulatory compliance (CMS, TEFCA, ONC). - Certifications in HL7, FHIR, or interoperability standards. - Prior experience working with large national payers, ACOs, CINs, HMOs, or MSOs

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