Tech Lead

7 days ago

Pune, Maharashtra, India Yash Technologies Full time ₹ 12,00,000 - ₹ 36,00,000 per year

We are looking forward to hireAzure Databricks Professionals in the following areas :

Job description:

Role: Interoperability Architect (FHIR / HL7 V2/V3)

Role Overview:

Client is seeking aInteroperability Architect (contractor) to lead the design and solutioning of a next-generation Interoperability Reference Architecture The architect will play a pivotal role in ensuring compliance with evolving CMS interoperability mandates such as 9115-F and 0057-P, while laying the foundation for FHIR-based data exchange across payer and provider ecosystems.

Key Responsibilities:

  • Lead the solution architecture for a comprehensive Interoperability Gold Architecture, supporting payer interoperability, clinical data integration, and regulatory alignment.

  • Provide architectural oversight on all interoperability components involving:

  • HL7 standards (V2.x, V3, CDA)

  • FHIR APIs (R4, US Core, CARIN BB, Da Vinci Implementation Guides)

  • CMS compliance with Patient Access, Payer-to-Payer Exchange, and Prior Authorization APIs

  • Design and document end-to-end data exchange frameworks including:

  • Clinical and claims data ingestion and transformation

  • Terminology mapping (e.g., SNOMED, LOINC, RxNorm)
  • Consent and identity management

  • FHIR server implementation and validation

  • Guide teams in selecting and implementing tools/platforms (e.g., HAPI FHIR, Smile CDR, Mirth Connect, InterSystems, Health Gorilla, Redox).

  • Collaborate with client teams, product owners, and delivery leaders to define architecture artifacts, integration blueprints, and reusable frameworks.
  • Map interoperability requirements to CMS 9115-F, 0057-P, and ONC standards including attestations, documentation, and compliance strategies.

Required Skills & Experience:

  • 10+ years of experience in healthcare data integration and IT architecture

  • 5+ years of hands-on experience with interoperability standards:

  • HL7 V2.x, V3, CDA, CCD

  • FHIR (R4, STU3), SMART on FHIR, OAuth2, OpenID Connect

  • Deep knowledge of CMS interoperability rules, including:

  • 9115-F (Patient Access, Provider Directory, Payer-to-Payer)

  • 0057-P (Prior Authorization APIs, CRD, DTR, PAS)

  • Experience with:

  • FHIR data modelling and profiling (US Core, CARIN BB, Da Vinci)

  • Cloud-native architecture on Azure+ Databricks (preferred)

  • API gateway, OAuth/Consent frameworks, and FHIR resource security

  • Familiarity with value-based care models, quality measures, and payer-provider collaboration workflows

  • Strong communication and documentation skills ability to create architecture blueprints, data flow diagrams, and governance models

Preferred Qualifications:

  • HL7 / FHIR certification or equivalent credentials
  • Familiarity with IHE standards and USCDI / TEFCA frameworks
  • Experience working with Blue plans, large national payers, or health information networks (HINs)
  • Prior consulting or contractor experience within complex payer IT transformation programs

Deliverables May Include:

  • Interoperability Reference Architecture & Solution Design Document
  • FHIR API Implementation Guidelines
  • CMS 9115/0057 Compliance Mapping Matrix
  • HL7/FHIR Integration Standards Guide
  • Consent Management and Security Design Patterns
  • Technical Evaluation and Tooling Recommendations
  • Oversight on Data Integration, Testing, and Certification

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