Interoperability Consultant (CCDA OR FHIR)

Position Overview The Interoperability Consultant plays a critical role in facilitating seamless data exchange between Provider organizations and Elevance through the development, implementation, and management of healthcare data interfaces. Core Responsibilities

• Collaborate with Provider organizations and downstream ancillary system analysts to understand and develop business and functional interface requirements
• Deliver to Provider and receive returned Elevance configuration documents
• Submit all applicable connectivity tickets between Provider and Elevance Health via ServiceNow (SNOW)
• Utilize available tools to analyze Provider data and provide gap analysis to translate business requirements into functional field-level specification requirements
• Provide project management staff with comprehensive status reports regarding assigned projects
• Collaborate with assigned developers to ensure understanding of specifications and validate accurate deliverables
• Identify outlier testing scenarios and develop test plans for quality assurance
• Participate with developers on interface validation prior to delivery to downstream systems
• Remediate any issues identified by downstream systems and analysts prior to activation
• Ensure compliance with all testing, documentation, and change management requirements
• Monitor post-live interface performance until transition to support
• Participate in team activities to develop, modify, and enhance standard specifications, processes, and training procedures

Required Qualifications Minimum Experience:

• Healthcare Data Standards Experience:
• 3+ years of relevant experience reading and manipulating CDA (CCDA, C62, CCD) and FHIR transactions with interface engine output.
• Hands-on experience working with CCDA files (Required).
• Experience with FHIR resources, profiles, and implementation guides.
• Communication Protocols:
• Working knowledge of communication protocols and connectivity (VPN, SOAP, TLS, SFTP)
• Transaction Sets:
• Experience with FHIR resource types: Patient, Encounter, DocumentReference, Procedure, Observation, DiagnosticReport, Condition, MedicationStatement, etc

Required Skills, Knowledge, and Abilities

• Excellent written and verbal communication skills
• Strong interpersonal and customer service abilities
• Excellent analytical skills with ability to understand complex data structures and manipulate large datasets
• Strong logical thought process for design and analysis; ability to translate verbal and written information into interface requirements
• Strong ability to interpret and present data with attention to accuracy and detail
• Ability to work independently and deliver results
• Ability to prioritize projects and manage critical deadlines
• Capability to manage multiple tasks with ease and efficiency
• Strong ability to communicate technical information clearly to all organizational levels
• Ability to quickly acquire, assimilate, and apply new technical knowledge and skills autonomously