Integration / Interoperability Solution Architect

Job Title: Healthcare Integration / Interoperability Solution Architect
Location: Remote

Experience Required: 8 to 10+ years IT experience / 5+ years healthcare integration experience / 3+ years solution and integration architecture experience

Domain: Healthcare Payer / Provider / Managed Care / Insurance

Roles and Responsibilities Integration / Interoperability Solution Architect

Lead end to end healthcare integration architecture design across payer, provider, and partner ecosystems

Design scalable interoperability solutions using HL7, FHIR, X12, CCDA, and EDI standards

Build and maintain integration architecture artifacts including system diagrams, data flow diagrams, interface specifications, and technical design documents

Design and support FHIR based REST APIs and healthcare data exchange services

Configure, develop, and troubleshoot interfaces using Mirth Connect / NextGen Mirth Connect

Work with key healthcare transactions such as X12 278 Utilization Management and 834 Enrollment

Collaborate with business, product, engineering, and external partners to translate requirements into technical solutions

Provide architectural governance, review designs, and ensure adherence to integration standards

Support production environments including monitoring, debugging, and resolving interface failures

Optimize integration performance, identify risks, and improve data exchange workflows

Work in Agile environments and participate in estimation, planning, and solution reviews

Leverage Azure cloud and AI GenAI tools for modern integration enhancements

Must Have Skills in Current Project

Healthcare integration: HL7 v2, FHIR, X12 278, X12 834, CCDA, EDI

Strong experience with Mirth Connect / NextGen Mirth Connect

REST APIs, JSON/XML, SOAP preferred

Strong SQL skills for data validation and troubleshooting

Payer workflows including eligibility, enrollment, and utilization management workflows

Integration architecture including end to end design, APIs, system design, and documentation

Production support including monitoring, debugging, and issue resolution

Azure cloud exposure preferred

Top 5 Must Have Skills with Experience

1. Healthcare Integration Standards 5+ years
   HL7, FHIR, X12 278, X12 834, CCDA, EDI
2. Mirth Connect / NextGen Mirth Connect 3 to 5 years
   Interface development, configuration, and troubleshooting
3. Healthcare Payer Domain Experience 5+ years
   Enrollment, eligibility, and utilization management workflows
4. Integration Architecture / Solution Design 3 to 5 years
   End to end architecture, APIs, system design, and documentation
5. API, SQL, and Production Support 4+ years
   REST APIs, SQL troubleshooting, monitoring, and incident resolution