Enterprise Healthcare Interoperability Engineer

Darnell & Associates is seeking an experienced Enterprise Healthcare Interoperability Engineer to provide technical leadership across healthcare interoperability and modernization initiatives supporting federal healthcare. The successful candidate will interpret complex standards and guide interoperability decisions while developing reusable engineering assets and business rules.

Responsibilities:

• Serve as a technical authority for healthcare interoperability, EDI, and enterprise transaction standards
• Interpret ANSI X12 implementation guides, companion guides, regulatory guidance, and healthcare interoperability requirements
• Translate business and regulatory requirements into reusable technical specifications, business rules, interoperability patterns, transaction models, and engineering reference materials
• Develop reusable business rule libraries supporting healthcare transaction processing, synthetic data generation, automation, and integration validation
• Define reference scenarios covering standard processing, exceptions, boundary conditions, and edge cases while maintaining traceability from requirements through implementation and operational outcomes
• Assess changes to healthcare standards and regulatory requirements and recommend implementation strategies
• Support companion guide development, transaction validation strategies, interoperability testing, and resolution of complex transaction-processing issues
• Provide interoperability expertise supporting enterprise integration technologies, including modernization and technology evaluation activities
• Partner with architects, software engineers, business analysts, data engineers, product teams, and program leadership to improve consistency and reuse across interoperability initiatives
• Apply AI-assisted engineering and intelligent automation to accelerate standards analysis, business rule engineering, impact assessment, and other repetitive engineering activities while maintaining appropriate governance, traceability, and human review

Requirements:

• Master's degree in Health Information Management, Information Systems, Computer Science, Healthcare Administration, Software Engineering, or a related technical discipline, or equivalent professional experience
• Seven or more years of progressive experience supporting healthcare interoperability, healthcare integration, EDI transaction processing, or enterprise integration initiatives
• Demonstrated expertise with ANSI X12 healthcare transaction standards, including 837, 835, 270/271, and related transaction sets
• Extensive experience interpreting healthcare implementation guides and companion guides
• Experience translating business requirements into reusable technical specifications, engineering assets, or business rule models
• Strong understanding of healthcare claims, eligibility, provider, payment, and interoperability workflows
• Experience collaborating across multidisciplinary engineering teams
• Strong analytical, communication, facilitation, and stakeholder engagement skills
• Federal healthcare programs supporting VA, CMS, DoD, or comparable healthcare organizations
• Enterprise EDI modernization or payer transaction processing
• Edifecs implementation, configuration, optimization, governance, or technology evaluation
• HL7 FHIR and API-based interoperability
• Synthetic data and enterprise data management
• AI-assisted engineering and intelligent automation
• Architecture of Alternatives or technology modernization initiatives
• Agile software development environments