We are looking for an experienced Senior Healthcare Interoperability Engineer with strong hands-on experience in HL7 FHIR R4, Da Vinci implementation guides (CRD, DTR, PAS), and healthcare interoperability standards.
The ideal candidate will be responsible for designing, developing, and implementing healthcare interoperability solutions that enable seamless data exchange between healthcare providers, payers, EMR/EHR systems, and Utilization Management (UM) platforms.
The candidate should have strong experience in Electronic Prior Authorization (ePA), FHIR-based APIs, healthcare data transformation, and Azure-based integration architecture.
Design, develop, and implement healthcare interoperability solutions using HL7 FHIR R4 standards.
Implement Da Vinci implementation guides, including:
Coverage Requirements Discovery (CRD)
Documentation Templates and Rules (DTR)
Prior Authorization Support (PAS)
Develop and integrate Electronic Prior Authorization (ePA) and Utilization Management workflows.
Build and maintain FHIR APIs for bidirectional data exchange between provider, payer, and EMR/EHR systems.
Perform FHIR-to-canonical and non-FHIR data mapping and transformation.
Integrate provider, member, consent, and authorization-related healthcare data.
Develop integration solutions using Azure API Management and Azure Functions.
Implement OAuth-based authentication, API security, and access management.
Support PaaS modernization and Azure-based integration architecture.
Implement monitoring, observability, error handling, retry mechanisms, and reconciliation processes.
Perform automated conformance testing, regression testing, and end-to-end API testing.
Ensure HIPAA compliance and secure handling of PHI.
