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