Education: Bachelor's degree or related field
Experience: 7+ years
- Analyze healthcare data from EHRs, payer systems, and HL7 v2 feeds and map to FHIR R4 resources and profiles
- Lead the analysis, design, and implementation of FHIR-based data mappings from HL7 v2, CCDA, X12, and proprietary formats
- Create and maintain FHIR source-to-target mappings, transformation logic, and conformance documentation
- Apply HL7 Da Vinci Implementation Guides (PAS, CRD, DTR) to support prior authorization and coverage workflows
- Perform terminology mapping using standard code systems (SNOMED, LOINC, RxNorm, ICD-10)
Identify and resolve complex data quality, mapping, and performance issues across integrations
- Validate FHIR payloads using conformance and testing tools and support integration and UAT testing
Provide technical guidance and mentorship on FHIR standards, best practices, and implementation approaches
- Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics or a related field, or equivalent, and typically requires 7+ years of experience in healthcare data analysis, integration, and mapping
- Hands-on expertise with HL7 FHIR R4, including resources, profiles, bundles, and extensions
- Experience mapping from HL7 v2, CCDA, X12, and/or proprietary EMR formats to FHIR
- Experience mapping from HL7 v2, CCDA, X12, and/or proprietary EMR formats to FHIR
- Working knowledge of Clinical Quality Language (CQL), including use within Da Vinci DTR workflows
- Strong analytical, problem-solving, and written/verbal communication skills
Ability to work independently and collaboratively in a fast-paced, cross-functional environment
- Direct experience implementing HL7 Da Vinci Implementation Guides (PAS, CRD, and/or DTR)
- Experience supporting CMS interoperability and prior authorization initiatives (e.g., CMS-0057)
- Experience working with major EHR platforms such as Epic or Cerner
- Experience working with FHIR servers (e.g., Azure Health Data Services, HAPI FHIR, Epic/Cerner endpoints)
- Exposure to FHIR validation and testing tools such as HL7 validators or Touchstone
Experience leading or significantly contributing to enterprise-level FHIR implementations
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