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Commence

Senior Health Interoperability Engineer

Commence

Senior Health Interoperability Engineer specializing in designing EHR integrations and data modeling. Working on FHIR and OMOP compliance in healthcare data analytics.

Posted 7/27/2026full-timeRemote • Arizona, District of Columbia, Florida, Illinois, Kansas, Kentucky, Maryland, Massachusetts, Mississippi, Missouri, Montana, Nevada, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin • 🇺🇸 United StatesSenior💰 $130,000 - $155,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates extensive expertise in healthcare data exchange and interoperability engineering, with a strong focus on HL7 FHIR R4, data modeling, and API design. Proficient in building and maintaining data pipelines that comply with federal regulations and industry standards.

Highest-signal resume keywords
HL7 FHIR R4 ExpertiseHealthcare Data Exchange EngineeringData Modeling and SQL SkillsEHR System Integration ExperienceCMS Interoperability Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
HL7 FHIR R4Data ModelingSQLHL7 v2.xEDI X12 ProcessingSMART on FHIROMOP CDMETL DesignAPI DesignIntegration Pipeline Development
Tools & Technologies
AWSDatabricksEHR Systems
Industry Keywords
InteroperabilityCMS Interoperability Final Rule21st Century Cures ActTEFCAHealth Information ExchangeC-CDAIHE ProfilesFederal Health AgenciesCommercial PayersHealth Data Pipelines

Tech Stack

Tools & technologies
AWSCloudETLSQL

About the role

Key responsibilities & impact
  • Help establish dedicated interoperability ownership within the Data & Analytics organization.
  • Serve as the technical authority on healthcare data exchange standards, designing integrations across EHR systems, federal health agencies, commercial payers, and health information exchanges.
  • Own the data modeling work required to map source health data structures into FHIR US Core and OMOP CDM for research and analytics use cases.
  • Design and implement FHIR R4-compliant APIs and integration pipelines across EHR systems, federal payers, and commercial health clients, ensuring conformance to requirements.
  • Own HL7 v2.x message processing and EDI X12 transaction pipelines from architecture through production support.
  • Build and maintain federal and commercial health data pipelines aligned to the CMS Interoperability Final Rule and Da Vinci Implementation Guidelines.

Requirements

What you’ll need
  • 7+ years of hands-on experience in healthcare data exchange and interoperability engineering.
  • Deep expertise in HL7 FHIR R4 and US Core IG; proficiency with SMART on FHIR authorization patterns.
  • Demonstrated experience mapping source health data (claims, clinical, ADT) to FHIR US Core resource profiles.
  • Hands-on experience with HL7 v2.x and EDI X12 transaction processing (837, 835, 270/271).
  • Support customer data integrations with HL7v3 C-CDA/CDA/CCD and Document Query/Retrieval of IHE profiles.
  • Experience with EHR system integrations (Epic, Cerner, or equivalent).
  • Working knowledge of OMOP CDM structure, standard vocabulary mapping, and ETL design for clinical data.
  • Strong SQL and data modeling skills; experience on cloud-based data platforms (AWS/ Databricks preferred).
  • Familiarity with the CMS Interoperability Final Rule, 21st Century Cures Act, and TEFCA exchange framework; familiarity with VA, DHA, or commercial payer data exchange environments a plus.

Benefits

Comp & perks
  • Health insurance
  • Retirement plans
  • Flexible work arrangements