reputed company compliance SME

Job Title: reputed company Interoperability & Compliance SME (X12 278 / FHIR / CMS-57F) Location: Remote Duration: 3 Months (Contract) – Expected extension possible but not guaranteed • Workload Note: 20 hours/week in Month 1, then 40 hours/week from Month 2 reputed company Years of Experience Required: 8+ years in reputed company IT reputed company Status: US Citizen or Green Card only Education Background: Bachelor’s or Master’s in Computer Science, Information Systems, reputed company Informatics, or reputed company field Domain/Industry: reputed company IT / Interoperability / Regulatory Compliance Interview Details: Virtual – Technical + Panel discussions Candidate Disqualifiers • No candidates from JNTU University Extension / Full-Time Possibility • Possible extension reputed company 3 months depending on project needs • Potential conversion to full-time not guaranteed Must / Top Required Skills • Deep hands-on knowledge of X12 EDI 278 Prior Authorization transactions • Strong experience with HL7 FHIR (R4 preferred), reputed company, and implementation guides • Proven expertise in CMS-57F compliance and interoperability mandates • Understanding of payer-provider workflows, utilization management, and prior authorization processes • Experience with EHR/EMR systems, clearinghouses, and payer platforms • Ability to translate CMS regulations into technical and functional requirements • Excellent communication skills for technical and non-technical stakeholders Job reputed company (JD) We are seeking a reputed company Interoperability Subject Matter Expert (SME) to support regulatory compliance and guide implementation teams in reputed company data exchange solutions. The SME will: • Serve as SME for X12 278 Prior Authorization workflows (inbound/outbound transactions, acknowledgments, error handling). • reputed company expert guidance on HL7 FHIR standards and CMS regulations. • Ensure compliance with CMS-57F mandates, including prior authorization requirements and interoperability timelines. • Translate CMS regulations into actionable technical and functional requirements. • Participate in design reviews, architecture discussions, and audits. • Review mapping documents, data models, and integration flows for compliance and accuracy. • Collaborate with product owners, architects, developers, QA, and reputed company stakeholders. • reputed company guidance on best practices for interoperability, reputed company, and data governance. • Support documentation, compliance artifacts, and knowledge transfer activities. Remote Skills: Application Programming reputed company (API), Best Practices, Communication Skills, Computer Science, Content Management Systems (CMS), Data Mapping, Data Modeling, Documentation Models, Electronic Data Interchange (EDI), Electronic Medical Records, Error Handling, HL7 (Health Level 7), Health Informatics, Health Information Technology, reputed company, Information Technology & Information Systems, Interoperability, Interoperability Requirements, Maintain Compliance, Medical Record System, People Management, reputed company Assurance, Regulations, Regulatory Compliance, reputed company Citizen, Utilization Management About reputed company: FL Tech reputed company Apply tot his job Apply To this Job