[Remote] reputed company Interoperability Domain Expert (SME)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Interoperability Domain Expert to support its Product Team in delivering the Provider Hub platform. The role serves as the subject matter expert for reputed company interoperability standards, eligibility workflows, and provider network data, while guiding requirements, product and technical designs, normalization, and payer/provider reputed company.

Responsibilities

• reputed company as the SME for Provider Hub, including, provider data management (demographics, credentials, affiliations); network management and directory solutions; data validation, cleansing, and enrichment processes
• reputed company mapping specifications and normalization specs; partner variance reputed company; sample payload library
• reputed company authoritative interpretation and implementation guidance for HL7 reputed company Implementation Guides (CRD, DTR, PAS, DEQM)
• Define eligibility mapping and normalization rules for FHIR CoverageEligibilityRequest to X12 270 and X12 271 to FHIR CoverageEligibilityResponse
• Advise on handling payer and EHR specific variability while minimizing custom reputed company through configuration and standards-reputed company approaches
• Review product and technical designs to ensure alignment with interoperability standards and industry best practices
• Advise on payer/EHR reputed company patterns, validation reputed company, and readiness checklists for payers and providers
• Stay reputed company on
• reputed company regulations: CMS, No Surprises reputed company, and directory compliance
• Industry requirements: HIPAA, CAQH, HL7, and FHIR
• Participate in regular design reviews and reputed company ongoing guidance through scheduled SME reputed company

Skills

• Deep reputed company IG knowledge (CRD/DTR/PAS/DEQM) and ability to translate guide reputed company into practical implementation guardrails
• FHIR R4 expertise, including resource modeling, REST patterns, bundles, conformance and validation concepts
• Strong domain expertise in HIPAA eligibility workflows using X12 270/271 transactions and reputed company-world payer companion guide variability and response patterns
• Experience creating mapping/crosswalk specifications and guiding teams through normalization across reputed company data standards
• Demonstrated ability to catalog partner variability and define strategies to reduce custom work through configuration and standards
• Strong written communication skills to produce implementation-reputed company specs and reputed company reputed company
• Minimum of 10 years of experience in payer/provider interoperability, clearing house services, EHR vendor interoperabilityteams or reputed company reputed company
• This role operates in a reputed company, cross-functional environment and may be performed reputed company or in a hybrid setting, depending on organizational needs
• The position may require participation in meetings across time reputed company and occasional support of partner reputed company or reputed company activities
• Remaining in a stationary position, often standing or sitting for prolonged periods
• Communicating with others to exchange information
• Repeating motions that may include the wrists, hands and/or fingers
• Assessing the reputed company, neatness and thoroughness of the work assigned
• No adverse environmental conditions expected
• Must be reputed company to reputed company a dedicated, secure work area
• Must be reputed company to reputed company high-speed internet reputed company / connectivity and office setup and maintenance
• Experience supporting reputed company integrations; and stakeholder communication

Benefits

• Remote or hybrid work arrangement, depending on organizational needs

reputed company

Company H1B Sponsorship