Senior VA Health Systems Integration – Interoperability Specialist

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Act as the senior technical authority for the integration of VA health systems, encompassing VistA/CPRS, Oracle Health/Federal EHR, IVC/VCC Community Care, and associated enterprise data workflows.

• Map and troubleshoot comprehensive direct-care and Community Care workflows, which include consults/referrals, authorizations, scheduling, episodes of care, documentation, provider data, and returned medical records.

• Analyze healthcare claims and data adhering to X-12 data standards and formats to aggregate encounters and episodic information while identifying healthcare outcomes and payment metrics.

• Align VistA/CPRS consult workflows with Oracle Health referral workflows, considering statuses, identifiers, business rules, and reporting implications.

• Facilitate CCRA/HSRM integration for Community Care referrals and authorizations, isolating workflow, interface, configuration, and data quality challenges.

• Design and assess source-to-target mappings, interface specifications, transformation rules, reconciliation logic, and validation criteria.

• Review VA integration methodologies, including VIA, RPC/RPC Broker patterns, HL7 v2, APIs, FHIR-based exchange, files, databases, and other sanctioned mechanisms.

• Track authoritative sources and data lineage across VistA, Oracle Health, Community Care, enterprise repositories, and downstream analytics.

• Identify issues with failed or incomplete integrations by scrutinizing interface behavior, timing, identifiers, code sets, status transitions, missingness, duplicates, permissions, and dependencies.

• Assist with VistA-to-Federal-EHR coexistence, migration, cutover, and reconciliation processes.

• Promote reporting, measurement, automation, and AI-enhanced workflows while maintaining source context, lineage, validation, and known limitations.

• Collaborate with clinical informatics, IVC/Community Care SMEs, application owners, architecture, platform, cybersecurity/privacy, data teams, and government stakeholders.

• Establish monitoring, exception handling, auditability, data quality checks, interface health indicators, and operational support expectations.

• Create system/data-flow diagrams, interface inventories, mappings, business-rule crosswalks, lineage, reconciliation logic, known limitations, and operational dependencies.

• Provide senior technical reviews, mentorship, and knowledge transfer regarding VA-specific integration constraints, workflows, and authoritative sources.

⛳️ Requirements

• A bachelor's degree in computer science, information systems, health informatics, data engineering, engineering, or a related field; equivalent directly relevant experience may be considered.

• Over 10 years of experience in healthcare claims review and processing, specifically with Electronic Data Interchange (EDI) transactions and data in X-12 formats, focusing on 270/271 transactions.

• A minimum of 5 years in healthcare systems integration, health IT, data integration, interoperability, EHR integration, or related enterprise technology roles.

• At least 5 years of direct experience with VA/VHA technology, health informatics, integration, data, or Community Care.

• Extensive hands-on expertise with VistA/CPRS, including architecture, data structures, workflows, FileMan concepts, RPC/RPC Broker, HL7, VIA, or similar mechanisms.

• Proven experience with Oracle Health/Cerner or Federal EHR, covering VistA coexistence, interfaces, migration, reconciliation, or workflow translation.

• In-depth knowledge of VA Community Care and IVC/VCC, including referral/authorization lifecycles and CCRA/HSRM or closely associated integration processes.

• Proficient in SQL.

• Familiarity with HL7 v2, APIs, JSON/XML, FHIR concepts, ETL/ELT, batch/file exchange, identity matching, and source-to-target mapping.

• Ability to reconcile conflicting records, identifiers, statuses, definitions, and business rules, and to identify authoritative sources.

• Experience managing PHI/PII in accordance with federal healthcare security, privacy, auditing, records management, access control, and data governance standards.

• Capability to successfully complete and maintain the required federal background investigation, suitability, and Public Trust requirements.

• Preferred: More than 12 years of enterprise health IT or systems integration experience with significant VA/VHA involvement.

• Preferred: Extensive experience in IVC/VCC Community Care, including CCRA/HSRM, Community Care Network workflows, referral/authorization status, episodes of care, eligibility, scheduling, and clinical document return.

• Preferred: Experience with VA Community Care data environments such as CCRA, CCRS, eCAMS, CDW, or other governed enterprise sources.

• Preferred: Familiarity with JLV, Health Information Exchange (HIE), or other VA mechanisms.

• Preferred: Knowledge of M/MUMPS, InterSystems technologies, VistA FileMan, or low-level VistA troubleshooting.

• Preferred: Experience supporting Federal EHR modernization, VistA-to-Oracle Health migration/coexistence, interface remediation, or cross-EHR data reconciliation.

• Preferred: Experience enabling analytics, automation, AI/ML, or decision support utilizing VA clinical or Community Care data.

• Preferred: Relevant training or certification in interoperability, health informatics, HL7/FHIR, cloud/data integration, database, or architecture.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health insurance, including medical, dental, and vision coverage.

• Generous retirement plans with employer contributions.

• Flexible working hours and remote work options.

• Opportunities for professional development and continuing education.