Senior Health Interoperability Engineer

🕒 July 27

🌵 Arizona, District of Columbia, +23 more states – Remote

🌵 Arizona – Remote 🏛️ District of Columbia – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $130k - $155k / year

⏰ Full Time

🟠 Senior

👷🏻‍♀️ Engineer

👻 Ghost score 14%

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Commence

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🏛️ Government

🤖 Artificial Intelligence

Healthcare • Government • Artificial Intelligence

Commence is a healthcare data and technology company that delivers data-centered solutions to make health data more accessible, discoverable, and interoperable. The company pairs clinical expertise with AI-driven data transformation and a technology platform to address fraud, waste & abuse, independent dispute resolution, peer and independent reviews, quality improvement, and patient advocacy. Commence serves federal health agencies (CMS, VA, Defense Health Agency), state & local government programs, and commercial health customers, focusing on improving outcomes, accuracy, and program integrity.

📋 Description

• 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

• 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

• Health insurance • Retirement plans • Flexible work arrangements