Saransh Inc ยท 3 months ago
FHIR Analyst with CMS Interoperability and EMR Integrations - Remote (US)
United States
Contract
Remote
Mid Level
3+ years expSaransh Inc is seeking a FHIR Analyst who will be a subject matter expert in implementing and maintaining interoperability solutions in compliance with CMS regulations. The role involves regulatory analysis, data mapping, API development, and collaboration with business and IT teams to enhance data exchange for healthcare operations.
EmploymentInformation TechnologyStaffing Agency
Responsibilities
Regulatory analysis and interpretation: Analyze and interpret the CMS-0057-F rule and related FHIR Implementation Guides (IGs), such as CARIN BB, US Core, Da Vinci PDEX, and Da Vinci CRD, DTR, and PAS, to translate complex regulatory requirements into detailed technical specifications
Requirements gathering
Data mapping and modeling: Perform in-depth data analysis and mapping exercises, linking proprietary source system data to the appropriate FHIR resources and profiles, as well as integration with Electronic Health Records (EHRs), such as Epic and Cerner, using FHIR APIs
FHIR API implementation support: Assist development teams in the design, development, and testing of the following FHIR-based APIs mandated by CMS-0057-F
Prior Authorization API
Patient Access API: Maintain and enhance the FHIR Patient Access API to meet new reporting metrics and data requirements
Provider Access API
Payer-to-Payer API
Testing and validation: Create functional test cases, execute testing using tools like Postman, and validate FHIR outputs against implementation guides to ensure compliance and data quality
Documentation and reporting: Develop comprehensive documentation, including data flow diagrams, HL7 FHIR API specifications, and test results. Assist in generating the CMS Interoperability Patient Access API and prior authorization metrics required for public reporting to CMS
Issue resolution
Stakeholder engagement
Qualification
Required
Bachelor's degree in a relevant field, such as Health Informatics, Computer Science, or Business
3+ years of experience as a data or systems analyst in the US healthcare industry, with a focus on HL7 FHIR and interoperability projects
Strong understanding of CMS Interoperability and Prior Authorization regulations, including CMS-0057-F and its impact on payers and providers
Hands-on experience with FHIR API interactions, resources (e.g., Patient, Coverage, ServiceRequest), and Implementation Guides
Proficiency in data analysis and mapping techniques
Experience with testing tools like Postman for API validation
Intermediate level experience with SQL for data profiling and analysis
Knowledge of data privacy and security regulations, such as HIPAA, to handle sensitive patient information during data exchange
Familiarity with related healthcare standards such as HL7 v2, CCDA, USCDI, and clinical terminology like SNOMED, LOINC, and CPT
Preferred
HL7 FHIR certification
Experience in the payer domain with a strong understanding of payer workflows and data management
Experience with Agile development methodologies
Experience with cloud-based data platforms (e.g., AWS, Azure)
Company
Saransh Inc
We provide recruitment, consulting and IT services for our clients, which focus on maximizing their revenue generation, enhancing business productivity and improving cost management.
51-200 employees
H1B Sponsorship
Saransh Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (35)
2024 (51)
2023 (45)
2022 (30)
2021 (22)
2020 (39)
Funding
Current Stage
Growth StageLeadership Team
Sridhar Chimaladinne
FOUNDER & CEO
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