Role: Healthcare
Interoperability Capability Lead

Role Summary: We are seeking an
accomplished, visionary leader to establish and drive our Healthcare
Interoperability Capability within our Organization. This is a pivotal role
responsible for supporting and shaping our enterprise -wide capabilities, and
delivering innovative, standard -driven interoperability solutions.

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The ideal candidate
must possess deep, verifiable Subject Matter Expertise (SME) in healthcare
interoperability standards, a proven ability to think strategically yet act
hands -on, and a high comfort level in translating abstract business challenges
into concrete, scalable technical solutions. This role requires a high degree
of self -drive, initiative, and exceptional cross -functional collaboration
skills.

​

Key
Responsibilities

1. ​Strategy &
Vision Leadership:

a. ​Define and champion
the vision, strategy, and roadmap for the Interoperability COE, aligning
capabilities with the Enterprise digital transformation goals.

b. Function as the thought leader and chief architect,
translating ambiguous business requirements and market trends into explicit,
strategic priorities and actionable execution plans.

c. Monitor emerging industry standards (e.g., FHIR,
API -driven architectures) and regulatory developments (e.g., US Cures Act,
GDPR), ensuring the COE remains at the forefront of global interoperability.

2. Deep Subject Matter Expertise (SME)

a. Provide deep definitive Subject Matter Expertise
across core healthcare interoperability standards and terminologies​FHIR
(Fast Healthcare Interoperability Resources).



​HL7 (v2, v3, CDA),
X12/EDI (Claims, Enrollment, Eligibility), and other standards/ resources

b. Oversee the design, architecture, and implementation
of secure, scalable, and compliant data exchange solutions for clinical,
claims, and administrative data domains.

3. ​Payer and Provider
Solution Delivery

a. ​Lead the
development and delivery of end -to -end interoperability solutions specifically
tailored for Healthcare Payers (e.g., claims data integration, member access)
and Healthcare Providers (e.g., EHR integration, clinical data exchange).

b. ​Drive proofs of
concept (POCs), reference architectures, and solution accelerators to rapidly
deploy standards -based solutions.

4. Collaboration & Capability Building

a. ​Serve as the
primary liaison, fostering strong cooperative relationships with product
teams, engineering, operations, and external partners.

b. ​Demonstrate strong
self -drive and initiative, anticipating needs, proactively resolving
roadblocks, and serving as the bridge between technical and non -technical
stakeholders.

c. ​Mentor and develop
a high -performing team of interoperability experts, establishing governance
frameworks, KPIs,



and best practices for capability delivery and adoption.

​Qualifications & Experience

Experience

15+ years in healthcare technology, with at least 5
years in a senior leadership role focused on data integration and
interoperability.

Payer/Provider Experience

Proven, successful experience in implementing FHIR -,
HL7 -, and EDI -based solutions in both Payer and Provider environments.

Technical SME

Exceptional, verifiable deep SME in the specified
standards (FHIR, HL7, EDI, SNOMED CT, LOINC).

Leadership

Proven record of thinking strategically (setting
long -term direction) while maintaining the ability to act on the ground
(personally driving critical -path deliverables).

Mindset

Demonstrated ability to thrive with abstract or
incomplete information, rapidly structuring it to develop a clear, strategic
path forward.

Communication

Exceptional written and verbal communication skills;
able to articulate complex technical and strategic concepts to executive and
highly technical audiences.

Education

Graduate or post -graduate degree in Computer
Science, Health, or a related discipline.

Desired Attributes

- ​Experience setting up or scaling a COE or similar
capability from the ground up.

- ​Relevant industry certification (e.g., Certified
FHIR Professional).

- ​Familiarity with cloud -based interoperability
platforms (e.g., Azure Health Data Services, AWS HealthLake, Google Cloud
Healthcare API).