Interoperability Data Integration Specialist na Bcbsks
Bcbsks · Topeka, Estados Unidos Da América · Hybrid
- Senior
- Escritório em Topeka
** This position is eligible to work hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.
Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
Why Join Us?
- Family Comes First: Total rewards package that promotes the idea of family first for all employees.
- Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
- Trust: Work for one of the most trusted companies in Kansas
- Stability: 80 years of commitment, compassion and community
- Inclusive Work Environment: We pride ourselves on fostering a diverse and inclusive workplace where everyone is valued and respected.
Compensation
$108,640 - $135,800
IT&S grade 17
- Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The salary range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive salaries that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
What you’ll do
- Develop and execute data integration strategies that prioritize interoperability mandates (e.g., CMS, ONC, BCBSA) while actively exploring and enabling internal use cases that support innovation, data accessibility, and strategic value creation.
- Assess, recommend, and oversee the deployment of tools, platforms, and architectures that enhance healthcare data exchange and interoperability.
- Design, implement, and optimize end-to-end data flows across clinical, claims, provider, and membership domains — ensuring data quality, regulatory compliance, and performance.
- Lead discussions between payer systems and external platforms such as EHRs, HIEs, TPAs, and PBMs to support bidirectional data exchange.
- Work cross-functionally with Business Analysts, internal IT teams, vendor support, and external data contributors to translate requirements into reliable integration solutions and resolve interoperability challenges.
- Participate in user acceptance testing (UAT) and production validation processes.
- Ensure HIPAA, CMS 9115-F and 0057-F, and ONC certification compliance in all data handling activities.
- Maintain data lineage, support audits, and ensure traceability for all inbound and outbound data transactions.
- Participate in user groups and HL7 industry forums to stay current with emerging standards and advocate for enhancements.
- Mentor junior team members and promote data interoperability best practices across the organization.
Knowledge/Skills/Abilities
- Strong knowledge of healthcare data standards, including HL7 v2, FHIR, CDA, X12, USCDI, US Core, and Da Vinci implementation guides.
- Familiarity with CMS/ONC regulations (e.g., CMS-9115-F, 0057-F), HIPAA compliance, patient consent, audit trails, and data provenance.
- Expertise in data integration, including source-to-target mapping, normalization, and canonical modeling across clinical, claims, provider, and member domains.
- Proficiency in building real-time and batch data interfaces with EHRs, HIEs, TPAs, PBMs, and internal systems.
- Strong analytical and troubleshooting skills, including root cause analysis for data transformation and performance issues.
- Proficiency in SQL, database design, and relevant programming languages for data processing and transformation.
- Experience with healthcare terminology standards, such as SNOMED, LOINC, ICD-10, and RxNorm.
- Understanding of modern authentication protocols, including OAuth 2.0, OpenID Connect, and SMART on FHIR.
- Effective collaborator and communicator, working cross-functionally with analysts, product managers, developers, and external partners.
- Experience with Agile, ITIL, and cloud technologies, including Azure components like APIM, and proficiency in Microsoft Office tools.
What you need
- High school diploma or equivalent required. Bachelor’s degree in Health Informatics, Computer Science, Information Systems, or a related field preferred.
- Minimum of eight years in Information Technology or related field required.
- Relevant certifications from HL7 or healthcare interoperability credentials are preferred. If not currently held, the candidate must obtain the HL7 FHIR Foundational Implementer certification within 12 months of hire as a condition of continued employment.
Physical Requirements
- Office setting, with possible remote or hybrid work opportunities depending on the department.
- Some meetings, training, demonstrations, etc. may require in person attendance.
- May involve long periods of time working on a computer.
Benefits & Perks
- Base compensation is only one component of your competitive Total Rewards package
- Incentive pay program (EPIP)
- Health/Vision/Dental insurance
- 6 weeks paid parental leave for new mothers and fathers
- Fertility/Adoption assistance
- 2 weeks paid caregiver leave
- 5% 401(k) plan matching
- Tuition reimbursement
- Health & fitness benefits, discounts and resources
Our Commitment to Connection and Belonging
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.
Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.
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