About the role

Aplyr's Quick Take

This role is about designing and implementing interoperability solutions in healthcare, ensuring data exchange between various systems. It's primarily an individual contributor position that requires technical expertise in integration technologies and collaboration with stakeholders.

Good fit

Ideal candidates have a strong background in healthcare IT, experience with interoperability standards like HL7 and FHIR, and can work independently while managing client relationships. A few years of relevant experience in a technical or consulting role is preferred.

Worth noting

The role involves significant client interaction and project management, which may not be typical for purely technical positions. It also emphasizes compliance with healthcare regulations, which adds a layer of complexity.

Interoperability Consultant / UM Technology (Advisor) SME

This role is responsible for leading the design, implementation, and optimization of interoperability solutions across healthcare systems, applications, and platforms. The individual will ensure seamless and secure data exchange between disparate systems utilizing industry standards such as HL7, FHIR, CDA, X12, APIs, and related integration technologies. The consultant will collaborate closely with internal and external stakeholders, technical teams, vendors, and clients to deliver interoperability solutions that align with business objectives, regulatory requirements, and organizational standards.

Key Responsibilities

Solution Design & Implementation

Analyze business and technical requirements to design and implement healthcare interoperability solutions.
Configure, deploy, and support integration platforms and interface engines, including technologies such as Mirth, Rhapsody, Cloverleaf, and API-based integrations.
Develop scalable and secure integration architectures that support healthcare data exchange and interoperability initiatives.
Recommend best practices and technical solutions to optimize system connectivity and performance.

Client & Stakeholder Engagement

Serve as the primary point of contact for clients and stakeholders during implementation and integration projects.
Lead discovery sessions, gather business and technical requirements, and translate them into detailed functional and technical specifications.
Build strong relationships with business partners, technology teams, vendors, and leadership to ensure successful project delivery.
Provide ongoing consultation and guidance on interoperability strategies and healthcare technology solutions.

Technical Integration & Support

Design, develop, test, and support interfaces between EHR systems, Health Information Exchanges (HIEs), utilization management platforms, and third-party applications.
Monitor, troubleshoot, and resolve interoperability and data exchange issues while maintaining system reliability and performance.
Ensure compliance with HIPAA, security standards, and healthcare industry regulations.
Support production environments and provide post-implementation technical assistance as needed.

Project Leadership

Manage project timelines, deliverables, risks, and stakeholder communications throughout the implementation lifecycle.
Coordinate cross-functional teams to ensure successful execution and deployment of interoperability initiatives.
Develop and maintain technical documentation, workflow diagrams, training materials, and support resources.
Provide knowledge transfer and training to internal teams and business users.

Compliance & Industry Standards

Ensure adherence to healthcare interoperability standards, including HL7 v2/v3, FHIR, CDA, X12, and related regulatory requirements.
Stay informed of emerging healthcare interoperability regulations, technologies, and industry trends.
Promote best practices for data governance, security, privacy, and system interoperability.

Additional Responsibilities

In addition to serving as an Interoperability Consultant, this individual will act as a key IT liaison between internal business partners, external clients, vendors, and technology teams. The role requires the ability to bridge business and technical requirements, facilitate effective communication across stakeholders, and drive alignment on strategic technology initiatives.

Subject Matter Expertise Requirement

This position requires a deep understanding of eviCore's proprietary Utilization Management (UM) platform and associated business processes. The successful candidate will serve as the primary Subject Matter Expert (SME) for the UM application, providing technical leadership, consultation, and guidance for all interoperability and integration efforts involving the platform. Expertise in utilization management workflows, healthcare operations, system integrations, and data exchange processes is essential.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Skills & Tags

Aplyr's read

Cigna is a global health services leader, attracting professionals dedicated to advancing healthcare solutions and improving patient outcomes worldwide.
Synthesized from recent postings & public sources

What's promising

•Cigna's diverse roles offer opportunities across healthcare, technology, and customer service sectors.
•The company's global presence allows for international career growth and mobility.
•Cigna invests in innovative health solutions, fostering a forward-thinking work environment.

What to watch

•The healthcare industry faces regulatory challenges that may impact Cigna's operations.
•Cigna's large size can lead to bureaucratic processes that slow decision-making.
•Limited public information about Cigna's internal culture and employee satisfaction.

Why Cigna

•Cigna's integration of Evernorth enhances its healthcare service offerings.
•The company emphasizes innovation in health technology and AI enablement.
•Cigna's focus on military and veteran partnerships sets it apart in healthcare services.

Aplyr’s read is generated by AI from public sources. Was it useful?

About Cigna

Cigna

cigna.com

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Cigna Healthcare is a global health services company dedicated to improving the health, well-being, and peace of mind of those they serve. They offer a wide range of health insurance products and services, including medical, dental, behavioral health, pharmacy, and disability insurance.