IT Client Liaison and Interop Advisor
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.