Lead Technical Consultant

Core Responsibilities

• Collaborate with Provider organizations and downstream ancillary system analysts to understand and develop business and functional interface requirements.
• Deliver to Provider and receive returned Elevance configuration documents.
• Submit all applicable connectivity tickets between Provider and Elevance Health via ServiceNow (SNOW).
• Utilize available tools to analyze Provider data and provide gap analysis to translate business requirements into functional field-level specification requirements.
• Provide project management staff with comprehensive status reports regarding assigned projects.
• Collaborate with assigned developers to ensure understanding of specifications and validate accurate deliverables.
• Identify outlier testing scenarios and develop test plans for quality assurance.
• Participate with developers on interface validation prior to delivery to downstream systems.
• Remediate any issues identified by downstream systems and analysts prior to activation.
• Ensure compliance with all testing, documentation, and change management requirements.
• Maintain monitoring post-live interface performance until transition to support.
• Participate in team activities to develop, modify, and enhance standard specifications, processes, and training procedures.

Required Qualifications

• Minimum Experience: 3+ years of relevant experience reading and manipulating CDA (CCDA, C62, CCD) and FHIR transactions with interface engine output.
• Hands-on experience working with CCDA files (Required).
• Experience with FHIR resources, profiles, and implementation guides.
• Communication Protocols: Working knowledge of communication protocols and connectivity (VPN, SOAP, TLS, SFTP).
• Transaction Sets: Experience with FHIR resource types: Patient, Encounter, DocumentReference, Procedure, Observation, DiagnosticReport, Condition, MedicationStatement, etc.