Senior Integration Analyst
About the role
About Our Client:The organization operates in the healthcare technology industry, addressing challenges in payer-provider interoperability and prior authorization processes. It provides a clinical intelligence platform and AI-powered solutions that enhance collaboration between health plans and providers, aiming to optimize care speed, cost, and quality. The organization integrates pre-service authorization with post-service claims validation to reduce waste and improve outcomes, serving a broad healthcare ecosystem with recognized industry impact.
About the Opportunity:The Senior Integration Analyst leads the technical analysis and design of complex healthcare interoperability solutions to enable integration between the organization''s platform and external payer, provider, and third-party systems. This role drives scalable and reliable integrations that enhance patient and provider experiences and supports multiple client initiatives, ensuring successful implementation and operational support.
Responsibilities
- Serve as a subject-matter expert on healthcare interoperability and payer prior authorization integrations
- Lead client-facing discovery and requirements gathering, translating workflows into technical specifications
- Design scalable integration workflows using APIs, HL7 FHIR, HL7 v2, X12 EDI, SFTP, and flat files
- Produce detailed documentation including source-to-target mappings, interface specs, data-flow diagrams, and validation rules
- Manage integration analysis across multiple client initiatives, tracking risks and issues
- Investigate integration failures and coordinate root-cause analysis
- Develop and support testing scenarios for various testing phases
- Collaborate with cross-functional teams to deliver reliable solutions
- Support clients through implementation, activation, and steady-state operations
- Mentor junior analysts and contribute to improving integration standards and processes
Requirements
- 5+ years of experience with healthcare integrations, preferably including prior authorization
- Experience leading complex integration projects from discovery to production readiness
- Hands-on experience with REST APIs, JSON, XML, SFTP, and flat-file integrations
- Familiarity with interoperability standards such as HL7 FHIR and HL7 v2; X12 EDI is a plus
- Understanding of payer workflows like prior authorization, eligibility, claims, or utilization management
- Experience creating technical documentation such as mappings and test scenarios
- Technical design skills for integration solutions
- Strong communication skills for client-facing interactions
- Ability to manage multiple initiatives in a dynamic environment
- Proven cross-functional collaboration experience
Pay
The salary range for this position is $105,000 to $120,000 annually. Total benefits package includes health insurance, 401(k) with company match, and bonus.
Benefits
- Fully remote role with occasional travel
- Medical, dental, vision, life, and disability insurance plus Employee Assistance Program
- 401(k) retirement plan with company match; flexible spending and health savings accounts
- Flexible time off and company holidays
- Up to 14 weeks of paid parental leave
- Pet insurance