Senior VA Health Systems Integration – Interoperability Specialist

LMI

. Serve as the senior technical lead for VA health-system integration across VistA/CPRS, Oracle Health/Federal EHR, IVC/VCC Community Care, and related enterprise data flows .

Posted 11/2/2026full-timeRemote • Virginia • United StatesSenior💰 $125,000 - $200,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive expertise in healthcare systems integration, particularly with VistA/CPRS and Oracle Health, while effectively managing data workflows, interoperability, and compliance with federal healthcare standards. Proficient in analyzing and reconciling healthcare claims and data, ensuring high-quality integration and reporting.

Highest-signal resume keywords

Healthcare Claims ReviewVistA/CPRS ExpertiseEHR IntegrationHL7/FHIR KnowledgeSQL Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare Claims ReviewVistA/CPRS ExpertiseEHR IntegrationHL7 v2APIsSQLX-12 Data StandardsETL/ELTData MappingData Governance

Soft Skills

MentoringCollaborationProblem-SolvingCommunication

Tools & Technologies

Oracle HealthFederal EHRCommunity Care NetworkHealth Information ExchangeInterSystems Technologies

Certifications & Qualifications

Health Informatics CertificationInteroperability Training

Industry Keywords

VA Health-System IntegrationCommunity Care WorkflowsElectronic Data InterchangePHI/PII ComplianceFederal Healthcare Standards

Tech Stack

Tools & technologies

CloudCyber SecurityETLOracleSQL

About the role

Key responsibilities & impact

Serve as the senior technical lead for VA health-system integration across VistA/CPRS, Oracle Health/Federal EHR, IVC/VCC Community Care, and related enterprise data flows
Map and troubleshoot end-to-end direct-care and Community Care workflows, including consults/referrals, authorizations, scheduling, episodes of care, documentation, provider data, and returned medical records
Examine healthcare claims and data in X-12 data standards and formats to aggregate encounters and episodic data and identify healthcare outcomes and payment metrics
Reconcile VistA/CPRS consult workflows with Oracle Health referral workflows, including statuses, identifiers, business rules, and reporting impacts
Support CCRA/HSRM integration for Community Care referrals and authorizations and isolate workflow, interface, configuration, and data-quality issues
Design and review source-to-target mappings, interface specifications, transformation rules, reconciliation logic, and validation criteria
Evaluate VA integration approaches including VIA, RPC/RPC Broker patterns, HL7 v2, APIs, FHIR-based exchange, files, databases, and other approved mechanisms
Trace authoritative sources and lineage across VistA, Oracle Health, Community Care, enterprise repositories, and downstream analytics
Diagnose failed or incomplete integrations by examining interface behavior, timing, identifiers, code sets, status transitions, missingness, duplicates, permissions, and dependencies
Support VistA-to-Federal-EHR coexistence, migration, cutover, and reconciliation
Enable reporting, measurement, automation, and AI-enabled workflows while preserving source context, lineage, validation, and known limitations
Coordinate with clinical informatics, IVC/Community Care SMEs, application owners, architecture, platform, cybersecurity/privacy, data teams, and Government stakeholders
Define monitoring, exception handling, auditability, data-quality checks, interface-health indicators, and operational support expectations
Produce system/data-flow diagrams, interface inventories, mappings, business-rule crosswalks, lineage, reconciliation logic, known limitations, and operational dependencies
Provide senior technical review, mentoring, and knowledge transfer on VA-specific integration constraints, workflows, and authoritative sources

Requirements

What you’ll need

Bachelor's degree in computer science, information systems, health informatics, data engineering, engineering, or a related field; equivalent directly relevant experience may be considered
10+ years healthcare claims review and processing specifically with Electronic Data Interchange (EDI) transactions and data in X-12 formats, with emphasis on 270/271 transactions
5+ years in healthcare systems integration, health IT, data integration, interoperability, EHR integration, or related enterprise technology work
5+ years of direct VA/VHA technology, health informatics, integration, data, or Community Care experience
Deep hands-on VistA/CPRS expertise, including architecture, data structures, workflows, FileMan concepts, RPC/RPC Broker, HL7, VIA, or comparable mechanisms
Demonstrated Oracle Health/Cerner or Federal EHR experience spanning VistA coexistence, interfaces, migration, reconciliation, or workflow translation
Strong VA Community Care and IVC/VCC knowledge, including referral/authorization lifecycles and CCRA/HSRM or closely related integration processes
Strong SQL skills
Experience with HL7 v2, APIs, JSON/XML, FHIR concepts, ETL/ELT, batch/file exchange, identity matching, and source-to-target mapping
Ability to reconcile conflicting records, identifiers, statuses, definitions, and business rules and determine authoritative sources
Experience handling PHI/PII within federal healthcare security, privacy, auditing, records-management, access-control, and data-governance requirements
Ability to successfully complete and maintain required federal background investigation, suitability, and Public Trust requirements
Desired: 12+ years of enterprise health IT or systems-integration experience with extensive VA/VHA work
Desired: Deep IVC/VCC Community Care experience, including CCRA/HSRM, Community Care Network workflows, referral/authorization status, episodes of care, eligibility, scheduling, and clinical-document return
Desired: Experience with VA Community Care data environments such as CCRA, CCRS, eCAMS, CDW, or other governed enterprise sources
Desired: Experience with JLV, Health Information Exchange (HIE), or other VA mechanisms
Desired: Familiarity with M/MUMPS, InterSystems technologies, VistA FileMan, or low-level VistA troubleshooting
Desired: Experience supporting Federal EHR modernization, VistA-to-Oracle Health migration/coexistence, interface remediation, or cross-EHR data reconciliation
Desired: Experience enabling analytics, automation, AI/ML, or decision support using VA clinical or Community Care data
Desired: Relevant interoperability, health informatics, HL7/FHIR, cloud/data integration, database, or architecture training/certification