Interoperability Data, DevSecOps & QA Specialist - 0521

Key Responsibilities

• Support data integration, mapping, validation, testing, deployment readiness, and ongoing system operations.
• Coordinate source data availability across claims, encounters, clinical data, formulary data, drug benefits, and recipient records.
• Support monthly formulary updates and ensure one-business-day availability for required healthcare datasets.
• Validate recipient coverage, active member status, dates of service, and payer-to-payer lookback requirements.
• Assist with system connectivity across interoperability platforms, portals, and data warehouse environments.
• Develop and execute system, integration, regression, and API testing, including user acceptance testing support.
• Maintain detailed test evidence, defect logs, validation results, incident reports, and readiness documentation.
• Support and maintain test environments for pre-production validation of system enhancements.
• Provide ongoing operational support for platform modules, API users, developers, and internal staff.
• Assist with third-party onboarding, attestation support, sandbox testing, and privacy/security review coordination.
• Monitor system performance to support 99.9% availability goals and escalate incidents as needed.
• Prepare training materials and self-service documentation for system functionality, reporting, and support procedures.
• Provide customer support for member inquiries, staff troubleshooting, and third-party developer questions.
• Ensure strict adherence to government security and privacy standards, including handling of PII, PHI, and sensitive healthcare data.
• Leverage approved AI/ML and LLM tools for test generation, anomaly detection, documentation, and workflow automation.

Qualifications:

• Must be a U.S. Citizen.
• Associate degree or equivalent professional experience.
• Minimum of four (4) years of experience in data integration, QA, DevSecOps, technical support, or healthcare IT operations.
• Proficiency with SQL and ETL/ELT processes.
• Experience with API testing tools, test scripts, validation reporting, defect tracking, and monitoring tools.
• Familiarity with healthcare data standards including FHIR resources, claims, encounters, clinical and formulary data.
• Knowledge of OAuth 2.0, OpenID Connect, and SMART on FHIR workflows.
• Ability to support CI/CD processes, release readiness, and system monitoring activities.
• Strong attention to detail with a commitment to data integrity, accuracy, and security.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong written and verbal communication skills to collaborate with technical teams, users, and external developers.
• Experience supporting secure environments with strict compliance requirements.

Job Benefits