Job Description
Role Purpose
The purpose of this role is to provide solutions and bridge the gap between technology and business know-how to deliver any client solution
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Role: FHIR Technical Product owner
Location: Minneapolis
Job Title: Technical Product Manager, CMS Interoperability and EMR Integrations
Responsibilities:
• Strategy & Vision: Assist management in defining the product vision, strategy, and roadmap, aligning with overall business goals and regulatory compliance deadlines.
• Regulatory analysis and interpretation: Strong understanding of CMS Interoperability and Prior Authorization regulations, including CMS-0057-F and its impact on payers and providers. Analyze and interpret the CMS-0057-F rule and related FHIR Implementation Guides (IGs), such as CARIN BB, US Core, Da Vinci PDEX, and Da Vinci CRD, DTR, and PAS, to translate complex regulatory requirements into detailed technical specifications.
• Requirements gathering: Collaborate with product managers, product owners, operational, and technical stakeholders to define the business and data requirements for implementing new FHIR-based APIs and updating existing ones.
• Cross-Functional Leadership: Collaborate closely with Engineering, Design, UHC/Optum Business Units and Operations to ensure successful development, launch, and adoption.
• Technical Expertise: Provide technical guidance, review architectural decisions, and ensure solutions meet the regulatory requirements.
• Privacy and Security Standards: Knowledge of data privacy and security regulations, such as HIPAA, to handle sensitive patient information during data exchange.
• Interoperability standards: Subject matter expert with related healthcare standards such as HL7 v2, CCDA, USCDI, and clinical terminology like SNOMED, LOINC, CPT, etc.
• Documentation and reporting: Develop comprehensive documentation, including data flow diagrams, FHIR API specifications, and test results. Assist in generating the CMS Interoperability Patient Access API and prior authorization metrics required for public reporting to CMS.
• Stakeholder engagement: Provide technical guidance and education on HL7 FHIR standards to business and technology teams to drive adoption and alignment with CMS requirements.
• Agile Execution: Drive the product development lifecycle using Agile methodologies (Scrum/Kanban), managing sprints, backlogs, and releases.
• Soft skills: Strong analytical, problem-solving, and collaboration skills, with meticulous attention to detail.
Qualifications:
• Bachelor's degree in Health Informatics, Computer Science, Engineering, or a related technical field.
• Proven experience (3+ years) in technical product management or a similar role with several years’ in an analysis role.
• Strong understanding of software development principles, architectures, and best practices.
• Experience with Agile/Scrum development methodologies.
• Excellent communication skills, able to articulate complex technical concepts to both technical and non-technical audiences.
• Deep knowledge of CMS 9115 Patient Access API and CMS 0057 CMS Interoperability and Prior Authorization in the healthcare and health insurance arenas.
• Ability to read and understand HL7 FHIR implementation guidelines to ensure the products being developed comply accordingly.
• Ability to analyze data, manage risks, and make data-driven decisions in a fast-paced environment managing multiple projects.
Preferred qualifications
• HL7 FHIR certification.
• Experience in the payer domain with a strong understanding of payer workflows and data management.
• Experience with cloud-based data platforms (e.g., AWS, Azure).
Bonus Points:
• Experience with EHRs and solid experience in the healthcare industry.
• Data mapping source to target experience.
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Experience: 5-8 Years .
The expected compensation for this role ranges from $60,000 to $135,000 .
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
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