FHIR SME

Job Description:

We are seeking a senior FHIR Subject Matter Expert with deepexpertisein healthcare interoperability, federal health IT modernization, and standards-based data exchange. This role will provide thought leadership across multiple CMS programs and support strategic growth and business development activities focused on interoperability, digital quality, value-based care, and health data modernization.

The FHIR SME will serve as a trusted advisor to internal teams, federal clients, and partner organizations, with a primary focus on supporting CMS offices such as the Center for Clinical Standards and Quality(CCSQ)and the Center for Medicare and Medicaid Innovation(CMMI). This role will help translate complex CMS, ONC/ASTP, and HL7 interoperability priorities into practical strategies, architectures, implementation approaches, and delivery roadmaps.

The ideal candidate brings a strong background in FHIR, HL7 standards, healthcare data architecture, CMS policy and program operations, and modern digital service delivery. This role requires the ability to bridge policy, technology, and business strategy, helping teams design scalable, compliant, and mission-aligned solutions that improve healthcare data exchange, quality measurement, payment innovation, and care delivery.

Basic Requirements:

• Ability to successfully obtain a U.S. Federal Position of Trust clearance designation.

• Mustresidein and be able to perform work in the United States.

• Must have lived in the United States for 3 of the last 5 years.

• A bachelor's degree isrequired, preferably in computer science, health informatics, public health, information systems, engineering, biomedical informatics, or a related field.

• 10+ years of experience in healthcare technology, health IT modernization, interoperability, data architecture, digital transformation, or related healthcare consulting.

• 5+ years of hands-on experience with HL7 FHIR, HL7 standards, healthcare APIs, interoperability frameworks, implementation guides, or standards-based health data exchange.

• 3+ years of experience supporting federal health programs, CMS programs, state health agencies, health information exchanges, payers, providers, or other large healthcare organizations.

• Experience translating healthcare policy, program requirements, and interoperability mandates into technical strategies, product roadmaps, architecture recommendations, or implementation plans.

• Experience advising cross-functional teams, including product managers, architects, engineers, data analysts, policy SMEs, business analysts, and client stakeholders.

• Strong oral and written communication skills, including the ability to communicate complex technical and policy concepts to executive, technical, and non-technical audiences.

Additional Qualications:

• In-depth knowledge of FHIR architecture, resources, profiles, extensions, terminology, APIs, implementation guides, and real-world implementation patterns.

• Experience working directly with EHR vendors and EHR platforms (such as Epic, Cerner/Oracle Health, MEDITECH, etc.) to implement interoperability solutions, API integrations, clinical workflows, and standards-based healthcare data exchange.

• Experience with FHIR R4 and familiarity with emerging FHIR standards, accelerators, and implementation communities such as HL7 Da Vinci, CARIN Alliance, US Core, Bulk FHIR, SMART on FHIR, CDS Hooks, or other relevant interoperability frameworks.

• Experience supportingCMS programs thatoperatewithinCCSQ, CMMI, or similar.

• Understanding of ONC/ASTP regulations, USCDI, TEFCA, information blocking requirements, API standards, and national health data exchange policy.

• Experience with electronic clinical quality measures(eCQMs), digital quality measurement(dQMs), HEDIS, NCQA certification, measure implementation, or quality reporting platforms.

• Experience developing or reviewing FHIR implementation guides, data models, interface specifications, concept papers, solution architectures, or technical roadmaps.

• Experiencesupportingbusiness development, including solutioning, capture strategy, technical writing, oral presentations, white papers, proposal responses, and client demonstrations.

• Demonstrated ability to analyze complex healthcare policy, business processes,identifyinteroperability gaps, and recommend practical improvements.

• Experience shaping and implementing digital quality measurement (dQM) strategies leveraging FHIR, electronic clinical quality measures (eCQMs), and standards-based quality reporting architectures.

Responsibilities:

• Serve as a senior interoperability and FHIR advisor across multiple CMS programs, delivery teams, and business development initiatives.

• Act as the bridge between healthcare policy, quality programs, EHR implementation realities, and scalable technical architectures.

• Provide thought leadership on FHIR, HL7, healthcare APIs, digital quality, data modernization, and federal interoperability strategy.

• Advise CMS stakeholders, program leaders, and internal teams on practical approaches for implementing standards-based healthcare data exchange.

• Translate CMS, ONC/ASTP, and HL7 policy and technical requirements into implementation strategies, solution designs, roadmaps, and actionable delivery guidance.

• Support CMS offices such as CCSQ and CMMI in advancing interoperability,digital quality measurement shaping, and data-driven program modernization.

• Review solution architectures, data models, APIs, implementation guides, and system designs to ensure alignment with FHIR best practices and federal health IT priorities.

• Lead or support discovery sessions, stakeholder workshops, technical working groups, client briefings, and cross-program interoperability discussions.

• Support development of FHIR implementation guides, technical documentation, interface specifications, data mapping artifacts, conceptual architectures, and program-level recommendations.

• Support business development and capture activities by shaping technical solutions, contributing to proposals, developing white papers, supporting oral presentations, and advising on market strategy.

• Monitor emerging trends in interoperability, CMS policy, ONC/ASTP regulation, HL7 standards, AI-ready healthcare data, and digital health modernization.

Public Trust Clearance:This role will require the hired candidate to go through public trust clearance. A minimum of 3 years of stay in the U.S. within the last 5 years is required to be eligible to qualify for public trust clearance sponsorship.