[Hiring] Interoperability & Standards Specialist @Firely

Role Description

Very few people get to see both how US interoperability regulation is written and how it plays out inside a working FHIR product. In this role, you’ll become one of them, and grow expertise that’s genuinely rare and valuable.

Firely builds FHIR-based interoperability software. Firely Server is ONC-certified health IT, and our digital quality measure pipeline is NCQA HEDIS certified. These certifications are commitments to our customers, and keeping them current is meaningful work with real deadlines. Much of our US business serves the payer market, where CMS rules such as the Interoperability and Prior Authorization Final Rule (CMS-0057-F) directly shape what our products must do.

Your core responsibility: certification

• ONC/ASTP certification maintenance: Prepare and submit the quarterly (g)(10) maintenance package to Drummond, our ONC-ACB.
• Real World Testing: Write the annual RWT plan and results report, and run the testing behind them.
• NCQA HEDIS measure certification: Pull the test decks, run them through Firely Server and our dQM pipeline, review the output, submit to NCQA.
• Certified version transitions: Analyze release notes against the (g)(10) criteria and work with Drummond.
• Organizational obligations: Track non-product (g)(10) requirements and keep public certification disclosures accurate.

Regulatory monitoring

• Weekly scan: Work through the Federal Register, CMS, ASTP/ONC and NCQA for proposed and final rules.
• Written analysis: Write summaries for every relevant rule.
• Analysis into work: Translate product impact into Confluence pages and Jira tickets.
• Regulatory tracker: Keep it current for visibility.
• Comment letters: Track deadlines and draft responses to CMS and ONC.
• Stay current: Attend ONC roundtables, CMS seminars, and similar sessions.

Standards community work

• Prepare background on agenda items and ballot topics.
• Follow up on decisions and track outcomes.
• Connectathon groundwork: Set up the test environment and prepare our FHIR server.
• Administration: Register Firely's US members for Connectathons and Working Group Meetings.

Also part of the role: prototyping and technical writing

• Prototypes: Help build prototypes that test ideas for Firely Server's product strategy.
• Technical writing: Contribute internal memos on our certifications and keep documentation up to date.

Qualifications

• 3–5 years of relevant experience.
• Comfortable with technology: Can run software, read logs, and work with APIs.
• Ability to read regulation and summarize key points.
• Strong writing skills for memos, analyses, and documentation.
• Self-sufficient and able to work with senior stakeholders.
• Curiosity about AI and its applications in work.
• Based in the US with understanding of the US healthcare market.

Requirements

• Hands-on experience with ONC/ASTP certification.
• Experience with NCQA HEDIS measure certification or digital quality measures.
• Working knowledge of CQL.
• Experience with CMS payer interoperability requirements.
• Participation in HL7, Da Vinci, DQIC or similar.
• Experience drafting or coordinating formal regulatory comment letters.

Benefits

• Fully remote working environment.
• 401(k), health and medical benefits, life and disability insurance.
• 22 vacation days.
• Annual learning & development budget.
• Home office budget.

Company Description

Firely is a digital healthcare scale-up specializing in software and services in healthcare and research. We are one of the initiators of HL7 FHIR, a new international standard for information exchange in healthcare. Our customers include healthtech vendors, care providers, payers, governments, and health agencies in Europe and the US.

We are a group of software engineers, support engineers, FHIR consultants, and a commercial team, headquartered in Amsterdam with an international team working from Europe and the US.