[Hiring] Senior VA Health Systems Integration & Interoperability Specialist @LMI

Role Description

LMI is seeking a Senior VA Health Systems Integration & Interoperability Specialist to support Department of Veterans Affairs (VA) modernization initiatives requiring reliable movement of clinical, operational, referral, authorization, and Community Care information. This role is for a deeply experienced VA technologist who can connect integration decisions to real Veteran-care workflows.

The specialist will serve as a senior lead across:

• VistA/CPRS
• Oracle Health/Federal EHR
• Integrated Veteran Care (IVC)
• Veterans Community Care (VCC)
• Community Care Referral and Authorization (CCRA)
• HealthShare Referral Manager (HSRM)

The role will:

• Trace data and workflow across direct and community care
• Identify authoritative sources
• Resolve interface and reconciliation issues

The candidate must understand how:

• Consults/referrals
• Authorizations
• Episodes of care
• Clinical documentation
• Eligibility
• Scheduling
• Provider information
• Returned Community Care records

move through VA workflows, including differences in terminology, identifiers, statuses, and business rules across legacy and modern platforms.

The role will partner with:

• VA clinical and operational stakeholders
• IVC/Community Care teams
• Health informatics
• Data engineering
• Architecture
• Cybersecurity/privacy
• Analytics
• Delivery teams

to troubleshoot integrations, define mappings, support migration/reconciliation, and validate data used for analytics, automation, AI-enabled solutions, and decision support.

The ideal candidate brings:

• Substantial direct VA/VHA experience
• Deep VistA expertise
• Meaningful Oracle Health/Cerner experience
• A record of integrating complex federal health systems

This is not a generic ETL role; VA-specific system and workflow knowledge is essential.

Qualifications

• 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 in operations, development, subrogation/subvention, and/or fraud/waste/abuse capacities
• 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 with practical knowledge of VA systems and workflows
• Deep hands-on VistA/CPRS expertise, including architecture, data structures, workflows, and integration approaches such as 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 experience with CCRA/HSRM or closely related integration processes
• Strong SQL skills for investigating complex issues across relational databases, enterprise data stores, interface outputs, and reporting environments
• Experience with HL7 v2, APIs, JSON/XML, FHIR concepts, ETL/ELT, batch/file exchange, identity matching, and source-to-target mapping
• Demonstrated ability to reconcile conflicting records, identifiers, statuses, definitions, and business rules and determine the authoritative source for a use case
• 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

Requirements

• 12+ years of enterprise health IT or systems-integration experience with extensive VA/VHA work across facilities, VISNs, national program offices, or enterprise systems
• 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
• Experience with VA Community Care data environments such as CCRA, CCRS, eCAMS, CDW, or other governed enterprise sources
• Experience with JLV, Health Information Exchange (HIE), or other VA mechanisms for exchanging or viewing clinical information across VA, federal, and community partners
• Familiarity with M/MUMPS, InterSystems technologies, VistA FileMan, or low-level VistA troubleshooting
• Experience supporting Federal EHR modernization, VistA-to-Oracle Health migration/coexistence, interface remediation, or cross-EHR data reconciliation
• Experience enabling analytics, automation, AI/ML, or decision support using VA clinical or Community Care data with appropriate lineage, validation, and human oversight
• Relevant interoperability, health informatics, HL7/FHIR, cloud/data integration, database, or architecture training/certification; deep VA expertise is more important than any single credential

Benefits

• Target Salary Range: $125,000 - $200,000
• The salary range displayed represents the typical salary range for this position and is not a guarantee of compensation
• Individual salaries are determined by various factors including, but not limited to location, internal equity, business considerations, client contract requirements, and candidate qualifications, such as education, experience, skills, and security clearances

Job Locations

• US-Remote