Sr Business Systems Analyst

Position Summary

We are seeking a senior Health IT Business Analyst / Integration Analyst to support end-to-end interoperability and interface delivery in a live healthcare environment. This role requires hands-on Epic Bridges interface development and production support (primarily for RCM interfaces), expert-level InterSystems Ensemble (HL7 engine) experience, and the ability to independently troubleshoot interface failures in a 24x7 setting. The ideal candidate can translate clinical/business requirements into HL7 mappings and partner with technical and non-technical stakeholders to deliver stable, compliant (HIPAA) integrations with minimal ramp-up time.

Required Qualifications

• Bachelor's degree in computer science, Information Systems, or related field (or equivalent experience).

• Required: 5+ years hands-on Epic Bridges interface development and production support in a healthcare environment (certification required; hands-on build/support).

• Required: 5+ years hands-on HL7 v2.x development and production support using InterSystems Ensemble/IRIS in a healthcare environment.

• Required: Expert-level InterSystems Ensemble experience used as an HL7 engine (not junior/in-training/shadowing).

• Expert-level knowledge and proven experience in building ADT, SIU, ORM, ORU, DFT, 837/835, 270/271, 276/277, and 278 interfaces.

• Ability to independently troubleshoot and resolve Ensemble interface failures without direct supervision.

• Experience performing Epic-side build changes to enable or modify interfaces.

• Experience supporting vendor interfaces connected to Epic and supporting Epic upgrade cycles (Nova Notes review and regression testing).

• Prior work supporting live hospital or large multi-facility health system integrations in a live Epic environment.

• Extensive knowledge of how Epic Bridges and Ensemble interact during message flow and error scenarios.

• Epic Bridges certification (required); Epic Data Courier certification (preferred/strong plus).

• Strong verbal and written communication skills, including the ability to explain issues clearly to non-technical stakeholders.

• Experience working in HIPAA-regulated healthcare IT environments.

• Experience supporting 24x7 production and on-call environments.

• Available to start immediately (minimal or no ramp-up time).

Preferred Qualifications

• Epic Data Courier certification.

• FHIR and/or API-based integration experience.

• Secure transport and file transfer (VPN/TLS, SFTP) configuration and support.

• Experience with HIEs, external registries, and cloud integration patterns.

• Additional scripting/programming experience (e.g., Python, Java, .NET, JavaScript).

Must Have (Non-Negotiable) Skills

• Epic Bridges interface development and production support (5+ years) in a live Epic healthcare environment (certification required).

• Expert-level InterSystems Ensemble/IRIS used as an HL7 engine (5+ years) for HL7 v2.x development and production support.

• HL7 v2.x message analysis/troubleshooting for ADT, SIU, ORM, ORU, DFT, 837/835, 270/271, 276/277, and 278 interfaces (and related workflows) including independent resolution of interface failures.

• Hands-on understanding of Epic Bridges ↔ Ensemble message flow and error scenarios in a 24x7 production/on-call environment.

Important (Strongly Preferred) Skills

• Translate clinical/business requirements into HL7 mappings; produce clear interface specifications and mapping documentation.

• Perform Epic-side build/configuration changes to enable or modify interfaces; support vendor interfaces connected to Epic.

• Support Epic upgrade cycles (Nova Notes review, regression testing) and end-to-end validation.

• Strong communication skills and experience operating in HIPAA-regulated environments with non-technical stakeholders.

Good to Have (Optional) Skills

• Epic Data Courier certification.

• FHIR and/or API-based integration experience.

• Secure transport and file transfer support (VPN/TLS, SFTP).

Job Responsibilities

Key Responsibilities

• Develop, enhance, and support HL7 v2.x interfaces using InterSystems Ensemble/IRIS as the primary integration engine

• Design, build, and support Epic Bridges interfaces and related interoperability workflows, including vendor interfaces connected to Epic.

• Perform message analysis, mapping, and troubleshooting for common HL7 message types (ADT, ORM, ORU, SIU, DFT, etc.) and resolve interface failures independently.

• Translate clinical/business requirements into HL7 mappings and integration specifications; create and maintain interface specs, mapping documents, and support guides.

• Perform Epic-side build/configuration changes required to enable or modify interfaces.

• Support Epic upgrade cycles, including Nova Notes review, regression testing, and end-to-end validation.

• Monitor interface queues and transaction logs for errors/latency; coordinate remediation and communicate status and impact to non-technical stakeholders.

• Ensure data exchange complies with HIPAA and organizational security standards; support secure connectivity patterns as required.