Senior Business Analyst - HL

Senior HL7 Interface Developer

Altera Digital Health | Hybrid – Long Island or Remote – US

At Altera Digital Health, we’re focused on improving how healthcare works through practical, scalable technology. Our Managed Services team supports hospitals and health systems by ensuring critical systems and integrations operate reliably, efficiently, and securely. We partner with clients to solve complex technology challenges and deliver solutions that support better patient care.

The Senior HL7 Interface Developer is responsible for analyzing, designing, developing, testing, and supporting healthcare integration solutions. This role requires strong hands‑on experience with HL7 development, coding, interface design, and troubleshooting. The ideal candidate combines business analysis expertise with technical integration skills to translate healthcare requirements into reliable, scalable interface solutions.

• Design, develop, code, test, debug, and maintain healthcare interfaces and integration workflows.
• Develop and support HL7 interfaces, including message mapping, transformations, routing, validation, and troubleshooting.
• Analyze and resolve complex interface issues using message logs, debugging tools, and technical investigation.
• Translate business requirements into integration specifications, technical designs, workflows, and documentation.
• Partner with healthcare clients, stakeholders, vendors, and internal teams to deliver integration solutions.
• Support interface development lifecycle activities including requirements gathering, testing, deployment, and production support.
• Create and execute functional, integration, and regression test plans.
• Maintain interface documentation and support continuous improvement of integration environments.
• Manage multiple priorities and communicate project status, risks, and resolutions effectively.

• 5+ years of experience in healthcare technology, business analysis, interface development, or healthcare integration.
• Strong hands‑on HL7 coding and development experience.
• Strong knowledge of HL7 v2.x messaging standards and healthcare interoperability workflows.
• Experience developing, modifying, testing, and troubleshooting healthcare interfaces.
• Experience with interface engines such as Mirth Connect, Rhapsody, Cloverleaf, CorePoint, Inter Systems Ensemble/Health Share, or similar platforms.
• Experience with HL7 message types including ADT, ORM, ORU, and related clinical workflows preferred.
• Strong analytical, troubleshooting, and communication skills.
• Bachelor’s degree preferred or equivalent experience.

• Experience with FHIR and healthcare APIs.
• Experience supporting hospital or health system integration environments.
• SQL experience and familiarity with healthcare application databases.
• Strong technical documentation skills.

$90,000 – $127,000 USD. The salary range reflects the anticipated base salary for this position at the time of posting. Final compensation may vary based on factors including experience, skills, education, and location.

Altera is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by local law.

To learn more, visit  If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at: H

As part of our recruitment process, we use artificial intelligence (AI) tools during the initial screening phase to help identify candidates whose qualifications most closely align with the requirements of the role. This technology supports efficiency and consistency in the early stages, but it never replaces human judgement. All subsequent evaluations and final hiring decisions are made by our recruitment professionals.

AI does not make final hiring decisions.