Interoperability & Standards Specialist

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.

That’s where you come in. You’ll own Firely’s US certifications end to end, keep us connected to the standards communities that shape our products, and act as our early-warning system for everything CMS, ASTP/ONC and NCQA publish. It’s a hands‑on role: you’ll personally prepare and submit the quarterly certification packages, run measure test decks through our pipeline, and write the summaries the product team relies on.

You’ll be part of the Product team and work closely with Alexander Zautke, our VP of Product & Standards. Alexander sets the direction on regulatory and standards strategy and decides what lands on the roadmap. You’ll drive the execution, dig into the details, and bring back the analysis our decisions are built on. We’re looking for someone self‑sufficient who brings ideas and solutions forward on their own.

Over time, you’ll take on more of the analysis and the calls yourself.

This is an engineering‑minded role, not a pure compliance one, so you don’t need to be a regulatory expert. What matters most is strong hands‑on experience with interoperability and the US healthcare system, and real curiosity about the regulatory landscape around it.

• ONC/ASTP certification maintenance. Prepare and submit the quarterly (g)(10) maintenance package to Drummond, our ONC-ACB: summary of changes, Inferno test results and the required attestation forms. File SVAP submissions when we adopt a new standards version, and complete the bi‑annual attestations in CHPL.
• Real World Testing. Write the annual RWT plan and results report, and run the testing behind them. RWT is currently under a moratorium; you'll pick it up when it restarts.
• NCQA HEDIS measure certification. For each measure, pull the test decks, run them through Firely Server and our dQM pipeline, review the output, submit to NCQA and work the tickets until the measure passes. As Firely's day‑to‑day contact with NCQA, you keep the correspondence off our engineers' plates so they can focus on fixing what you find.
• Certified version transitions. When a major Firely Server version ships, analyze the release notes against the (g)(10) criteria, work with Drummond to move the certification, and file the withdrawal request for the retired version.
• Organizational obligations. Track the non-product (g)(10) requirements (Information Blocking, Assurances, Communications), keep our public certification disclosures accurate, and flag gaps early. Accountability sits with the VP of Product & Standards; you make sure nothing is missed.

You make sure nothing relevant gets past us, and that what does arrives in a form the product team can act on. You and the VP of Product & Standards agree which areas to watch closely.

• Weekly scan. Work through the Federal Register, CMS, ASTP/ONC and NCQA for proposed and final rules, RFIs and RFCs. Screen them against the topics that matter to us: FHIR, digital quality measures, USCDI, prior authorization, payer APIs.
• Written analysis. For every…