HL7 Interoperability Engineer VITL is seeking an experienced HL7 Interoperability Engineer to support the electronic exchange of health data for the Vermont Health Information Exchange (VHIE). The ideal candidate for this role is a highly skilled engineer with deep expertise in healthcare data standards, particularly HL7 v2, v3, CDA, with a strong emphasis on FHIR (Fast Healthcare Interoperability Resources). This role requires a solid programming background and hands-on experience working with health data integration engines such as Rhapsody, as well as cloud-based API platforms that support modern interoperability initiatives. As an integral member of VITL’s team, this role will contribute to the design and implementation of data exchange processes that enable the reliable, efficient, and secure sharing of healthcare data between the VHIE and its external stakeholders. The candidate will also play a key role in advancing automated and efficient workflows, eliminating manual processes, and enabling real-time communication via platforms like Jira and Salesforce. In addition to engineering high- quality integrations and workflows, the candidate will provide technical guidance to ensure that data architecture aligns with evolving regulatory frameworks, including HIPAA, the 21st Century Cures Act, and TEFCA. Responsibilities Design, Development, and Implementation: • Design, develop, and implement HL7 v2/v3 data pipelines to ingest, transform, and match health data from multiple data contributors. • Configure channels, transformers, filters, and message routing within integration engines such as Rhapsody or Mirth. • Design, develop, and implement cloud-based APIs that enable sharing of healthcare data in alignment with HL7 FHIR interoperability standards. • Consume and publish FHIR resources via API endpoints, leveraging SMART on FHIR, cloud-based API gateways and Identity Access Management (IAM). • Develop and run test cases to validate code and configuration changes and document test results for audit and quality assurance. Maintenance and Troubleshooting: • Monitor and troubleshoot issues related to data ingestion, transformation, and transmission. • Implement sustainable fixes and ensure continuity of data operations. • Ensure minimal downtime and fast resolution of any integration errors or discrepancies. Standards and Interoperability: • Interpret HL7 implementation guides and FHIR profiles and apply these standards to the design and implementation of VHIE services. • Collaborate with cross-functional teams to ensure the consistent implementation of interoperability best practices. • Contribute to standards-based data architecture by applying interoperability requirements into technical design. Automation & Operational Efficiency: • Identify opportunities to optimize integration processes and workflows to improve efficiency and data quality. • Enhance data pipeline observability by leveraging centralized logging, real-time monitoring, and alerting tools to proactively detect, diagnose, are resolve errors. • Automate real-time alerting and notification to internal and external stakeholders by integrating with ticketing tools (e.g., Salesforce, Jira). Collaboration & Documentation: • Engage effectively in technical working sessions that include external clients, operations, support, networking, subcontractors, and other technical resources. • Document technical designs and implementation details in support of organizational knowledge sharing. • Create and maintain technical specifications to support consistent application of standard configurations and best practices. Continuous Improvement: • Stay current with advancements in HL7 standards, FHIR, integration engine capabilities, and health data interoperability standards and practices. • Stay current with evolving tools and technologies used in data integration. • Participate in organizational initiatives that support continuous improvement of the VHIE architecture, including design reviews, change management, security audits, and data quality initiatives. Supervisory Responsibilities This position has no supervisory responsibilities. Qualifications, Skills and Experience • Bachelor’s degree in computer science, software engineering, or related field. Relevant industry experience may be substituted for degree requirements • Certification and/or direct experience with HL7 interface engines such as Rhapsody or Mirth • Experience integrating with ticketing systems such as Salesforce and Jira • Experience with cloud-based storage architecture such as Amazon S3 • Experience with FHIR, RESTful APIs, and cloud platforms • Experience with modern tools and frameworks for centralized logging and application monitoring • Scripting and programming with Python, SQL, and JavaScript • Interoperability standards including HL7 V2.X, V3, IHE Profile, HL7 FHIR, CDA and X12 • Message types such as ADT, ORU, VXU • Clinical terminologies such as SNOMED, CT, LOINC, CPT, ICD-10 and RxNorm • Message schemas such as XML and JSON • Networking protocols such as TCP/IP, HTTPS, SFTP • Authentication protocols such as OAuth 2.0, OIDC • Project management and the SDLC • Strong troubleshooting and analytical skills to resolve technical issues and improve data accuracy. • Understanding of healthcare privacy and security regulations (e.g., HIPAA). • Excellent verbal and written communication skills • High level of accuracy and attention to detail in all work. • Meticulousness in managing data integrity and accuracy. • Team player who values diverse perspectives and collaborative problem solving Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At VITL, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. Location The VITL team is currently working remotely. The ideal candidate will live in Vermont and be available for in-person meetings. However, this position can be performed remotely by a candidate willing to travel as necessary. All VITL employees must live in and work from the United States; VITL’s preference is someone located in the Eastern or Central times zones. Additional VITL is committed to the health and well-being of its employees, customers, and community, and requires employees be up to date on COVID-19 vaccinations, as recommended by federal and local health authorities, subject to accommodations provided in accordance with the law. Individuals will be required to submit proof of COVID-19 vaccination, or have requested and received a waiver, as a condition of employment. VITL is an equal opportunity employer and prohibits discrimination or harassment of any kind. We are committed to compliance with all applicable fair employment practice laws and a policy of equal opportunity without regard to race, gender, color, religion, sex, sexual orientation, gender identity, age, national origin, place of birth, crime victim status, ancestry, physical or mental condition, disability, pregnancy, citizenship or immigration status, status as a veteran, military service or obligation, a positive test result from an HIV-related blood test, genetic information, or any other characteristic protected by such laws (“Protected Characteristics”). VITL’s policy of anti-discrimination applies to all terms and conditions of employment, including but not limited to recruiting, hiring, training, compensation, benefits, advancement, and termination of employment. VITL prohibits and does not tolerate discrimination against any employee, applicant, worker, or service provider on the basis of any Protected Characteristic. Apply Interested candidates may email their resume and cover letter to [email protected]; please mention HL7 Interoperability Engineer in the subject line of your email. VITL 802-861-1800 www.vitl.net [email protected] https://vitl.net/hl7-interoperability-engineer/

Green River is a software engineering company deeply committed to creating solutions that promote public health, social justice, and environmental protection. We are looking for experienced engineers to help develop and support data-centric web-based platforms that create meaningful positive change in the world. Our projects require data pipelines, warehouses, scalable analytics, and highly usable human interfaces. Your work will involve collaboration with other disciplines to develop innovative solutions that maximize impact while minimizing financial costs. Our Culture We maintain a collaborative, goal-oriented environment where teams have the autonomy to innovate. We emphasize professional development, continuous process improvement, and creative technical problem-solving with measurable results. Our remote-first team spans the Americas but maintains a strong sense of community and camaraderie through our shared work. About the Position We are looking for a team member who will: ● Design and develop secure, stable, and performant backend services. ● Work closely with other engineers to write maintainable, well-tested code. ● Collaborate on quality assurance and deployment pipelines to ensure reliable software delivery. ● Participate in code reviews, and technical decisions, and contribute to our strong engineering culture. ● Create API endpoints with REST, GraphQL, or similar. ● Uphold high privacy and security standards for all development. ● Communicate effectively across disciplines such as with technical project managers, other software engineers, data scientists, DevOps engineers, data engineers, privacy and security officers, and business development staff. We require: ● A Bachelor’s degree or equivalent professional experience. ● 3 years minimum of software engineering experience with an emphasis on backend system design. ● Significant experience with server-side web frameworks such as Ruby on Rails, Django, Express, Symfony, Laravel, or equivalent. ● A willingness to learn Ruby on Rails if not already conversant. ● Strong SQL skills and experience with relational databases such as PostgreSQL. ● Strong problem-solving and design skills, both when working independently and when collaborating with teammates. ● Strong verbal and written English communication skills. We would be excited to see, but do not require, one or more of the following: ● Experience working in small, collaborative team environments. ● Experience with automated integration of disparate data sources including validation, normalization, joining, and deduplication techniques. ● Familiarity with cloud data engineering tools (e.g. Redshift, Spark, Airflow, Python) and business intelligence tools (e.g. Superset, Quicksight, PowerBI). ● Experience supporting CI/CD processes within AWS infrastructure. ● Experience with container orchestration technologies such as Kubernetes. ● Experience with frontend technologies such as React, TypeScript, or related libraries and frameworks. ● Experience with or interest in technical leadership, strategic thinking, or product ownership. ● Experience working or volunteering for mission-driven organizations.  

Join our growing data team at Green River as a Data Engineer. This role will support projects that matter by designing, building, and maintaining robust data infrastructure and workflows to support critical business operations and data-driven decision-making. Your work will involve collaboration with other disciplines to come up with innovative solutions that maximize the impact of our projects, while ensuring alignment with business objectives and technical standards. Creative problem solving abilities are a must, and you should be comfortable with a trial-and-error approach.   Green River is a 48-person web application development firm with a strong engineering focus and dedication to “software and analytics for a better world.”  We are collaborative and goal-oriented, and aim for a shared understanding throughout our company of what success — and positive impact — means. Professional development, process improvement, social justice, and technical innovation with measurable results are all key aspects of how we work.   We’re looking for a positive team member who will…

• Develop, maintain, and support automated data pipelines and workflows.
• Build reusable modules and pipelines for scalable data solutions.
• Create robust documentation to support team collaboration and knowledge sharing.
• Work effectively with technical project managers, software engineers, data scientists, DevOps engineers, privacy and security teams, and business development teams.
• Anticipating costs of developing and maintaining infrastructure.
• Proactively identify and implement cost-saving opportunities.
• Mentor other technical staff so they can effectively contribute to data infrastructure.
• Adhere to company standards to ensure consistency and compliance of all work especially with respect to privacy and security.

  Desired skills and experience: 

• Expertise in data modeling, data warehousing, and pipeline development.
• Programming and software experience in a production setting (Python / Go preferred).
• Strong proficiency with AWS (or equivalent cloud technologies).
• Excellent communication, data management, and documentation skills.
• Solid problem-solving abilities and the ability to work independently.
• Professional experience in data engineering or related roles.
• A degree in computer science or equivalent technical degree or experience.

  Nice-to-Have Skills:

• Experience with ETL tools such as dbt.
• Experience with orchestration tools such as Apache Airflow.
• Experience integrating with business intelligence/analytics platforms such as Apache Superset.
• Experience with Kubernetes / containerized deployments.
• Familiarity with distributed computing and data partitioning.
• Experience in data analysis or quantitative research.
• Background in Agile/SCRUM workflows.
• Ruby/Rails experience.

 

Senior Director of Client Services - Operations & Quality (SDCS-OQ) at Howard Center is a strategic leadership role responsible for driving quality improvement, optimizing resource allocation, and developing innovative program/service models. Responsibilities:

• Assess Needs & Gaps: Analyze data to identify service gaps and design new programs to address client needs, aligning with organizational goals and budget.
• Foster Innovation: Promote a culture of innovation within Client Services to enhance programs, client experiences, and organizational performance.
  • Identify operational inefficiencies through data analysis and feedback, proposing solutions to improve client services and performance.
  • Lead continuous improvement efforts using methodologies like Lean and Six Sigma to streamline operations and reduce waste.
• Evaluation & Outcomes: Lead agency-wide evaluation and outcome assessment processes.
• Continuous Improvement: Enhance quality standards and processes to meet organizational goals and client expectations.
• Quality Audits: Support quality audits, analyze performance metrics, and implement corrective actions to ensure regulatory compliance.
• Policy & Procedures: Develop and enforce policies and procedures to maintain consistent quality management and compliance.
• Cross-Program Collaboration: Foster inter-departmental cooperation, aligning goals and ensuring seamless execution of agency-wide objectives.

Requirements:

• A Master's degree in Healthcare Administration, Business Administration, Public Health, Social Work, or a related field is required.
• Minimum of 7-10 years of experience in healthcare, human services, or related fields, with a strong focus on operations, program management, and quality improvement.
• At least 5 years of senior leadership experience with demonstrated success in managing cross-functional teams, leading strategic initiatives, and optimizing client service delivery.
• Proven experience in data analysis and using insights to drive decision-making, program development, and operational efficiency.
• Expertise in implementing continuous improvement methodologies (e.g., Lean, Six Sigma) to enhance service delivery and achieve organizational goals.
• Experience with budget management, resource allocation, and balancing short-term needs with long-term strategic objectives.
• Strong understanding of regulatory compliance and quality assurance in a client services environment.

The Chief Administrative Officer (CAO) at Howard Center provides strategic leadership and oversight for key administrative functions including Information Technology, Information Management, Compliance, Administrative Support Services, Facilities Management, enterprise Project and Portfolio Management, Strategic Planning, and Data Analytics. This role ensures alignment with the organization's mission, drives operational efficiency, fosters innovation, and optimizes internal processes. The CAO facilitates the development and execution of the strategic plan, ensures regulatory compliance, and supports data-driven decision making. This position serves as a strategic partner to the CEO providing expertise to develop and implement short and long-term goals in alignment with the agency's mission and values. Responsibilities:

• Administrative Services & Operations Management:
  • Oversee daily operations of administrative functions, ensuring alignment with organizational goals and maximizing efficiency.
  • Provide strategic oversight for financial management and budgeting, optimizing resources and collaborating with agency leadership to drive improvements in productivity, quality, and cost-effectiveness.
• Technology & Systems Management:
  • Oversee the integration of technology solutions that enhance operational efficiency, streamline functions, and support data-driven decision-making.
  • Ensure the organization's systems meet both operational needs and compliance requirements, driving innovation and process improvement.
• Data Integrity, Performance Metrics & Continuous Improvement:
  • Ensure the accurate collection, analysis, and reporting of sensitive staff, health and client data, empowering the organization to make data-driven decisions that enhance service delivery and compliance with healthcare regulations.
  • Define KPIs for administrative functions, tracking performance against organizational goals.
• Compliance, Risk Management & Policy Development:
  • Lead the compliance strategy across administrative functions, ensuring adherence to regulatory standards, industry best practices (e.g., CARF accreditation), and organizational values.
  • Oversee internal audits and risk management strategies, identifying and mitigating risks to foster a culture of proactive compliance and organizational resilience.
  • Collaborate with legal, compliance, and operational teams to ensure compliance with local, state, and federal regulations, including updates to healthcare and human services policies.
  • Develop, implement, and enforce policies governing administrative services, data management, client grievances, and health information privacy, aligning with healthcare and human services regulations.
  • Provide leadership in crisis management planning, ensuring business continuity with a focus on administrative functions and comprehensive contingency plans for emerging risks.
• Strategic Planning & Leadership:
  • Foster a positive organizational culture, ensuring employee satisfaction, engagement, and alignment with the agency's mission and values.
  • Facilitate the development, execution, and ongoing refinement of the Agency's strategic plan, ensuring cross-functional alignment with organizational goals.
• Stakeholder & Vendor Relations:
  • Manage relationships with key internal and external stakeholders, ensuring alignment and support for administrative functions.
  • Oversee vendor management and contracts, ensuring alignment with organizational priorities and financial objectives.

Requirements:

• Master's degree in Business Administration, Information Technology, Healthcare Administration, or a related field.
• Proven senior leadership experience overseeing administrative services in a complex organization.
• Strong understanding of healthcare industry standards, data governance, risk management, and regulatory compliance.
• Strong project management and prioritization experience, including setting the guiding principles of the initiative and change management processes relating to both people and operations.
• Intercultural Sensitivity - Takes an active interest in others, their cultural background, needs and perspective