Associate Director, EHR Integrations

Alteva RCM
Queens, NY
On-site

Who this role is best for

A natural match if you have experience designing and managing EHR integrations across multiple platforms.

Best fit for

  • Professionals who have led integration strategies and built standard operating models for clients.
    — “Determine each client’s operating model: data exchange, hybrid, or work performed directly in the client’s system”
  • Individuals with a background in defining data pipelines and ensuring compliance with HIPAA and client standards.
    — “Ensure all integrations meet HIPAA requirements and client security standards”

Things to consider

  • This role requires close coordination with Technology, Operations, and Implementation teams, which may involve complex cross-team workflows.
    — “Partner closely with Technology on the claims pipeline, defining each client’s intake and routing requirements”
  • Candidates must be prepared to lead onboarding and implementation efforts for clients in Queens, New York.
    — “Own the client integration playbook and technical standards executed by the Implementation team during onboarding”

How to stand out

  • Highlight your experience in designing standard integration patterns for healthcare systems.
    — “Establish standard integration patterns, including HL7 and FHIR interfaces, X12 transactions, report extracts, secure file transfer, APIs, and robotic process automation (RPA)”
  • Emphasize your ability to lead technical discovery and coordinate with client IT teams.
    — “Lead technical discovery with client IT and EHR teams to confirm systems, data availability, access options, and constraints”
  • Showcase your background in managing data flows and ensuring compliance with security standards.
    — “Partner with Compliance/Security on BAAs, security questionnaires, risk assessments, and PHI data flow documentation”
  • Demonstrate leadership in defining and executing integration strategies for diverse EHR platforms.
    — “Define Alteva’s EMR-agnostic integration strategy across Epic, Oracle Health, athena, eCW, NextGen, ModMed, and other client platforms”
  • Include examples of how you have enabled automated claim intake for clients.
    — “Enable automated claim intake for existing clients who currently submit cases manually and choose to move to automated exchange”
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • Define Alteva’s EMR-agnostic integration strategy
  • Determine each client’s operating model
  • Establish standard integration patterns
  • Enable automated claim intake
  • Maintain an integration roadmap
Typical background
Experience in healthcare ITBackground in software development and integration

Skills & requirements

Required

EHR IntegrationEmr-agnostic Integration StrategyHL7 And FHIR InterfacesX12 Transactions (837, 835, 276/277)Report ExtractsSecure File TransferApisRobotic Process Automation (rpa)Claims PipelineData RoutingClient-system EnablementSolution LayeringClient Onboarding

Preferred

EpicOracle HealthAthenaEcwNextgenModmedClaims Pipeline RequirementsBusiness-rules DiscoveryUser AccessSecurity RolesWorkqueuesReportingCodingBillingA/RIDR

Stack & domain

EHR IntegrationInteroperabilityRevenue Cycle ManagementCodingBillingA/RIDREmr-agnostic Integration StrategyHL7FHIRX12 TransactionsReport ExtractsSecure File TransferApisRobotic Process AutomationClaims PipelineData RoutingClient-system EnablementSolution LayeringClient OnboardingImplementation PartnershipLeadershipCommunicationProblem-solvingTeamworkAttention To DetailTime ManagementAdaptabilityTrustworthinessHigh StandardsKindnessHealthcareEHREMR

About the role

Original posting from Alteva RCM via Greenhouse

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary 

The Associate Director, EHR Integration & Interoperability, owns how Alteva delivers its services in any client environment, regardless of the EHR or practice management system the client uses. This includes how Alteva receives claim data from client systems, what information is returned to clients, and, where a client requires it, how Alteva staff bill and work A/R directly in the client’s system. The Associate Director sets the operating model for each client based on the full or partial revenue cycle services the client purchases and builds a repeatable playbook so every client is onboarded through a standard, secure, low-friction approach rather than a one-off solution. Operations staff perform the coding, billing, A/R, and IDR work; this role enables and prepares them through integration design, client-system enablement, SOPs, and training. The Associate Director partners closely with Technology on the claims pipeline, defining each client’s intake and routing requirements so data reaches the right Alteva service. 

Key Responsibilities 

Integration Strategy & Client Operating Models 

Define Alteva’s EMR-agnostic integration strategy across Epic, Oracle Health, athena, eCW, NextGen, ModMed, and other client platforms 

Determine each client’s operating model: data exchange, hybrid, or work performed directly in the client’s system 

Tailor the integration approach to the scope of services each client purchases, whether full or partial revenue cycle 

Establish standard integration patterns, including HL7 and FHIR interfaces, X12 transactions (837, 835, 276/277), report extracts, secure file transfer, APIs, and robotic process automation (RPA) where interfaces are not available 

Enable automated claim intake for existing clients who currently submit cases manually and choose to move to automated exchange 

Maintain an integration roadmap aligned with Alteva’s implementation and technology roadmaps 

Claims Pipeline & Data Routing 

Serve as the primary business owner of requirements for Technology’s claims pipeline, which standardizes and maps client data into Alteva systems 

Define per-client intake and routing requirements so data flows to the correct Alteva service, including clients receiving IDR or other services without coding and billing 

Partner with the claims pipeline team on per-client mapping specifications, validation, and onboarding of new clients onto the pipeline 

Lead business-rules discovery with Operations stakeholders, such as when an encounter is complete enough to be coded or billed 

Client-System Enablement & Solution Layering 

Define how Alteva staff access and work within client systems, including user access, security roles, workqueues, and reporting 

Determine how Alteva solutions that are not native to a client’s system, such as coding and IDR, are layered onto client-system work through integration, extracts, or RPA 

Ensure information clients require is returned accurately and on time, whether through feeds, reports, or work completed in their system 

Client Onboarding & Implementation Partnership 

Own the client integration playbook and technical standards executed by the Implementation team during onboarding 

Lead technical discovery with client IT and EHR teams to confirm systems, data availability, access options, and constraints 

Coordinate interface build, testing, validation, and go-live readiness with Implementation, Technology, and Operations 

Serve as the senior escalation point for client integration issues 

Staff Readiness & Training 

Own SOPs and training content for each client workflow, whether staff work in Alteva systems or the client’s system 

Partner with Implementation and Operations to deliver training, confirm proficiency, and prepare staff for workflow changes before go-live 

ERA Routing & Post-Go-Live Support 

Own ERA routing, an existing Alteva capability moving into this function, including routing client ERAs to Alteva when Alteva bills in the client’s system or the client holds the ERAs 

Oversee post-go-live monitoring and support of client feeds, extracts, ERA routing, and access, shared between the Integration Analyst and the Epic Program Manager or platform specialists 

Identify whether operational issues originate from integration, data, configuration, or process, and route them accordingly 

Security, Access & Compliance 

Define Alteva’s access model for client systems, including role-based and minimum-necessary access, provisioning and deprovisioning standards, and access reviews 

Partner with Compliance/Security on BAAs, security questionnaires, risk assessments, and PHI data flow documentation 

Ensure all integrations meet HIPAA requirements and client security standards 

Team Leadership & Governance 

Lead the EHR Integration & Interoperability team, including the Integration Analyst / Interface Engineer, the Epic Program Manager, and the Manager, Anesthesia EMR Implementation 

Define hiring priorities and triggers as client volume grows, including additional analysts, platform specialists, and a Client Readiness & Training role if needed 

Establish intake, prioritization, change control, and documentation standards for client operating models, interfaces, data mappings, and access 

Provide the Director, Implementation & Client Readiness and leadership with regular reporting on integration status, risks, dependencies, and client impact 

Key Performance Indicators 

Onboarding cycle time, by client and operating model 

Share of clients onboarded on a standard operating model vs. custom build 

Complete data paths for coding, billing, A/R, and IDR at go-live 

Opted-in existing clients moved off manual submission 

Staff time-to-proficiency and performance in client systems 

Timeliness and completeness of information returned to clients 

Experience & Requirements 

Bachelor’s degree in Information Systems, Health Informatics, Healthcare Administration, Computer Science, or related field preferred, or equivalent experience. 

Minimum of 8+ years of healthcare IT experience, including at least 3 years leading EHR integration, interoperability, or implementation work. 

Hands-on expertise with HL7, FHIR, and X12 (837, 835, 276/277) standards. 

Deep experience with at least one major EHR or practice management platform (Epic strongly preferred) and working familiarity with others. 

Strong understanding of revenue cycle operations, including coding, billing, A/R resolution, and payment processes. 

Experience leading client-facing technical implementations across multiple organizations. 

Working knowledge of HIPAA, BAAs, and healthcare security and access requirements. 

Ability to translate between technical and operational stakeholders and communicate clearly with executives. 

Experience building teams, processes, and standards in a growing organization. 

Pay Range$150,000—$200,000 USD 

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Source: Alteva RCM careers (Greenhouse)

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