Director Payer Interoperability
HCA Healthcare, Nashville, TN, United States
This position is incentive eligible.
Introduction Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director Payer Interoperability with HCA Healthcare, you can be a manager in an organization that is devoted to giving!
Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
Come join our team as Director Payer Interoperability. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications The Director of Digital Payer Integration is responsible for the operational leadership, execution, and continuous advancement of HCA’s digital payer integration capabilities across the enterprise. This role leads teams responsible for the design, development, deployment, and support of scalable external integration solutions with commercial payers and strategic partners.
Reporting to the AVP of Digital Payer Integration, the Director translates enterprise payer integration strategy into actionable roadmaps, prioritized delivery plans, and measurable outcomes. This role ensures that digital connectivity solutions — including APIs, FHIR-based integrations, EDI transactions, interoperability solutions, and automation-enabled payer workflows — are delivered with quality, security, scalability, and measurable business impact.
Major Responsibilities
Operationalizes the enterprise digital payer integration strategy established by the AVP.
Develops and executes multi-year roadmaps aligned to business priorities and measurable financial impact.
Oversees end-to-end lifecycle of digital payer integration solutions including design, development, testing, deployment, and ongoing support.
Ensures solutions adhere to enterprise standards for API, FHIR, HL7, and EDI transactions.
Drives interoperability solutions aligned to CMS interoperability mandates and industry best practices.
Ensures compliance with HIPAA and related regulatory standards.
Works with business stakeholders to establish KPIs and performance dashboards to measure business impact.
Maintains strong relationships with executive and operational leaders across HCA.
Provides enterprise consultation on digital payer connectivity best practices.
Leads, coaches, and develops high-performing technical teams. Implements continuous improvement initiatives across integration workflows.
Partners with ITG Enterprise Architecture and Information Protection to ensure secure integration frameworks.
Supports vendor selection, evaluation, and contract performance management.
Practices and adheres to the Code of Conduct philosophy and Mission and Value Statement. Performs other duties as assigned.
What qualifications you will need
Bachelors Degree required
Master's preferred
Eight or more years of Information Technology experience required
Five or more years in a leadership role managing technical or integration teams required
Experience in a large, complex healthcare provider or payer environment preferred
Experience with API, FHIR, HL7 and EDI standards preferred
Understanding of CMS interoperability regulations preferred
Up to 25% travel required
Licenses, Certifications, & Training
Knowledge of regulatory guidelines (i.e. HIPAA, 21 CRF Part 11, GCP)
Knowledge, Skills, Abilities, Behaviors
Service and Quality Excellence: Ability to demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients. Required
Honor our Mission and Values : Ability to build trust and act with authenticity to cultivate a culture of integrity, inclusion, and mutual respect. Required
Effective Decision Making: Ability to make timely, informed decisions that are in the best interest of our patients, employees, providers, community and HCA. Required
Attain and Leverage Strategic Relationships: Ability to develop and strengthen collaborative relationships with both internal and external stakeholders to advance the care of our patients and the growth of HCA. Required
Lead and Develop Others: Ability to lead others to accomplish organizational goals and objectives; provide meaningful coaching and mentoring to increase the capabilities of individuals and teams and drive employee engagement. Required
Communicate with Impact: Ability to deliver information in a clear, concise, and compelling manner to effectively engage others and achieve desired results. Required
Achieve Success through Change: Ability to identify opportunities for improvement and innovation, remove barriers and resistance, and enable desired behaviors. Required
Drive Execution and Financial Results: Ability to commit to the success and financial wellbeing of HCA by challenging others to excel and hold themselves and others accountable for achieving results. Required
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Director Payer Interoperability opening. Help HCA Healthcare create healthier tomorrows for patients and communities.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#J-18808-Ljbffr
Introduction Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director Payer Interoperability with HCA Healthcare, you can be a manager in an organization that is devoted to giving!
Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
Come join our team as Director Payer Interoperability. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications The Director of Digital Payer Integration is responsible for the operational leadership, execution, and continuous advancement of HCA’s digital payer integration capabilities across the enterprise. This role leads teams responsible for the design, development, deployment, and support of scalable external integration solutions with commercial payers and strategic partners.
Reporting to the AVP of Digital Payer Integration, the Director translates enterprise payer integration strategy into actionable roadmaps, prioritized delivery plans, and measurable outcomes. This role ensures that digital connectivity solutions — including APIs, FHIR-based integrations, EDI transactions, interoperability solutions, and automation-enabled payer workflows — are delivered with quality, security, scalability, and measurable business impact.
Major Responsibilities
Operationalizes the enterprise digital payer integration strategy established by the AVP.
Develops and executes multi-year roadmaps aligned to business priorities and measurable financial impact.
Oversees end-to-end lifecycle of digital payer integration solutions including design, development, testing, deployment, and ongoing support.
Ensures solutions adhere to enterprise standards for API, FHIR, HL7, and EDI transactions.
Drives interoperability solutions aligned to CMS interoperability mandates and industry best practices.
Ensures compliance with HIPAA and related regulatory standards.
Works with business stakeholders to establish KPIs and performance dashboards to measure business impact.
Maintains strong relationships with executive and operational leaders across HCA.
Provides enterprise consultation on digital payer connectivity best practices.
Leads, coaches, and develops high-performing technical teams. Implements continuous improvement initiatives across integration workflows.
Partners with ITG Enterprise Architecture and Information Protection to ensure secure integration frameworks.
Supports vendor selection, evaluation, and contract performance management.
Practices and adheres to the Code of Conduct philosophy and Mission and Value Statement. Performs other duties as assigned.
What qualifications you will need
Bachelors Degree required
Master's preferred
Eight or more years of Information Technology experience required
Five or more years in a leadership role managing technical or integration teams required
Experience in a large, complex healthcare provider or payer environment preferred
Experience with API, FHIR, HL7 and EDI standards preferred
Understanding of CMS interoperability regulations preferred
Up to 25% travel required
Licenses, Certifications, & Training
Knowledge of regulatory guidelines (i.e. HIPAA, 21 CRF Part 11, GCP)
Knowledge, Skills, Abilities, Behaviors
Service and Quality Excellence: Ability to demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients. Required
Honor our Mission and Values : Ability to build trust and act with authenticity to cultivate a culture of integrity, inclusion, and mutual respect. Required
Effective Decision Making: Ability to make timely, informed decisions that are in the best interest of our patients, employees, providers, community and HCA. Required
Attain and Leverage Strategic Relationships: Ability to develop and strengthen collaborative relationships with both internal and external stakeholders to advance the care of our patients and the growth of HCA. Required
Lead and Develop Others: Ability to lead others to accomplish organizational goals and objectives; provide meaningful coaching and mentoring to increase the capabilities of individuals and teams and drive employee engagement. Required
Communicate with Impact: Ability to deliver information in a clear, concise, and compelling manner to effectively engage others and achieve desired results. Required
Achieve Success through Change: Ability to identify opportunities for improvement and innovation, remove barriers and resistance, and enable desired behaviors. Required
Drive Execution and Financial Results: Ability to commit to the success and financial wellbeing of HCA by challenging others to excel and hold themselves and others accountable for achieving results. Required
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Director Payer Interoperability opening. Help HCA Healthcare create healthier tomorrows for patients and communities.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#J-18808-Ljbffr