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The Healthcare Interoperability Manager is responsible for the design, implementation, and governance of clinical and administrative data exchanges between healthcare information systems.
This strategic role requires deep expertise in interoperability standards including FHIR, HL7 v2.x, DICOM, ICD-10, SNOMED CT, and LOINC, as well as practical knowledge of Quebec’s digital health ecosystem, including initiatives led by the Ministry of Health and Social Services (MSSS), Dossier Santé Québec (DSQ), and the Government Enterprise Architecture Reference Framework (CRAEG).
The Work:
Design and implement interoperability architectures compliant with HL7 FHIR R4/R5 and HL7 v2.x standards within Quebec’s clinical systems environment.
Define data flows between source systems (LIS, CIS, EMR, PACS, RIS) and regional or provincial platforms (DSQ, INESSS, regional hubs).
Develop FHIR implementation profiles aligned with organizational requirements and Canadian implementation guides (CA Core, IPS Canada).
Ensure semantic consistency of healthcare data by applying appropriate terminology standards and code sets (SNOMED CT, LOINC, ICD-10-CA, DIN/NPN).
Interoperability Standards and Technologies
Model and implement FHIR resources such as Patient, Observation, DiagnosticReport, MedicationRequest, Encounter, and others. HL7 FHIR.
Develop RESTful FHIR APIs and implementation guides.
Support interoperability solutions using SMART on FHIR, CDS Hooks, and related standards.
Design, analyze, and maintain HL7 v2.x messaging interfaces, including:
Utilize integration engines such as Mirth Connect, Rhapsody, and Azure Health Data Services.
Oversee medical imaging data exchanges and ensure compliance of DICOM workflows between PACS platforms, imaging modalities, and teleradiology systems (e.g., RUIS, Quebec-Radiology).
Apply diagnostic classification standards within coding systems and ensure alignment with CIHI guidelines and updates.
Integrate and harmonize standardized clinical vocabularies across source and target systems.
Participate in terminology mapping and normalization initiatives.
Participate in clinical data governance initiatives aligned with MSSS policies, RAMQ standards, and Digital Health Québec directives.
Ensure interoperability solutions comply with applicable legislation, including:
Act Respecting Health Services and Social Services (LSSSS)
Quebec Law 25 (Privacy Protection)
Contribute to healthcare data security policies, including encryption, access management, and auditability requirements.
Represent the organization on interoperability-focused committees and industry forums, including HL7 Québec, COACH, Canada Health Infoway, and MSSS working groups.
Serve as the technical subject matter expert for development teams, solution architects, clinicians, and project managers.
Create and maintain technical documentation, including:
Interface specifications
Data dictionaries
Integration mappings
User and implementation guides
Educate and support internal teams on interoperability best practices and evolving industry standards.
Participate in testing, validation, deployment, and production support activities for interface implementations.
Here’s What You’ll Need:
A University Degree is required for this position
Relevant certifications such as:
HL7 FHIR Proficiency
CPHIMS
RHIA
Equivalent recognized certification
5+ years of experience in healthcare interoperability or systems integration
Demonstrated experience implementing HL7 FHIR solutions in production environments, including SMART on FHIR APIs and CDS Hooks
Experience with healthcare integration engines such as:
Mirth Connect
Rhapsody
Azure API Management (APIM)
Azure Health Data Services
Equivalent platforms
Experience working within Quebec’s healthcare ecosystem, including DSQ, regional health systems, and certified EMRs such as Omnimed, ChronoMed, MEDITECH, and other provincial healthcare applications
Technical Competencies Include:
HL7 FHIR
Expert knowledge of HL7 FHIR R4/R5:
Resources
Profiles
Extensions
Terminology services
RESTful APIs
Subscriptions
HL7 v2.x
Deep expertise with:
ADT, ORM, ORU, MDM, and SIU segments
Message routing
Transformations
Mapping methodologies
DICOM
Advanced understanding of:
WADO
STOW-RS
QIDO-RS
Medical imaging interoperability workflows and architecture.
Clinical Terminologies
ICD-10-CA / ICD-11
SNOMED CT
LOINC
RxNorm
DIN
API and Security Technologies
Experience developing and integrating:
REST APIs
SOAP services
JSON
XML
OAuth 2.0
OpenID Connect
Architecture and Cloud
Knowledge of microservices architectures and cloud platforms (Azure, AWS, GCP) within healthcare environments.
Knowledge of Quebec’s Healthcare Ecosystem
Strong understanding of Dossier Santé Québec (DSQ) and its major components:
Drug profile summaries
Laboratory results
Diagnostic imaging
Vaccination records
Clinical reports
Understanding of Quebec’s healthcare regulatory framework, including:
LSSSS
Law 25
RAMQ regulations
MSSS digital health policies and directives
Knowledge of key healthcare stakeholders:
MSSS
RAMQ
Santé Numérique Québec (SNQ)
INESSS
CISSS/CIUSSS organizations
MSNS
Familiarity with national Canadian digital health initiatives:
Canada Health Infoway
CA Core FHIR Implementation Guide
PrescribeIT®
PCEHR initiatives
Knowledge of clinical information systems deployed in Quebec, including:
MEDITECH Expanse
Oacis
Logibec
TELUS Health (Med Access, PS Suite)
Quebec Electronic Health Record platforms
Preferred Qualifications:
A Master’s degree
Active participation in HL7 Québec, HL7 Canada, or Canada Health Infoway communities of practice.
Experience with FHIR validation and conformance tools, including:
Inferno
HAPI FHIR Validator
HL7 Validator
Knowledge of:
SMART on FHIR
Embedded EHR applications
Patient-facing portal solutions
Experience delivering integration projects using Agile/Scrum methodologies.
Strong English communication skills (written and verbal) to support collaboration with national stakeholders and review international technical specifications.
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation, based on full-time employment, for roles that may be hired as set forth below.
The recruiting efforts for this position are intended to fill a brand new position.
The base pay range shown below is intended as a guideline to reflect the majority of offers for this role.
It does not represent a maximum limit — in some cases, actual compensation may exceed the range where appropriate.
Information on benefits is here:
Role Location Annual Salary Range
British Columbia/Ontario/New Brunswick $99,450 to $209,900
About Accenture
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com
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