Associate Director, EHR Integrations

Title: Associate Director, EHR Integrations Location: Queens, New York, United States

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.