You Are: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 TechnologiesModel 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 specificationsData dictionariesIntegration mappingsUser and implementation guidesEducate 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 positionRelevant certifications such as:HL7 FHIR ProficiencyCPHIMSRHIAEquivalent recognized certification5+ years of experience in healthcare interoperability or systems integrationDemonstrated experience implementing HL7 FHIR solutions in production environments, including SMART on FHIR APIs and CDS HooksExperience with healthcare integration engines such as:Mirth ConnectRhapsodyAzure API Management (APIM)Azure Health Data ServicesEquivalent platformsExperience working within Quebec's healthcare ecosystem, including DSQ, regional health systems, and certified EMRs such as Omnimed, ChronoMed, MEDITECH, and other provincial healthcare applicationsTechnical Competencies Include:HL7 FHIRExpert knowledge of HL7 FHIR R4/R5:ResourcesProfilesExtensionsTerminology servicesRESTful APIsSubscriptionsHL7 v2.XDeep expertise with:ADT, ORM, ORU, MDM,



and SIU segmentsMessage routingTransformationsMapping methodologiesDICOMAdvanced understanding of:WADOSTOW-RSQIDO-RSMedical imaging interoperability workflows and architecture.Clinical TerminologiesICD-10-CA / ICD-11SNOMED CTLOINCRxNormDINAPI and Security TechnologiesExperience developing and integrating:REST APIsSOAP servicesJSONXMLOAuth 2.0OpenID ConnectArchitecture and CloudKnowledge of microservices architectures and cloud platforms (Azure, AWS, GCP) within healthcare environments.Knowledge of Quebec's Healthcare EcosystemStrong understanding of Dossier Santé Québec (DSQ) and its major components:Drug profile summariesLaboratory resultsDiagnostic imagingVaccination recordsClinical reportsUnderstanding of Quebec's healthcare regulatory framework, including:LSSSSLaw 25RAMQ regulationsMSSS digital health policies and directivesKnowledge of key healthcare stakeholders:MSSSRAMQSanté Numérique Québec (SNQ)INESSSCISSS/CIUSSS organizationsMSNSFamiliarity with national Canadian digital health initiatives:Canada Health InfowayCA Core FHIR Implementation GuidePrescribeITPCEHR initiativesKnowledge of clinical information systems deployed in Quebec, including:MEDITECH ExpanseOacisLogibecTELUS Health (Med Access, PS Suite)Quebec Electronic Health Record platformsPreferred Qualifications:A Master's degreeActive participation in HL7 Québec, HL7 Canada, or Canada Health Infoway communities of practice.Experience with FHIR validation and conformance tools, including:InfernoHAPI FHIR ValidatorHL7 ValidatorKnowledge of:SMART on FHIREmbedded EHR applicationsPatient-facing portal solutionsExperience 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. Information on perks is here: Role LocationAnnual Salary Range British Columbia/Ontario/New Brunswick$99,450 to $209,900 #J-18808-Ljbffr

📌 Interoperability Manager (Montreal)
🏢 Accenture
📍 Montreal