Remote Prior Authorization Jobs in Texas (NOW HIRING)

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.

The Senior FHIR Mapping & Integration Analyst plays a critical role in designing, implementing, and maintaining complex FHIR-based mapping and interoperability solutions that enable seamless healthcare data exchange. This role requires deep expertise in HL7 FHIR standards and the ability to lead implementations as organizations transition from legacy data exchange to modern FHIR-based interoperability. The position partners closely with engineering, product, and clinical stakeholders and operates as a shared expert across multiple teams.

* Our preferred candidate would reside in Columbus, OH to support a hybrid work schedule, but we will consider a highly qualified fully remote candidate

*This position requires current, unrestricted authorization to work in the United States that is not time-limited or dependent on a future change in status. We are unable to consider or sponsor candidates on temporary work authorization, including F1 OPT, STEM OPT, CPT, or any status requiring employer sponsorship now or in the future.

What You'll Do:

• Analyze healthcare data from EHRs, payer systems, and HL7 v2 feeds and map to FHIR R4 resources and profiles

• Lead the analysis, design, and implementation of FHIR-based data mappings from HL7 v2, CCDA, X12, and proprietary formats

• Create and maintain FHIR source-to-target mappings, transformation logic, and conformance documentation

• Apply HL7 DaVinci Implementation Guides (PAS, CRD, DTR) to support prior authorization and coverage workflows

• Perform terminology mapping using standard code systems (SNOMED, LOINC, RxNorm, ICD10)

• Identify and resolve complex data quality, mapping, and performance issues across integrations

• Validate FHIR payloads using conformance and testing tools and support integration and UAT testing

• Provide technical guidance and mentorship on FHIR standards, best practices, and implementation approaches

Basic Requirements:

• Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics or a related field, or equivalent, and typically requires 7+ years of experience in healthcare data analysis, integration, and mapping

• Hands-on expertise with HL7 FHIR R4, including resources, profiles, bundles, and extensions

• Experience mapping from HL7 v2, CCDA, X12, and/or proprietary EMR formats to FHIR

• Experience mapping from HL7 v2, CCDA, X12, and/or proprietary EMR formats to FHIR

• Working knowledge of Clinical Quality Language (CQL), including use within DaVinci DTR workflows

• Strong analytical, problem-solving, and written/verbal communication skills

• Ability to work independently and collaboratively in a fastpaced, crossfunctional environment

Preferred Skills / Experience:

• Direct experience implementing HL7 DaVinci Implementation Guides (PAS, CRD, and/or DTR)

• Experience supporting CMS interoperability and prior authorization initiatives (e.g., CMS0057)

• Experience working with major EHR platforms such as Epic or Cerner

• Familiarity with CDS Hooks in CRD/DTR workflows

• Experience working with FHIR servers (e.g., Azure Health Data Services, HAPI FHIR, Epic/Cerner endpoints)

• Exposure to FHIR validation and testing tools such as HL7 validators or Touchstone

• Experience leading or significantly contributing to enterpriselevel FHIR implementations

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

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McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

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