Sr. Integration Engineer

New
S
SmarterDxHealthcare IT
Remote (United States)Full-TimeSenior
Salary185,000 - 220,000 USD per year
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Job Details

Experience
7+ years
Required Skills
PythonSQLJavascriptEHR

Requirements

  • 7+ years building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
  • Expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling, and downstream impacts.
  • Advanced interface engine architecture and operations experience, including best practices for modular design and performance.
  • Exceptional executive communication skills and ability to influence senior health system leaders.
  • Expertise in scalable database extraction architecture, performance tuning, and indexing strategy.
  • Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
  • Demonstrated ability to define plans, manage timelines, and mitigate technical risks.
  • Hands-on experience in JavaScript or Python for message transformation or workflow automation.
  • SQL fluency for validation, reconciliation, and troubleshooting.
  • Familiarity with data transfer security standards such as TLS, HTTPS, and VPN configuration.

Responsibilities

  • Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs.
  • Serve as the technical expert on customer engagements, guiding architecture discussions with CIOs, Directors of IT, interface and network teams, CDI and Coding leaders, and implementation sponsors.
  • Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization.
  • Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance.
  • Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks.
  • Lead structured incident response, root cause analysis, and durable remediation for complex production issues.
  • Improve integration operations through automation to increase throughput and reduce risk.
  • Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients.
  • Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling.
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185,000 - 220,000 USD per year
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