Senior Manager, Integration Engineering

Role Overview

• Ensure excellence in integration delivery across all new and existing customer deployments, ensuring integrations are reliable, scalable, and delivered on time.
• Recruit, mentor, and lead a rapidly growing, high-performing team of client-facing integration professionals.
• You will foster a culture of accountability, technical excellence, and continuous learning; you’re not intimidated by managing tenured technical resources who bring niche integration expertise even beyond yours
• you are excited to empower them.
• Cultivate and maintain integration standards, documentation, and best practices across APIs, HL7, flat file, and database-based integrations.
• Partner with Implementation, Product, and Engineering teams to align integration approaches with product strategy and client timelines.
• Serve as an escalation point for complex or high-risk integrations, providing hands-on technical guidance.
• Collaborate with customer technical teams, including EHR, data, and IT stakeholders, to develop secure and compliant data exchange.
• Establish metrics and reporting for integration performance, throughput, and reliability, and communicate insights to company leadership.
• Continuously improve integration tooling, automation, and processes to support scale as SmarterDx grows.
• Drive technical design reviews, architectural decisions, and technology evaluations to ensure platform scalability and maintainability.
• Establish development standards and best practices including code reviews, testing frameworks, CI/CD pipelines, and documentation standards.

Requirements

• 7-10+ years of experience in healthcare technology implementation, with at least 5 years in a senior leadership role (responsible for high value portfolios, managing teams of 10+ resources, or -ideally
• both).
• Hands-on-keys expertise building HL7, FHIR, API integration, and database extracts for complex integrations with large health systems and enterprise customers, including extensive experience integrating with inpatient EHRs (including Epic, Cerner)
• Excellent people leadership skills, with a track record of empowering high performing technical leaders, setting clear expectations, and driving results.
• Strong delivery management skills, with the ability to manage multiple complex initiatives across customers and products.
• Persuasive and clear in client-facing written and verbal communication, with the ability to confidently engage with health system resources from executives to analysts while mitigating risks.
• You’re a pro at translating business and clinical requirements into technical integration solutions (and vice versa)
• Analytical mindset with the ability to use data to forecast capacity, identify bottlenecks, and measure success.
• Experience working in startup or high-growth environments, balancing long-term strategy with near-term execution.

Benefits

• Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
• Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
• Remote-First Team – Work from anywhere in the U.S.
• Unlimited PTO & 10 Holidays – So you can relax and recharge.
• 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
• Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
• Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.