Integration Engineer

Role Overview

• Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech).
• Serve as the technical executive 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.
• Troubleshoot complex production issues and lead structured incident response, root cause analysis, and durable remediation.
• Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) 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 based on field experience.
• Blend executive presence with operational humility. You can lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. No engagement is beneath you, and no client environment is too complex. You own outcomes end to end.

Requirements

• 7-12+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling and downstream impacts.
• Advanced Rhapsody architecture and operations experience required, including best practices for modular design, maintainability, performance, and supportability
• Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences.
• Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation, with the ability to both guide client teams and execute directly within vendor-approved frameworks for top-market EHR systems.
• Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
• Proven leadership aligning technical and non-technical stakeholders during complex inpatient hospital and health system implementations, including the ability to explain integration tradeoffs, risks, and decisions in clear business terms.
• Demonstrated ability to define plans that succeed: timelines, critical path, risks, mitigations, and measurable success criteria.
• Adept at translating HL7v2 message flows, FHIR API interactions, and data mapping logic into business-impact language and creating supporting documentation to build trust and secure stakeholder alignment
• Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation.
• SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
• Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities
• Executive-level credibility paired with hands-on ownership: experience advising health system leadership while remaining deeply engaged in day-to-day technical execution, including production support and issue resolution.

Tech Stack

• JavaScript
• Python
• SQL

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.