Senior Health Integration Engineer - Remote based in US

Conifer Health Solutions is seeking an experienced Health Integration Engineer to join their team as a senior contributor and technical leader. The role focuses on designing and implementing healthcare integration solutions while mentoring junior developers and improving integration capabilities.

Responsibilities:

• Design, develop, test, and deploy healthcare integrations using InterSystems IRIS or other integration platforms
• Implement production components—business services, processes, and operations—primarily through code (ObjectScript, Embedded Python, or similar), minimizing reliance on BPL
• Interpret business and technical requirements and convert them into scalable, supportable integration designs
• Build message transformations, routing logic, and custom adapters as required
• Work with HL7 v2, FHIR, CCD/C-CDA, X12, and other healthcare data formats and transport protocols
• Collaborate closely with analysts, business teams, and external partners to clarify requirements and ensure successful solution delivery
• Troubleshoot issues using logs, message tracing, and integration engine tooling
• Provide mentorship, code reviews, and architectural guidance to junior team members
• Identify opportunities to improve team processes, tools, and integration standards; propose and lead technology-enhancing initiatives
• Adhere to organizational standards for security, reliability, testing, and documentation

Requirements:

• 5+ years of hands-on healthcare integration experience
• Strong proficiency with at least one major healthcare integration engine; InterSystems IRIS/HealthShare/Ensemble experience is preferred
• Ability to develop integration components using code (ObjectScript, Python, Java, etc.), not only graphical tools
• Solid understanding of HL7 v2, FHIR, and common healthcare interoperability workflows
• Experience designing and implementing integration patterns (synchronous/asynchronous messaging, transformations, routing, error handling)
• Strong problem-solving skills and ability to work independently with minimal oversight
• Experience mentoring peers or junior engineers
• Excellent written and verbal communication skills and the ability to engage effectively with both technical and non-technical audiences
• Familiarity with version control, CI/CD pipelines, and modern development practices is a plus
• InterSystems IRIS production development experience (ObjectScript, Embedded Python, DTL, custom business services/operations)
• REST/SOAP API integration experience
• Knowledge of cloud deployment environments and containerized integration workloads
• Exposure to healthcare standards such as IHE, OAuth-based security, or identity/access management in healthcare systems