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Senior Integration Engineer (Client-Facing)

6 days, 17 hours ago
United States
Full-time
Senior
Implementation Engineer
Customer and Technical Support
AWS JavaScript JIRA Python REST API SFTP Snowflake SQL TLS
Apply Now
SmarterDx

SmarterDx

SmarterDx ensures revenue integrity by leveraging A.I. algorithms to uncover missed opportunities in clinical data, optimizing tasks for accurate ICD 10 coding and guaranteeing a 5:1 ROI.

Professional Services
11-50
Founded 2019
View All Jobs 16

Description

  • Lead the design, development, validation, and production support of interfaces between SmarterDx and hospital EHR systems such as Epic, Cerner, and Meditech.
  • Serve as the primary technical expert in customer engagements with CIOs, IT leaders, interface teams, CDI leaders, coding leaders, and implementation sponsors.
  • Own integrations end to end, including specifications, mapping, configuration, testing strategy, go-live planning, and production stabilization.
  • Lead data validation and reconciliation to ensure data integrity, completeness, and interoperability compliance.
  • Design integrations for reliability and observability, including monitoring, alerting, traceability, replay strategies, and operational runbooks.
  • Lead incident response, root cause analysis, and durable remediation for complex production issues, including participation in an after-hours Tier 3 support rotation.
  • Improve integration operations through automation, including test harnesses, validation tooling, automated checks, and deployment patterns.
  • Monitor evolving interoperability standards and translate them into actionable architectural guidance for internal teams and clients.
  • Advise engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.

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 with modular design, maintainability, performance, and supportability.
  • Strong executive communication skills with the ability to influence senior health system leaders and represent the company in customer forums, advisory councils, and conferences.
  • Experience with scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation.
  • Experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
  • Hands-on experience with JavaScript or Python for message transformation or workflow automation.
  • SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
  • Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration.
  • Ability to define and execute plans with timelines, critical path, risks, mitigations, and measurable success criteria.
  • Experience with Rhapsody architecture and operations is strongly preferred.
  • Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP.
  • Background in clinical informatics or certified health IT credentials, such as HL7, FHIR, Mirth Connect, Cloverleaf, or EHR certifications.
  • Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools is a plus.
  • Entrepreneurial, scrappy, builder-oriented mindset with a strong sense of ownership.

Benefits

  • $190K-$210K base compensation plus benefits.
  • Comprehensive medical, dental, and vision coverage with 75% of premiums covered depending on the plan.
  • Up to 12 weeks of paid parental leave.
  • Remote-first work environment with the ability to work from anywhere in the U.S.
  • Unlimited PTO plus 10 holidays.
  • 401(k) with Traditional and Roth options and a 4% employer match.
  • Minimal bureaucracy in a fast-moving, high-impact environment.

Interested in this position?

Apply directly on the company website

Apply Now

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