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Senior Integration Engineer (Client-Facing)

2 weeks ago
United States
Full-time
Lead
Implementation Engineer
Customer and Technical Support
AWS JavaScript JIRA Python 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 3

Description

  • Lead the design, development, and validation of scalable interfaces between SmarterDx and hospital or health system EHRs such as Epic, Cerner, and Meditech.
  • Serve as the technical lead in customer engagements with CIOs, IT leaders, interface teams, CDI and 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 integrity, completeness, and interoperability compliance.
  • Design for reliability and observability, including monitoring, alerting, traceability, replay strategies, and operational runbooks.
  • Troubleshoot complex production issues and lead incident response, root cause analysis, and remediation.
  • Improve integration operations by automating repetitive implementation and validation tasks.
  • Track evolving interoperability standards and translate them into actionable guidance for clients and internal teams.
  • Advise engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.
  • Support high-priority production issues through an after-hours Tier 3 rotation.

Requirements

  • 7-12+ years building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
  • Advanced experience with interface engine architecture and operations, including modular design, maintainability, performance, and supportability.
  • Exceptional executive communication skills and experience influencing senior health system leaders.
  • Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation.
  • Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
  • Strong ability to explain HL7v2 message flows, FHIR interactions, and data mapping logic in business terms.
  • Hands-on experience with JavaScript or Python for transformation or workflow automation.
  • SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
  • Familiarity with data transfer security best practices such as TLS, HTTPS, and VPN configuration.
  • Experience working autonomously and driving process improvements amid ambiguity and changing priorities.
  • Experience advising health system leadership while remaining involved in day-to-day technical execution, including production support.
  • Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows (preferred).
  • Background in clinical informatics or certified health IT credentials such as HL7, FHIR, Mirth Connect, Rhapsody, Cloverleaf, or EHR certifications (preferred).
  • Advanced Rhapsody architecture and operations experience (strongly preferred).
  • Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP (preferred).
  • Participation in HL7 or FHIR working groups, or contributions to open-source healthcare integration tools (preferred).
  • Entrepreneurial, builder-oriented mindset with strong ownership (preferred).
  • Familiarity with the listed tech stack: Rhapsody, AWS, Snowflake, JIRA, and HL7Spy.

Benefits

  • Fully remote within the US.
  • Opportunity to work on healthcare interoperability that directly supports hospital workflows and patient record accuracy.
  • Client-facing role with exposure to senior health system leaders and strategic architecture discussions.
  • Chance to influence product and platform strategy based on field experience.
  • End-to-end ownership of integrations, from design through production support.

Interested in this position?

Apply directly on the company website

Apply Now

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