Senior Integration Engineer
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Job Description
Senior Integration Engineer owning HL7v2 interfaces and cloud operations for SmarterDx’s clinical AI platform. Supporting reliable hospital data integrations, production troubleshooting, and customer connectivity.
Responsibilities:
- Design, develop, test, deploy, and support healthcare integrations throughout their lifecycle, primarily using HL7v2 across Epic and Oracle Health/Cerner.
- Serve as technical owner and subject matter expert for SmarterDx’s integration platform, including configuration, administration, monitoring, upgrades, and production operations.
- Partner with Infrastructure and Security teams to operate the cloud-hosted integration platform using AWS, VPN connectivity, networking, TLS/certificate management, HTTPS endpoints, and secure customer connectivity.
- Maintain reliability and availability through proactive monitoring, safe change practices, capacity planning, and performance planning.
- Define and implement integration development and operational best practices, reusable components, configuration standards, testing, deployments, documentation, and operational processes.
- Serve as a senior technical escalation point for production issues, leading troubleshooting, root cause analysis, message recovery/reprocessing, and durable remediation.
- Participate in an after-hours on-call / Tier 3 support rotation for high-priority integration and platform incidents.
- Support integration platform cases, platform questions, upgrades, capacity planning, and technical escalations.
- Collaborate with Integration Engineering, Infrastructure, Security, Product, and customer technical teams during implementations, connectivity setup, and production support.
Requirements:
- 4+ years of healthcare integration experience, including building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
- Deep, hands-on expertise building integrations from scratch within enterprise healthcare interface engines.
- Experience owning or administering an interface engine in a production environment.
- Expert-level HL7v2 knowledge, including message structure, message types, trigger events, acknowledgements, transformations, sequencing, and error handling.
- Strong JavaScript experience for message transformation and workflow logic.
- Working SQL proficiency for validation, troubleshooting, and operational analysis.
- Experience supporting high-volume, mission-critical integration platforms in AWS or similar cloud-hosted environments.
- Strong understanding of TCP/IP, MLLP, HTTP/HTTPS, TLS certificates, DNS, firewalls, VPNs, and secure connectivity.
- Strong production support and troubleshooting skills across interface engines, HL7, applications, network connectivity, infrastructure, and external dependencies.
- Ability to operate autonomously while collaborating across teams and owning complex technical problems.
- Nice to have: Python or other scripting languages, enterprise healthcare interface engines in SaaS or hosted deployments, healthcare integration certifications or formal training, hospital workflows, clinical data structures, EHR integration patterns, revenue cycle data flows, SFTP, flat files, X12, REST APIs, SOAP web services, database connectivity, FHIR, Mirth Connect, Cloverleaf, Corepoint, InterSystems, automated testing, CI/CD, configuration management, environment promotion, capacity planning, and performance tuning.
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 & 11 Holidays
- 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.
- Bonus potential
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