Senior Integration Engineer, SmarterDx

• You have deep strength in multiple areas below, and can lead in all of them:
• 7+ 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 interface engine architecture and operations experience, 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
• Exceptional skill leading critical meetings and creating supporting documentation to align technical and non-technical stakeholders; adept at translating complex technical concepts (like integration tradeoffs, FHIR and HL7v2 message flows, and data mapping logic) into clear business-impact language
• Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria
• 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
• Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration
• Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities

Desirable

• You are a healthcare integration architect with deep expertise in healthcare interoperability and a strong client orientation
• You partner directly with health system IT leaders, interface teams, and operational stakeholders to design integrations that are secure, reliable, and aligned to real-world workflows
• You blend executive presence with operational humility, able to lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon
• You will lead integrations end to end, from architectural strategy through build, validation, and production support. You excel at both system design decision making as well as direct hands-on build and troubleshooting, and translate complex interoperability concepts into clear, durable solutions that earn client trust
• You are comfortable translating complex HL7 specifications and data transformation logic into language that resonates with technical and non-technical stakeholders alike. Clients trust you not only to solve immediate integration challenges, but to shape scalable interoperability strategies
• At SmarterDx, your work will build lasting partnerships with health systems and directly enable our mission of empowering hospitals to tell the most accurate patient stories - because the more accurate the patient record, the better outcomes for the patient and for the hospital
• 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 expert 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
• Lead structured incident response, root cause analysis, and durable remediation for complex production issues, including participation in an after-hours Tier 3 rotation for high-priority support
• 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
• Our Tech Stack:
• Rhapsody, AWS, Snowflake, JIRA, HL7Spy