Senior Integration Engineer

DrFirst, Inc.

. Build and support vendor and customer integrations across payers, hospitals, health systems, and EMR/EHR platforms .

Posted 11/5/2026full-timeRemote • United StatesSenior💰 $140,000 - $160,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare integration engineering, focusing on building and supporting vendor and customer integrations across various platforms while ensuring compliance with HIPAA and HITECH requirements. Proficient in designing scalable integration capabilities and automating workflows to enhance payer connectivity and authorization processes.

Highest-signal resume keywords

Healthcare Integration EngineeringHL7 FHIRJavaElectronic Prior Authorization WorkflowsCI/CD Pipelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HL7 v2X12 EDIJavaC#PythonJavaScript/Node.jsAutomated TestingIntegration PatternsAPIsDomain Driven Design

Soft Skills

Strong Communication SkillsTechnical Leadership

Tools & Technologies

AWSSpring BootKubernetesGoogle Cloud PlatformEvent-Driven Architectures

Industry Keywords

Healthcare Data StandardsPayer System ArchitecturesNCPDP SCRIPT ePAX12 278TEFCACMS Interoperability Rule21st Century Cures Act

Tech Stack

Tools & technologies

AWSCloudGoogle Cloud PlatformJavaJavaScriptKubernetesMicroservicesNode.jsPythonSpringSpring BootSpringBoot

About the role

Key responsibilities & impact

Build and support vendor and customer integrations across payers, hospitals, health systems, and EMR/EHR platforms
Design the next generation of healthcare organization connectivity to DrFirst medication management solutions
Scale payer connectivity and electronic prior authorization workflows
Own technical execution and business relationships with payer partners
Partner with Product to turn complex payer workflows into reliable, repeatable integration capabilities
Build processes and SOPs for expanding payer connectivity
Build self-service tools for technology-forward customers and automation to accelerate integrations
Maintain enterprise-grade security and compliance
Design, build, and support integrations with hospitals, health systems, and EMR/EHR vendors
Translate requirements into reliable interfaces and troubleshoot issues across customer environments and internal platforms
Design, build, and support direct payer integrations for the ePA platform
Handle payer-specific rules, request and response workflows, and exception handling
Troubleshoot complex ePA issues and improve authorization success rates and turnaround times
Serve as primary technical point of contact for payer partners
Lead payer onboarding and ongoing integration reviews
Shape scalable payer integration capabilities with Product and document repeatable onboarding processes
Build automation, APIs, and self-service tools for integration build, testing, and certification
Build testing and monitoring into integrations to meet HIPAA and HITECH requirements and ensure production reliability

Requirements

What you’ll need

Bachelor’s degree in Computer Science, Software Engineering, or a related technical field
5+ years of progressive experience in healthcare integration engineering
Deep understanding of healthcare data standards: HL7 v2, HL7 FHIR, and X12 EDI
Hands-on experience building production integrations with payers, hospitals, health systems, and/or EMR/EHR platforms
Working knowledge of payer system architectures and electronic prior authorization standards and workflows, including NCPDP SCRIPT ePA, X12 278, and HL7 FHIR Da Vinci PAS
Experience with Java, C#, Python, and JavaScript/Node.js
Experience with EMR/EHR-specific frameworks and integration patterns
Experience building automated testing and scripting for integrations
Working familiarity with CI/CD pipelines and cloud platforms, including AWS
Strong communication skills and experience leading technical discussions with customers, vendors, or payers and seeing integrations through to go live
95%+ of time working at a desk or on the phone
Preferred: experience with real-time data streaming, event-driven architectures, and microservices patterns in healthcare environments
Preferred: exposure to infrastructure as code and deployment automation
Preferred: demonstrated use of AI tools such as Copilot, Cursor, Claude, Codex, or similar, with prompt engineering and AI-assisted tooling or agentic workflow experience
Preferred: knowledge of TEFCA, CMS Interoperability Rule, and 21st Century Cures Act
Preferred: experience with Spring Boot or similar enterprise frameworks
Preferred: experience with Kubernetes and Google Cloud Platform, or another container orchestrator and cloud platform
Preferred: experience with Domain Driven Design (DDD) concepts

Benefits

Comp & perks

Eligible for a Discretionary Performance-based bonus
Medical, dental, and vision insurance
401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule
HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year
100% company paid short and long-term disability, AD&D, and group life insurance
Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter
7 paid holiday days
Employee Assistance Program
Continuing Education funds up to $1500 annually for eligible programs after 1 year of service
Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances
Remote-First company with a dynamic and flexible workplace
Less than 5% travel to industry vendor events for technical collaboration and the annual DrFirst team onsite