Senior EHR Integration Specialist

McKesson

. Design, implement, test, and support production integrations with external EHR systems .

Posted 10/16/2026full-timeColumbus • Ohio • United StatesSenior💰 $120,000 - $200,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in EHR integration, particularly with SMART on FHIR and FHIR R4, while ensuring secure and scalable architectures. Proficient in translating complex integration requirements into effective solutions and maintaining compliance with healthcare data privacy standards.

Highest-signal resume keywords

SMART On FHIR IntegrationFHIR R4 DevelopmentOAuth 2.0 ImplementationEHR Systems IntegrationHealthcare Interoperability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

FHIR R4SMART On FHIROAuth 2.0OpenID ConnectHL7CDS HooksAPI DevelopmentIntegration ArchitectureData MappingAutomation Techniques

Soft Skills

Technical GuidanceCross-Team CollaborationProblem SolvingOrganizational SkillsInfluencing Without Authority

Tools & Technologies

EpicFHIR ServersMicrosoft Entra IDOktaHAPI FHIRAzure Health Data ServicesGoogle Cloud Healthcare API

Certifications & Qualifications

Epic Certification

Industry Keywords

Healthcare Data PrivacyHIPAA ComplianceClinical WorkflowsPayer-Provider Data ExchangeInteroperability Standards

Tech Stack

Tools & technologies

AzureCloudOracle

About the role

Key responsibilities & impact

Design, implement, test, and support production integrations with external EHR systems
Lead integration of SMART on FHIR applications into Epic clinical workflows
Implement context-aware EHR application launches using patient, encounter, and user context
Develop FHIR R4 integrations for clinical and administrative data exchange
Design and configure OAuth 2.0 and OpenID Connect authentication flows
Translate integration requirements into code, reusable components, implementation assets, and production-ready solutions
Troubleshoot application launch, authentication, authorization, API access, data exchange, and integration performance issues
Create reusable reference architectures using FHIR, HL7, SMART on FHIR, and CDS Hooks
Design secure, maintainable integration patterns across practices, health systems, and EHR platforms
Recommend approaches involving APIs, FHIR servers, middleware, translation layers, orchestration, event management, and monitoring
Establish standards for data mapping, normalization, validation, and semantic interoperability
Develop roadmaps and technical implementation approaches
Build reusable templates, scripts, mappings, and integration components to reduce manual onboarding
Identify and implement automation opportunities across EHR integration and practice-onboarding workflows
Improve onboarding repeatability, reliability, scalability, data integrity, and compliance
Apply approved AI-enabled engineering tools and automation techniques
Evaluate integration outcomes and refine patterns based on production experience
Define requirements involving HIPAA, OAuth 2.0, role-based access control, data privacy, and secure access to clinical information
Partner with Security, IAM, Product, Compliance, Engineering, and Operations on secure, auditable solutions
Maintain reference architectures, sequence diagrams, data mappings, implementation guides, integration designs, and operational runbooks
Recommend monitoring and observability approaches
Serve as subject-matter expert for EHR integration, SMART on FHIR, FHIR architecture, and healthcare interoperability
Organize work, manage cross-team dependencies, and close initiatives with limited supervision
Translate technical and business decisions into executable integration plans
Influence architecture and engineering practices without formal people-management responsibility
Provide technical guidance to engineers and implementation partners

Requirements

What you’ll need

Degree or equivalent and typically 7+ years of relevant experience
Five or more years of experience in software engineering, integration engineering, healthcare interoperability, or solution architecture
Hands-on experience delivering SMART on FHIR integrations in a production environment
Experience integrating applications with external EHR systems, preferably Epic
Experience with SMART on FHIR application launch patterns, including clinical-context handling
Hands-on coding experience supporting APIs, application integrations, middleware, or interoperability solutions
Applied experience with FHIR R4, OAuth 2.0, and OpenID Connect
Experience working with or deploying FHIR servers
Experience designing secure, scalable, and reusable healthcare integration architectures
Experience defining reference architectures using FHIR, HL7, SMART on FHIR, CDS Hooks, or related interoperability patterns
Understanding of clinical workflows, healthcare data privacy, and payer-provider data exchange
Experience creating technical artifacts such as reference architectures, sequence diagrams, data mappings, implementation guides, or operational runbooks
Demonstrated ownership of complex production integrations involving multiple technical and business stakeholders
Experience independently evaluating integration requirements, making technical recommendations, and carrying work through implementation and production delivery
Preferred: Direct experience integrating applications into Epic clinical workflows
Preferred: Experience with Epic SMART App Launch, App Orchard, Connection Hub, Bridges, FHIR, or related Epic integration capabilities
Preferred: Epic certification related to application integration, interoperability, or interfaces
Preferred: Experience integrating with iKnowMed
Preferred: Experience integrating with Cerner or Oracle Health
Preferred: Experience with HL7 v2, CDA, C-CDA, NCPDP, Da Vinci implementation guides, or related healthcare data-exchange standards
Preferred: Experience building applications that consume data from or write data to FHIR servers
Preferred: Experience with FHIR persistence, versioning, subscriptions, eventing, search, performance, and scaling
Preferred: Experience with enterprise FHIR technologies such as HAPI FHIR, Azure Health Data Services, Google Cloud Healthcare API, or comparable platforms
Preferred: Experience with enterprise identity providers such as Microsoft Entra ID, Okta, or comparable identity platforms
Preferred: Experience supporting large-scale or multitenant healthcare technology platforms
Preferred: Experience with HIPAA and related security, compliance, or audit-control frameworks
Preferred: Experience using AI-assisted development or automation tools

Benefits

Comp & perks

Competitive compensation package
Annual bonus may be offered
Long-term incentive opportunities may be offered
Benefits through McKesson’s Total Rewards program
Equal employment opportunities
Reasonable accommodation for job search or application