Integration Manager

. Define scalable and secure integration approaches, including API-first, event-driven, batch/streaming, and canonical models .

Posted 9/25/2026full-timeRemote • Massachusetts • United StatesSeniorLead💰 $130,000 - $160,000 per yearWebsite

Tools & technologies

CloudDistributed SystemsJavaJavaScriptKotlinNode.jsPythonTypeScript.NET

Key responsibilities & impact

Define scalable and secure integration approaches, including API-first, event-driven, batch/streaming, and canonical models
Lead integrations from discovery and requirements through build, testing, go-live, and support
Manage dependencies and risks across multiple systems and teams
Design and build APIs, including specifications, versioning, error handling, and documentation standards
Drive adoption and implementation of HL7 v2, FHIR, and X12 interoperability standards
Partner with data owners, security, compliance, product, engineering, and client stakeholders to align data sharing, definitions, governance, and timelines
Run high-stakes technical discovery sessions and develop integration strategies, solution options, and trade-offs
Establish integration and data migration runbooks and observability practices for logging, monitoring, alerting, and data reconciliation
Lead root cause analysis and durable fixes for production issues
Define testing strategies and support UAT
Ensure data accuracy, reliability, and continuity during migrations and steady-state operations
Represent integration status, risks, and recommendations to leadership
Escalate blockers with options and clear asks
Build repeatable playbooks and raise the technical bar
Build stakeholder trust, assess the integration portfolio, identify five high-impact improvements, create or refine reference architecture and standards, and own at least one complex integration milestone during the first 90 days

What you’ll need

7+ years in integration engineering, interoperability, technical consulting, or systems integration, ideally in healthcare, payer/provider networks, or health tech SaaS
Hands-on experience designing/implementing integrations using HL7 v2 and/or FHIR
Familiarity with X12 transactions, including 270/271, 276/277, 834, and 835, and HIPAA-related considerations
Strong understanding of synchronous/asynchronous, batch, queues/events, and canonical model integration patterns
Ability to design and build APIs and related integration components
Comfort with OpenAPI/Swagger, Postman, and at least one modern backend language/framework such as Java/Kotlin, C#/.NET, Python, or JavaScript/TypeScript/Node
Experience with OAuth2/JWT and secure data exchange
Proven ability to own delivery outcomes, prioritize work, manage ambiguity, and drive measurable results in complex, multi-system environments
Demonstrated ability to align and influence cross-functional stakeholders
Strong analytical and troubleshooting skills across distributed systems
Ability to author technical specifications, interface agreements, runbooks, and executive-ready status updates
Experience with EHR workflows, interface engines/iPaaS, cloud platforms, CI/CD, infrastructure-as-code, containerization, SRE/observability, regulated environments, data governance, security reviews, or emerging agentic technology is nice to have

Comp & perks