Senior Integration Engineer

Rockstar

. Build new EHR and clearinghouse integrations with ambulatory EHRs such as Athenahealth, eClinicalWorks, and Elation .

Posted 10/8/2026full-timeNew York City • New York • United StatesSenior💰 $160,000 - $195,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building and maintaining EHR and clearinghouse integrations using FHIR, HL7v2, and EDI standards, while ensuring data accuracy and pipeline efficiency. Strong background in Python programming and production data pipeline operations, with a focus on incident response and monitoring.

Highest-signal resume keywords

Python ProgrammingEHR IntegrationData Pipeline ManagementFHIR StandardsIncident Response

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EHR IntegrationData Pipeline ManagementPython ProgrammingFHIR StandardsHL7v2EDI StandardsMonitoringAlertingRoot-Cause AnalysisSchema Evolution

Soft Skills

Strong Communication

Tools & Technologies

AWSGCPBigQuerySnowflake

Industry Keywords

Healthcare TechRCMPractice ManagementX12 EDIClaim SubmissionRemittance Workflows

Tech Stack

Tools & technologies

AWSBigQueryCloudGoogle Cloud PlatformPython

About the role

Key responsibilities & impact

Build new EHR and clearinghouse integrations with ambulatory EHRs such as Athenahealth, eClinicalWorks, and Elation
Use FHIR, HL7v2, and EDI standards to design and implement integrations
Harden existing connections with observability, alerting, and automated failure recovery
Participate in shared on-call responsibilities for integration incidents
Build tooling to accelerate incident response and clarify root-cause analysis
Design and maintain pipelines ingesting, transforming, and delivering clinical, scheduling, billing, and claims data
Ensure pipeline latency, correctness, and schema evolution are carefully managed
Partner with product and engineering teams on data-driven customer-facing features
Ensure accurate, timely, and usable data reaches the platform
Define standards for connection design, error handling, retries, and monitoring
Document integration decisions and build extensible systems

Requirements

What you’ll need

5+ years of experience as an integration engineer, software engineer, or related discipline
Strong Python programming skills; comfort reading and writing production-grade backend code
Experience building and operating production data pipelines, including monitoring, alerting, and incident response
Experience working in small teams with end-to-end ownership and limited process
Strong communication skills
Nice to have: Strong command of FHIR, HL7v2, and X12 EDI
Nice to have: Clearinghouse or EDI experience, including X12 835/837 claim submission and remittance workflows
Nice to have: Experience with cloud data warehouses such as BigQuery or Snowflake
Nice to have: Cloud infrastructure experience with AWS or GCP
Nice to have: Prior experience at a healthcare tech, RCM, or practice management company
Nice to have: Familiarity with SMART on FHIR or OAuth-based EHR app frameworks

Benefits

Comp & perks

Equity
Competitive benefits
Hybrid work environment in New York City