Senior Integration Engineer

SmarterDx

. Design, develop, test, deploy, and support healthcare integrations throughout their lifecycle, primarily using HL7v2 across Epic and Oracle Health/Cerner.

Posted 9/15/2026full-timeRemote • United StatesSenior💰 $185,000 - $215,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in healthcare integration, particularly with HL7v2, and possesses strong skills in cloud-hosted environments, specifically AWS. Capable of leading technical operations, troubleshooting, and implementing best practices for integration platforms.

Highest-signal resume keywords

HL7v2 Integration ExpertiseAWS Cloud OperationsJavaScript for Message TransformationProduction Support and TroubleshootingInterface Engine Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HL7v2JavaScriptSQLTCP/IPMLLPHTTP/HTTPSTLS CertificatesSFTPREST APIsSOAP Web Services

Soft Skills

Autonomous OperationCollaboration

Tools & Technologies

AWSMirth ConnectCloverleafCorepointInterSystems

Certifications & Qualifications

Healthcare Integration Certifications

Industry Keywords

Healthcare IntegrationEHR Integration PatternsClinical Data StructuresRevenue Cycle Data FlowsCapacity PlanningPerformance Tuning

Tech Stack

Tools & technologies

AWSCloudDNSFirewallsJavaScriptOraclePythonSOAPSQLTCP/IP

About the role

Key responsibilities & impact

Design, develop, test, deploy, and support healthcare integrations throughout their lifecycle, primarily using HL7v2 across Epic and Oracle Health/Cerner.
Serve as technical owner and subject matter expert for SmarterDx’s integration platform, including configuration, administration, monitoring, upgrades, and production operations.
Partner with Infrastructure and Security teams to operate the cloud-hosted integration platform using AWS, VPN connectivity, networking, TLS/certificate management, HTTPS endpoints, and secure customer connectivity.
Maintain reliability and availability through proactive monitoring, safe change practices, capacity planning, and performance planning.
Define and implement integration development and operational best practices, reusable components, configuration standards, testing, deployments, documentation, and operational processes.
Serve as a senior technical escalation point for production issues, leading troubleshooting, root cause analysis, message recovery/reprocessing, and durable remediation.
Participate in an after-hours on-call / Tier 3 support rotation for high-priority integration and platform incidents.
Support integration platform cases, platform questions, upgrades, capacity planning, and technical escalations.
Collaborate with Integration Engineering, Infrastructure, Security, Product, and customer technical teams during implementations, connectivity setup, and production support.

Requirements

What you’ll need

4+ years of healthcare integration experience, including building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
Deep, hands-on expertise building integrations from scratch within enterprise healthcare interface engines.
Experience owning or administering an interface engine in a production environment.
Expert-level HL7v2 knowledge, including message structure, message types, trigger events, acknowledgements, transformations, sequencing, and error handling.
Strong JavaScript experience for message transformation and workflow logic.
Working SQL proficiency for validation, troubleshooting, and operational analysis.
Experience supporting high-volume, mission-critical integration platforms in AWS or similar cloud-hosted environments.
Strong understanding of TCP/IP, MLLP, HTTP/HTTPS, TLS certificates, DNS, firewalls, VPNs, and secure connectivity.
Strong production support and troubleshooting skills across interface engines, HL7, applications, network connectivity, infrastructure, and external dependencies.
Ability to operate autonomously while collaborating across teams and owning complex technical problems.
Nice to have: Python or other scripting languages, enterprise healthcare interface engines in SaaS or hosted deployments, healthcare integration certifications or formal training, hospital workflows, clinical data structures, EHR integration patterns, revenue cycle data flows, SFTP, flat files, X12, REST APIs, SOAP web services, database connectivity, FHIR, Mirth Connect, Cloverleaf, Corepoint, InterSystems, automated testing, CI/CD, configuration management, environment promotion, capacity planning, and performance tuning.

Benefits

Comp & perks

Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
Remote-First Team – Work from anywhere in the U.S.
Unlimited PTO & 11 Holidays
401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.
Bonus potential