Senior Integration Developer, IT Business Architect

Trillium Health Partners

. Manage the entire cycle of interface application development, including analysis, design, specification, implementation, go-live, and support .

Posted 10/15/2026full-timeMississauga • CanadaSenior💰 CA$58 - CA$72 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in FHIR R4-based integrations and REST API development within healthcare environments, ensuring compliance with PIPEDA, PHIPA, and HIPAA. Proficient in managing the full application development lifecycle, optimizing SQL Server queries, and utilizing Microsoft BizTalk Server for large-scale deployments.

Highest-signal resume keywords

FHIR R4 API DevelopmentMicrosoft BizTalk Server 2020SQL Server 2022 OptimizationREST API Design and DevelopmentAzure DevOps (Git) for CI/CD

ATS Keywords

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Hard Skills

FHIR R4 APIsHL7 v2.x Messaging StandardsRESTful ServicesSQL QueriesNoSQL Databases.NET Framework 4.0+.NET Core 8.0+XSLTXML Messaging StandardsEnterprise Service Bus (ESB)

Soft Skills

Team CollaborationCoaching and MentoringProblem SolvingAdaptabilityCommunication

Tools & Technologies

Visual Studio 2022Azure Integration ServicesITIL FrameworkEpic Integration SurfacesAI-assisted DevOps Tools

Certifications & Qualifications

Microsoft Certified: Azure Developer Associate (AZ-204)

Industry Keywords

Healthcare Data IntegrationPIPEDA CompliancePHIPA ComplianceHIPAA ComplianceApplication Performance Tuning

Tech Stack

Tools & technologies

ASP.NETAzureNoSQLOracleSDLCSQL.NET

About the role

Key responsibilities & impact

Manage the entire cycle of interface application development, including analysis, design, specification, implementation, go-live, and support
Design and implement FHIR R4-based integrations with Epic, including bi-directional data flows and write-back
Develop and support custom APIs for FHIR integrations
Support REST API design and development for healthcare data exchange
Develop and migrate interfaces on Microsoft BizTalk 2020, including large-scale deployments and high-availability configuration
Perform application performance tuning across multi-tier applications
Optimize SQL Server 2022 queries, data access, database objects, and NoSQL databases
Ensure integration solutions comply with PIPEDA, PHIPA, and HIPAA requirements in collaboration with Privacy and Security teams
Coordinate vendors, subject matter experts, interface engine developers, and end users to design, configure, and test interfaces
Follow documentation standards for new and existing integration solutions
Coach and mentor others to support learning and development
Participate in after-hours on-call rotation coverage
Perform other duties as assigned based on organizational priorities

Requirements

What you’ll need

College Diploma (3-year program), bachelor’s degree in computer science or a related field, or equivalent combination of education and experience
Minimum of 5 years of experience developing interfaces and integration solutions in a healthcare environment
Hands-on experience with FHIR R4 APIs is required
Hands-on knowledge of HL7 v2.x messaging standards and structures is required
Experience with REST API design and development (JSON, RESTful services)
Experience with Microsoft BizTalk Server 2020, including large-scale deployments and high-availability configuration required
Working knowledge of the .NET Framework 4.0+ and .NET Core 8.0+, including Visual Studio 2022, C#, and ASP.NET Core is required
Proficiency with SQL Server 2022, including SQL queries, data access optimization, and database object management
Knowledge and experience using Azure DevOps (Git) for source control and CI/CD pipelines is required
Knowledge of Enterprise Service Bus (ESB) integration patterns in a healthcare environment is required
Knowledge of XSLT and XML messaging standards is required
Understanding of healthcare data integration patterns, including bi-directional data flows and real-time or near-real-time synchronization
Familiarity with SDLC, including design, development, testing, and deployment
Working knowledge of NoSQL databases
Working knowledge of the ITIL framework
Ability to work with teams to achieve goals and meet deadlines in a fast-paced environment
Experience with Epic integration surfaces, including Epic Bridges, is strongly preferred
Experience with RTLS integrations for new hospital builds is an asset
Experience with Oracle Fusion HCM and UKG integrations is preferred
Experience with Azure Integration Services is strongly preferred
Microsoft Certified: Azure Developer Associate (AZ-204) or equivalent Azure integration certification is strongly preferred
Familiarity with AI-assisted DevOps tools is an asset

Benefits

Comp & perks

Hands-on training
Career and growth opportunities
Coaching and mentoring opportunities
After-hours on-call rotation coverage
Accommodation throughout the recruitment and selection process for applicants with disabilities