SmarterDx

Sr. Integration Engineer

SmarterDx
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2 hours ago
Remote, United StatesSenior

Base Salary

$185k - $220k/yr

Responsibilities

  • Lead the design, development, validation, deployment, and production stabilization of integrations between SmarterDx and hospital EHRs.
  • Serve as the technical expert in customer engagements and guide architecture discussions with executive, IT, clinical, and operational stakeholders.
  • Develop integration specifications, mappings, configurations, testing strategies, go-live plans, operational runbooks, and support processes.
  • Lead data validation, reconciliation, monitoring, alerting, traceability, replay strategies, incident response, root cause analysis, and remediation.
  • Automate implementation and operational workflows through test harnesses, validation tooling, automated checks, and deployment patterns.
  • Monitor interoperability standards and advise product and platform engineering on schemas, data contracts, mapping approaches, and integration tooling.
  • Participate in an after-hours Tier 3 rotation for high-priority production support.

Requirements

  • 7+ years of experience building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
  • Expertise in EHR-specific message structures, triggers, acknowledgements, error handling, downstream impacts, and interface engine architecture and operations.
  • Experience with scalable database extraction architecture, performance tuning, indexing, and downstream data validation.
  • Significant experience enabling FHIR R4 APIs and resources and SMART on FHIR workflows.
  • Hands-on experience with JavaScript or Python for message transformation or workflow automation.
  • SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
  • Familiarity with TLS, HTTPS, VPN configuration, and data-transfer security practices.
  • Strong executive communication, technical documentation, planning, stakeholder leadership, and client-facing communication skills.
  • Preferred experience with Epic integrations and Bridges, Interconnect, Reporting Workbench, Clarity, Chronicles, Caboodle, or Cogito.
  • Preferred advanced Rhapsody architecture and operations experience.
  • Preferred experience with flat-file and X12 transfers via SFTP.
  • Clinical informatics experience or health IT credentials such as HL7, FHIR, Mirth Connect, Cloverleaf, or EHR certifications are preferred.
  • Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools is preferred.

Benefits

  • Comprehensive medical, dental, and vision plans with the company covering 75% of premiums depending on the plan.
  • Up to 12 weeks of paid parental leave for birth or adoption.
  • Remote-first work from anywhere in the U.S.
  • Unlimited paid time off and 11 holidays.
  • 401(k) with traditional and Roth options through Fidelity and a 4% match.
  • Fast-moving, low-bureaucracy environment with supportive, mission-driven teammates.

Categories

Solutions Engineering
SmarterDx

About SmarterDx

501-1,000 employees

SmarterDx is bringing clinical AI to the revenue cycle, starting where the old systems break down: clinical complexity. Founded by physician-technologists, our platform finds the evidence hidden across the patient record and helps hospital teams validate the findings that drive reimbursement, quality, and denials outcomes. Trusted by 85+ leading health systems to deliver 5:1 ROI starting Day 1, SmarterDx helps ensure hospitals get credit for the care they deliver — and that every chart tells the most accurate and complete patient story.