Quadrivia - Senior (Principal) EHR Integration Engineer (Remote

Remote - CT (Central)1w ago

Requirements

• 10+ years in software/integration engineering, with deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments (including ancillary flows such as imaging/DICOM, scheduling, and ePrescribing/Surescripts). • Experience coordinating multiple engineers or parallel workstreams across concurrent customers — comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure. • Must be based in the USA and authorized to work in the U.S. without sponsorship. • Availability to travel within the USA as needed for customer onboarding, go-lives, and on-site integration work. • Hands-on experience with at least one major EHR's interface/API surface (Epic, Oracle Health/Cerner, athenahealth, or MEDITECH) — ideally including a vendor certification or marketplace go-live. • Production experience with InterSystems IRIS (our integration platform; Ensemble/HealthShare also relevant) — or a comparable engine (Mirth/NextGen Connect, Rhapsody, Cloverleaf) with the ability to ramp on IRIS quickly. • Strong programming skills in Python (and comfort with JavaScript/TypeScript or Java/Groovy for engine scripting). • Solid understanding of healthcare data: clinical terminologies (LOINC, SNOMED CT, ICD-10, CPT, RxNorm), patient matching, and EHR data models. • Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS. • Extensive experience working in a highly compliant environment under HIPAA/HITECH, SOC 2, and HITRUST controls. • Reliability mindset: observability, idempotency, retries, reconciliation, and graceful degradation. • Excellent communicator — clear, structured, concise (S.T.A.R / S.A.R or similar). • Culture fit: kind, exceptionally smart, mission-driven, field expert. • Desirable • Experience with national interoperability networks: TEFCA/QHINs, Carequality, CommonWell, eHealth Exchange, or state/regional HIEs. • Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability & Prior Authorization rules. • Cloud & DevOps literacy: GCP, Kubernetes, Docker, Terraform; event-driven architectures (queues/streams). • Exposure to AI, RAG, or LLM workflows feeding/consuming EHR data. • RHIA, CHPS, or equivalent health-informatics credential. • What Success Looks Like • New health systems are onboarded predictably and fast, with integration timelines measured in weeks, not quarters. • Clinical data flows in and out of the platform with high integrity — accurate patient matching, correct mappings, and zero silent data loss. • The integration estate runs with strong availability and full observability; failures are caught, contained, and replayed rather than discovered by customers. • Every interface operates within our highly compliant, HIPAA-governed environment and passes customer security review without friction. • AI-generated integration code is consistently elevated, corrected, and owned by you. • Concurrent integrations stay coordinated and consistent in quality even as their number scales with demand. • Learn more about our mission: Why Quadrivia

Responsibilities

• Design and build resilient, bidirectional integrations with major EHRs (Epic, Oracle Health/Cerner, athenahealth, MEDITECH, TruBridge/CPSI, Veradigm/Allscripts, eClinicalWorks, NextGen). • Implement and maintain HL7v2 interfaces (ADT, ORU, ORM, SIU, MDM, DFT) and FHIR R4 / US Core integrations, including SMART on FHIR and Bulk FHIR. • Build and operate integration pipelines on InterSystems IRIS (our integration platform) — and, where needed, via aggregators like Redox, Health Gorilla, or 1upHealth. • Handle C-CDA documents, X12 transactions (270/271 eligibility, 837/835 claims), and the connectivity layer (MLLP, SFTP, TLS, VPN, OAuth2 client credentials). • Navigate EHR vendor programs end-to-end: Epic (Showroom/App Orchard, Bridges, Interconnect), Oracle Health CODE, athenahealth Marketplace — including registration, security review, and go-live. • Own reliability of the integration estate: monitoring, message reconciliation, replay/backfill, dead-letter handling, and clear fallback behavior when an interface or downstream EHR is degraded. • Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow; partner with Security and Compliance on audits. • Support customer and partner due-diligence and security reviews (questionnaires, BAAs, technical assessments) to quickly unblock access to production data and keep integrations on schedule. • Coordinate multiple parallel, demand-driven integration teams — assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations. • Plan capacity and sequence go-lives across the integration portfolio as ad-hoc teams spin up and down with demand. • Set integration standards and mentor engineers; act as the organization's technical authority on interoperability. • Collaborate closely with Backend, AI, Clinical, and Implementation teams to map clinical workflows into integration contracts. • Write clean, test-driven, maintainable code; validate and own all AI-generated code contributions.