SmarterDx (Private) - Senior Integration Engineer (Client-Facing)
Requirements
• You have deep strength in multiple areas below, and can lead in all of them: • 7+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling and downstream impacts. • Advanced interface engine architecture and operations experience, including best practices for modular design, maintainability, performance, and supportability • Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences. • Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation, with the ability to both guide client teams and execute directly within vendor-approved frameworks for top-market EHR systems. • Exceptional skill leading critical meetings and creating supporting documentation to align technical and non-technical stakeholders; adept at translating complex technical concepts (like integration tradeoffs, FHIR and HL7v2 message flows, and data mapping logic) into clear business-impact language. • Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria. • Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation. • SQL fluency for validation, reconciliation, and troubleshooting across complex datasets. • Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration • Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities • Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows. • Advanced Rhapsody architecture and operations experience is strongly preferred • Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP • Background in clinical informatics or certified health IT credentials (e.g., HL7, FHIR, Mirth Connect, Cloverleaf, or EHR certifications). • Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools. • Entrepreneurial mindset. Previous experience as an early joiner in a young technology company or evidence that you are scrappy with a builder’s mentality and an unwavering sense of ownership to every challenge • Rhapsody, AWS, Snowflake, JIRA, HL7Spy
Responsibilities
• Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech). • Serve as the technical expert on customer engagements, guiding architecture discussions with CIOs, Directors of IT, interface and network teams, CDI and Coding leaders, and implementation sponsors. • Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization. • Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance. • Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks. • Lead structured incident response, root cause analysis, and durable remediation for complex production issues, including participation in an after-hours Tier 3 rotation for high-priority support. • Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk. • Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients. • Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.
Benefits
• $190K-$210K + benefits
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