Sr. Integration Engineer

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, including routes, communication endpoints, filters and connectors, transformations, mappings, reusable components, administration, monitoring, and troubleshooting.

Experience owning or administering an interface engine in a production environment, including configuration, monitoring, deployment, message recovery, troubleshooting, and operational support.

Expert-level HL7v2 knowledge, including message structure, common message types and trigger events, acknowledgements, transformations, sequencing, and error handling.

Strong JavaScript experience for message transformation and workflow logic; familiarity with Python or other scripting languages is a plus.

Working SQL proficiency for validation, troubleshooting, and operational analysis.

Experience supporting high-volume, mission-critical integration platforms in AWS or similar cloud-hosted environments, where reliable message delivery and availability are essential.

Strong understanding of TCP/IP, MLLP, HTTP/HTTPS, TLS certificates, DNS, firewalls, VPNs, and secure connectivity.

Strong production support and troubleshooting skills, with the ability to isolate and resolve failures across interface engines, HL7, applications, network connectivity, infrastructure, and external dependencies.

Ability to operate autonomously while working collaboratively within and across teams, taking ownership of complex technical problems and helping improve engineering standards, processes, and documentation.

Experience operating enterprise healthcare interface engines in a SaaS or hosted deployment model and working directly with platform vendors or support teams.

Certifications or formal training in healthcare integration platforms or interface engines.

Deep knowledge of hospital workflows, clinical data structures, EHR integration patterns, and revenue cycle data flows.

Experience with SFTP, flat files, X12, REST APIs, SOAP web services, and database connectivity.

Experience with FHIR and multiple healthcare interface engines such as Mirth Connect, Cloverleaf, Corepoint, InterSystems, or similar platforms.

Experience with automated testing, CI/CD, configuration management, and repeatable environment promotion for integration platforms.

Experience with capacity planning and performance tuning of high-throughput integration environments.

Entrepreneurial mindset, with a builder’s mentality and strong sense of ownership.

Rhapsody, AWS, Snowflake, JIRA, HL7Spy