Integration Engineer, Rhapsody

You are a healthcare integration architect with deep expertise in HL7v2 interoperability and a strong client orientation. You partner directly with health system IT leaders, interface teams, and operational stakeholders to design integrations that are secure, reliable, and aligned to real-world workflows. You will lead integrations end to end, from architectural strategy through build, validation, and production support. Equally comfortable in executive discussions and hands-on troubleshooting, you translate complex interoperability concepts into clear, durable solutions that earn client trust.

You are comfortable translating complex HL7 specifications and data transformation logic into language that resonates with technical and non-technical stakeholders alike. Clients trust you not only to solve immediate integration challenges, but to shape scalable interoperability strategies. At SmarterDx, your work will build lasting partnerships with health systems and directly enable our mission of empowering hospitals to tell the most accurate patient stories - because the more accurate the patient record, the better outcomes for the patient and for the hospital.

**This role is fully remote within the US**

What You’ll Do

• 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 executive 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.
• Troubleshoot complex production issues and lead structured incident response, root cause analysis, and durable remediation.
• 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.
• Blend executive presence with operational humility. You can lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. No engagement is beneath you, and no client environment is too complex. You own outcomes end to end.

What You Bring

• You have deep strength in multiple areas below, and can lead in all of them:
• 7-12+ 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 Rhapsody architecture and operations experience required, 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.
• Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
• Proven leadership aligning technical and non-technical stakeholders during complex inpatient hospital and health system implementations, including the ability to explain integration tradeoffs, risks, and decisions in clear business terms.
• Demonstrated ability to define plans that succeed: timelines, critical path, risks, mitigations, and measurable success criteria.
• Adept at translating HL7v2 message flows, FHIR API interactions, and data mapping logic into business-impact language and creating supporting documentation to build trust and secure stakeholder alignment
• 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.
• Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities
• Executive-level credibility paired with hands-on ownership: experience advising health system leadership while remaining deeply engaged in day-to-day technical execution, including production support and issue resolution.

Nice To Haves

• Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows.
• Background in clinical informatics or certified health IT credentials (e.g., HL7, FHIR, Mirth Connect, Rhapsody, 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

Our Tech Stack

• Rhapsody, AWS, Snowflake, JIRA, HL7Spy

Compensation

• $200K - $230k + benefits