Staff Integrations Engineer
Builds and owns end-to-end customer integrations with healthcare systems like HIEs, EHRs using Python, Go, and standards like HL7/FHIR. Designs data pipelines, troubleshoots issues, advises customers technically, and develops monitoring tools. Requires 7+ years experience.
About the job
Key Responsibilities
Lead and Deliver Integrations
- Own end-to-end delivery of customer integrations, including State HIE and ADT feeds—from scoping through production support
- Design and implement data pipelines for ingestion, transformation, and delivery
- Build roster management workflows (ingestion, reconciliation, lifecycle management)
- Architect reliable and scalable data transmission mechanisms (APIs, SFTP, event-driven systems)
- Establish automated QA and validation frameworks to ensure data integrity
Act as a Technical Advisor
- Partner with customers to design integration approaches and guide technical decisions
- Translate ambiguous requirements into clear, implementable solutions
- Advise on interoperability best practices and system architecture
- Align customer needs with platform capabilities
Troubleshoot and Improve Systems
- Serve as an escalation point for complex integration and data pipeline issues
- Debug across the full stack, from transformation logic to downstream delivery
- Identify root causes and implement durable, code-driven fixes
- Reduce operational overhead by eliminating recurring issues through automation
Build Internal Systems and Tooling
- Develop monitoring and observability systems for integration health
- Create alerting, dashboards, and automated diagnostics
- Build internal tools to accelerate implementation, QA, and troubleshooting
- Continuously improve the scalability and reliability of integration systems
Requirements
- 7+ years of experience in software, integrations, or forward-deployed engineering
- Strong programming skills (Python, Go, or similar) with a track record of building production systems
- Experience with healthcare interoperability standards (HL7, FHIR, ADT, CDA)
- Proven ability to design and build data pipelines and integrations—not just configure them
- Strong SQL skills and experience working with large, messy datasets
- Experience building monitoring and observability systems
- Ability to debug complex distributed systems end-to-end
- Experience working directly with customers in a technical, consultative role
- Excellent communication skills across technical and non-technical audiences
- Strong ownership and ability to independently drive ambiguous problems to completion
- Familiarity with security and compliance requirements (e.g., HIPAA, SOC 2)
- A desire to improve healthcare data infrastructure
Skills
Python, Go, SQL, Hl7, FHIR, Adt, Cda, Data Pipelines, APIs, Sftp, Monitoring, Observability, HIPAA, Distributed Systems Debugging
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