# Software Engineer II, L2 Integrations Team

**Company:** [Caremessage](https://hotfix.jobs/companies/caremessage)
**Location:** Remote
**Role:** Backend Engineering
**Salary:** $153k – $153k/yr
**Experience:** 3+ years
**Skills:** JavaScript, TypeScript, Ruby on Rails, Postgres, GCP, FHIR, Hl7, Rhapsody, Mirth, APIs, Epic, Pagerduty, Automated Testing
**Posted:** 2026-02-18

> Builds and maintains secure API-to-API integrations, database connections, and FHIR/HL7 workflows with EHR systems like Epic. Requires 3+ years backend experience with JavaScript, strong fundamentals, and remote collaboration skills in healthcare interoperability.

## Job Description

## Core Requirements
- Minimum 3 years of hands-on software engineering experience with JavaScript and one other programming language
- Minimum 3 years experience building, maintaining, and scaling backend systems, APIs, and services
- Solid fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.
- Experience working in teams where automated tests are an expected part of development, including writing and maintaining tests alongside production code
- Strong experience working remotely
- Outstanding written and verbal communication skills, especially in a fully remote environment
- Excellent ability to collaborate with technical and non-technical partners to support discovery, development, and testing phases of integration projects

## Preferred Experience
- 3 years experience of developing healthcare integrations leveraging common interoperability standards (FHIR and HL7)
- Experience working with mainstream EHR vendors such as Epic, eClinicalWorks, AthenaHealth, NextGen, etc.
- Experience with our tech stack: JavaScript/TypeScript, Ruby on Rails, Postgres, Google Cloud Platform
- Experience with Mirth and/or Rhapsody Integration Engine (we use Rhapsody)
- Experience working closely with data teams, leveraging healthcare data and foundational data science concepts

## Role Responsibilities
- Communicate with customers, partners, and other external technical resources to understand the integration requirements and implementation details of those workflows and design effective solutions
- Help design, build, and maintain integrations in Rhapsody following engineering best practices
- Working with other team members contribute to the development and evolution of scalable healthcare integration architecture
- Provide technical training and documentation for integrations you develop to assure capabilities for support teams to monitor and troubleshoot integrations, and assist in measuring impact of live integrations
- Work closely with Product teams to understand requirements and contribute technical input during solution definition, including participation in Product Requirements Documents (PRDs) when appropriate
- Help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Technical Debt Reviews
- Contribute to the team by participating in On-Call (PagerDuty) activities

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