# EHR Integration Engineer

**Company:** [Layer Health](https://hotfix.jobs/companies/layer-health)
**Location:** Boston, MA, New York, NY
**Role:** Backend Engineering
**Salary:** $140k – $160k/yr
**Experience:** 5+ years
**Skills:** Python, FHIR, Hl7V2, Smart On Fhir, Epic, Cerner, Hl7, Dicom, Cloud, SaaS
**Posted:** 2025-10-17

> Develops and maintains integrations with EHR systems like Epic and Cerner using Python and standards such as FHIR and HL7. Troubleshoots issues, tests integrations, and communicates with teams and clients. Requires 5+ years experience and strong healthcare interoperability knowledge.

## Job Description

## What you'll do

- Design, develop, and maintain scalable and robust integrations between Layer Health and various EHR systems (EPIC, Cerner, PACS, Cardiovascular systems, LIS, etc.).
- Troubleshoot integration issues and provide timely resolutions to ensure uninterrupted data flow and system interoperability.
- Conduct thorough testing and validation of EHR integrations.
- Create documentation to support integration processes and workflows.
- Communicate project status, issues, feedback, ideas, to various teams.
- Be proactive in communication with team members and clients.

## What we look for

- 5+ years of experience as an integration engineer, software engineer, or related discipline.
- 2+ years of proven experience integrating third-party vendor projects with large EHR systems (including Epic), specifically with **FHIR**.
- Strong **Python** programming skills.
- Strong knowledge of healthcare interoperability standards, including **FHIR**, **HL7v2**, and **SMART on FHIR**.
- Proficiency in solution design principles and practices, system development methodologies, and software life cycles.
- Familiarity with diverse technical integrations, technologies, and processing environments, including cloud and SaaS technologies.
- Skilled in solving complex production issues.
- Excellent verbal and written communication skills, with the ability to effectively communicate challenges and issues directly with clients.

## Nice to have

- **Epic** Certification(s)
- Prior experience with **HL7**, **DICOM**, and other interoperability standards
- Cloud experience

## Compensation

Expected compensation range: **$140,000-160,000** (dependent on experience, fit, and location).

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