Senior EHR Integration Engineer

The ideal candidate has strong software engineering fundamentals, practical experience delivering live EHR integrations, and a track record of writing, deploying, and supporting production code in healthcare environments. This is not an advisory or architecture-only role. The engineer will be expected to build, debug, optimize, and maintain real integrations in support of the company's 2026 product roadmap., * Design, build, test, deploy, and support production-ready EHR integrations across one or more major platforms including Epic, Cerner, athenahealth, and Epic Care Everywhere

• Write, maintain, and refactor production-quality integration code
• Build secure backend services, APIs, and connectors that interface with EHR platforms
• Develop embedded application components launched within EHR workflows
• Implement SMART on FHIR, HL7, vendor APIs, OAuth2 flows, and other authentication and authorization patterns
• Build data ingestion pipelines for structured and unstructured clinical data
• Support bidirectional workflows where permitted, including read/write integration patterns
• Create automated and manual tests for EHR integrations
• Participate in sandbox, customer test, and production deployments
• Debug, optimize, and support live customer environments
• Collaborate closely with product, clinical SMEs, security, and platform teams
• Participate in sprint planning, stand-ups, code reviews, retrospectives, and escalation support as needed

Platform-Specific Focus Areas

Epic

• Epic FHIR and Epic-supported API integrations
• SMART on FHIR launch contexts
• Hyperspace-embedded workflows
• Pre-visit Risk Adjustment Review workflows
• Post-visit / pre-bill review workflows
• User-context and encounter-context handling
• Care Everywhere data retrieval and ingestion, including unstructured data such as notes, CCDs, and PDFs

Cerner

• SMART on FHIR application development within Cerner Millennium
• FHIR resource consumption and mapping
• Backend services for normalization and persistence of Cerner-originated data
• Workflow embedding, contextual launches, and UI integration
• Production support, performance optimization, and rollout readiness

athenahealth

• athena API and webhook-based integrations
• Provider- and staff-facing workflow enhancements
• Multi-tenant configuration logic
• Performance, reliability, and scalability improvements for existing integrations

• 6-10+ years of software engineering experience
• 3-5+ years of hands-on EHR integration experience
• Experience delivering production integrations for healthcare SaaS products
• Strong backend engineering skills in Java, C#, Node.js, Python, or similar
• Experience building SMART on FHIR applications
• Strong understanding of REST APIs and event-driven architecture
• Experience with OAuth2 and EHR-specific authentication patterns
• Familiarity with HL7 v2, CCD/C-CDA, and FHIR data models
• Experience ingesting, normalizing, and persisting clinical data
• Experience with Git-based development workflows, code reviews, and CI/CD
• Ability to debug production issues and support integrations post-go-live, * Epic integration experience, including Hyperspace-embedded applications
• Epic certifications such as App Orchard, Cogito / Clinical Data Model, or experience adjacent to RAR/CDI workflows
• Cerner Millennium integration experience
• Cerner SMART on FHIR delivery experience
• Cerner Code, Ignite, certification, or partner ecosystem exposure
• athenahealth API and workflow integration experience
• Experience supporting multi-tenant SaaS integrations
• Prior work with risk adjustment, clinical documentation improvement, quality, or analytics workflows
• Experience retrieving and processing unstructured clinical data
• Familiarity with NLP or analytics pipelines consuming clinical content