Integration Engineer

The Integration Engineer leads the design, governance, and maintenance of enterprise-level interoperability systems supporting imaging workflows, patient identity management, and cross-system data exchange. This role blends architectural vision with hands-on administration of interface platforms and health data standards that drive our connected radiology ecosystem. The ideal candidate combines deep technical expertise in HealthShare/IRIS (or similar integration engines) with strong familiarity in radiology information systems (e.g. Royal, eRAD) and data interoperability across DICOM and HL7/FHIR protocols.

• Build, configure, and maintain interfaces and data transformations using ObjectScript, HL7 v2.x, FHIR, CCD/CDA, JSON, and XML standards
• Oversee and optimize HealthShare/IRIS engines for scalability, uptime, and data fidelity
• Implement and manage automation pipelines for interface deployment, configuration management, and testing.
• Document technical specifications, workflow diagrams, and test plans to support knowledge transfer and operational continuity.
• Architect and administer the organization's enterprise interoperability and interface framework supporting RIS, PACS, and EHR integrations

• 5+ years of experience developing or administering integration platforms such as InterSystems HealthShare, IRIS
• Expertise in healthcare interoperability standards: HL7 v2, FHIR, CDA/CCD, JSON/XML mapping.
• Demonstrated experience with DICOM workflows and DICOM-to-HL7 data transformation in radiology environments.
• Familiarity with Radiology Information Systems (Royal, eRAD, or equivalent).
• Understanding of patient identity management, record matching, and Master Patient Index (MPI) administration.
• Strong grasp of integration protocols: MLLP, REST, SOAP, SFTP.
• Advanced knowledge of healthcare compliance (TEFCA, 21st Century Cures Act), privacy (HIPAA, and regulatory standards (NIST).

Preferred:

• Bachelor's Degree.
• Experience supporting large, multisite imaging organizations with distributed RIS/PACS environments.
• Knowledge of API management, containerized interface deployment (Docker/Kubernetes), or message queuing infrastructure.
• Proven success in remote or hybrid collaboration and stakeholder communication.
• Experience architecting or migrating integration systems within cloud environments (AWS, GCP)
• Certification in InterSystems Healthshare, HL7, or integration architecture a plus
• AWS or GCP Health Interoperability Certifications a plus

Physical Requirements:

Standard office environment.

More than 50% of the time:

• Sit, stand, and walk.
• Repetitive movement of hands, arms and legs.
• See, speak and hear to be able to communicate with patients.

Less than 50% of the time:

• Stoop, kneel or crawl.
• Climb and balance.
• Carry and lift 10-20 pounds.