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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Healthcare IT Integration Engineer (OpenEMR & Clearinghouse) - **Company:** ELINX HEALTH LLC - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $52,000.0 - **Contract:** Permanent contract - **Skills:** PHP (Programming Language), Application Integration Architecture, Microsoft Azure, Health Informatics, Cloud Computing, Continuous Integration, Data Security, Database Queries, Linux, Document Management Systems, UN Electronic Data Interchange for Administration Commerce and Transport, Github, Monitoring of Systems, Key Management, Linux System Administration, MariaDB, MySQL, PHP Development, Systems Integration, Cloud Monitoring, Fast Healthcare Interoperability Resources, System Availability, Electronic Medical Records, Git, Kubernetes, Information Technology, Health Level Seven International, Integration Frameworks, Azure AKS, Cloud Integration, Restful APIs, Terraform, Docker - **Published:** July 31, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=f404d30d421a652a ## About the Role * Bachelor's degree in Computer Science, Information Technology, or a related field (or equivalent experience). * 5+ years of experience in IT systems engineering, application integration, or healthcare technology. * Experience supporting healthcare applications or Electronic Medical Record (EMR/EHR) systems. * Experience with OpenEMR or another major EMR/EHR platform. * Experience integrating with one or more medical billing clearinghouses, such as Availity, Experian Health, Change Healthcare, Waystar, or Office Ally. * Strong understanding of medical billing workflows and healthcare EDI transactions (837, 835, 270/271, 276/277). * Experience administering Microsoft Azure services. * Hands-on experience with Azure Kubernetes Service (AKS), Docker, and Kubernetes. * Experience with Linux administration. * Strong SQL skills, preferably MySQL or MariaDB. * Experience developing or supporting REST APIs. * Familiarity with Git and CI/CD pipelines. Preferred Qualifications * PHP development experience with OpenEMR. * HL7 and FHIR integration experience. * Experience with Mirth Connect (NextGen Connect) or other healthcare interface engines. * Knowledge of Revenue Cycle Management (RCM) systems and workflows. * Experience with Azure DevOps, GitHub Actions, Terraform, or Infrastructure as Code. * Experience with Azure Monitor, Azure Key Vault, and Azure Container Registry. * Healthcare cybersecurity and HIPAA compliance experience. Preferred Skills & Keywords * OpenEMR * Medical Billing * Healthcare IT * Revenue Cycle Management (RCM) * HIPAA * Clearinghouse Integration * Availity ## Description We are seeking a Healthcare Cloud Integration Engineer to support and enhance our healthcare technology platform. This role is responsible for administering and integrating OpenEMR with medical billing clearinghouses while maintaining our cloud infrastructure on Microsoft Azure and Azure Kubernetes Service (AKS). The ideal candidate has experience with healthcare IT systems, medical billing workflows, EDI transactions, cloud infrastructure, and application integration. This position works closely with software developers, billing specialists, and operations teams to ensure secure, reliable, and compliant healthcare services. Key Responsibilities * Administer, configure, and support OpenEMR applications. * Design, implement, and maintain integrations with medical billing clearinghouses such as Availity, Experian Health, Change Healthcare, Waystar, or Office Ally. * Configure and troubleshoot healthcare EDI transactions, including 837 claims, 835 remittance advice, 270/271 eligibility verification, and 276/277 claim status inquiries. * Develop and maintain REST APIs and application integrations. * Deploy, monitor, and maintain applications running on Microsoft Azure and Azure Kubernetes Service (AKS). * Manage Docker containers, Kubernetes deployments, and CI/CD pipelines. * Monitor system performance, troubleshoot production issues, and optimize application reliability. * Collaborate with software developers, billing teams, and third-party vendors to resolve integration issues. * Ensure HIPAA compliance, data security, and system availability. * Document system architecture, integration workflows, and operational procedures., * REST API * PHP * MySQL * Linux * Microsoft Azure * Azure Kubernetes Service (AKS) * Docker * Kubernetes * Azure DevOps * GitHub Actions * CI/CD * Git ## Related Videos - [MySQL Protocol Features You Should Be Aware Of](https://www.wearedevelopers.com/videos/100267-mysql-protocol-features-you-should-be-aware-of) - [How a Small Team Shrank a Microsoft Monorepo by 94%](https://www.wearedevelopers.com/videos/1236-how-a-small-team-shrank-a-microsoft-monorepo-by-94) - [Docker network without Docker](https://www.wearedevelopers.com/videos/1418-docker-network-without-docker) - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [Branch your database like your code: How schema changes and pull requests go hand in hand](https://www.wearedevelopers.com/videos/350-branch-your-database-like-your-code-how-schema-changes-and-pull-requests-go-hand-in-hand) - [Coding for Good: Achieving social change with an app](https://www.wearedevelopers.com/videos/1645-coding-for-good-achieving-social-change-with-an-app) ## Related Articles - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [The Most Popular IT Jobs on the Market](https://www.wearedevelopers.com/magazine/376-the-most-popular-it-jobs-on-the-market) - [The Biggest German Tech Companies](https://www.wearedevelopers.com/magazine/424-the-biggest-german-tech-companies) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Find a Developer Job: 12 Best Job Sites For Developers](https://www.wearedevelopers.com/magazine/165-find-a-developer-job-12-best-job-sites-for-developers) - [Top-Paying Tech Jobs (with Salaries)](https://www.wearedevelopers.com/magazine/372-top-paying-tech-jobs-with-salaries)