> Markdown version of [/jobs/ext/249845-senior-integration-engineer-client-facing](https://www.wearedevelopers.com/jobs/ext/249845-senior-integration-engineer-client-facing). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Integration Engineer (Client-Facing) - **Company:** SMARTER DX. INC. - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $190,000.0 - $210,000.0 - **Contract:** Permanent contract - **Skills:** Cerner, JavaScript (Programming Language), Application Programming Interfaces (APIs), Health Informatics, Clinical Data Repository, Databases, Data Validation, Data Transmissions, Data Mapping, Data Transformation, Data Mining, Software Debugging, Interoperability, Virtual Private Networks (VPN), Python (Programming Language), Modular Design, Open Source Technology, Performance Tuning, Rhapsody, SQL Databases, Data Streaming, Strategies of Testing, File Transfer Protocol (FTP), EHR Systems, Fast Healthcare Interoperability Resources, Health Level Seven International, Integration Frameworks, 3-tier Architectures, Meditech - **Published:** May 29, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=63d11f0a74393a27 ## About the Role Do you have experience in Technical documentation?, * You have deep strength in multiple areas below, and can lead in all of them: * 7+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling and downstream impacts. * Advanced interface engine architecture and operations experience, including best practices for modular design, maintainability, performance, and supportability * Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences. * Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation, with the ability to both guide client teams and execute directly within vendor-approved frameworks for top-market EHR systems. * Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows. * Exceptional skill leading critical meetings and creating supporting documentation to align technical and non-technical stakeholders; adept at translating complex technical concepts (like integration tradeoffs, FHIR and HL7v2 message flows, and data mapping logic) into clear business-impact language. * Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria. * Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation. * SQL fluency for validation, reconciliation, and troubleshooting across complex datasets. * Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration * Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities Nice To Haves * Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows. * Advanced Rhapsody architecture and operations experience is strongly preferred * Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP * Background in clinical informatics or certified health IT credentials (e.g., HL7, FHIR, Mirth Connect, Cloverleaf, or EHR certifications). * Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools. * Entrepreneurial mindset. Previous experience as an early joiner in a young technology company or evidence that you are scrappy with a builder's mentality and an unwavering sense of ownership to every challenge ## Description You are a healthcare integration architect with deep expertise in healthcare interoperability and a strong client orientation. You partner directly with health system IT leaders, interface teams, and operational stakeholders to design integrations that are secure, reliable, and aligned to real-world workflows. You blend executive presence with operational humility, able to lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. You will lead integrations end to end, from architectural strategy through build, validation, and production support. You excel at both system design decision making as well as direct hands-on build and troubleshooting, and translate complex interoperability concepts into clear, durable solutions that earn client trust. You are comfortable translating complex HL7 specifications and data transformation logic into language that resonates with technical and non-technical stakeholders alike. Clients trust you not only to solve immediate integration challenges, but to shape scalable interoperability strategies. At SmarterDx, your work will build lasting partnerships with health systems and directly enable our mission of empowering hospitals to tell the most accurate patient stories - because the more accurate the patient record, the better outcomes for the patient and for the hospital. **This role is fully remote within the US** What You'll Do * Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech). * Serve as the technical expert on customer engagements, guiding architecture discussions with CIOs, Directors of IT, interface and network teams, CDI and Coding leaders, and implementation sponsors. * Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization. * Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance. * Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks. * Lead structured incident response, root cause analysis, and durable remediation for complex production issues, including participation in an after-hours Tier 3 rotation for high-priority support. * Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk. * Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients. * Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience. ## Related Videos - [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) - [Why Your Best Mediors Never Become Seniors (And How to Fix It)](https://www.wearedevelopers.com/videos/2108-why-your-best-mediors-never-become-seniors-and-how-to-fix-it) - [Why make use of an integration platform in today's software developments and infrastructure?](https://www.wearedevelopers.com/videos/758-why-make-use-of-an-integration-platform-in-today-s-software-developments-and-infrastructure) ## Related Articles - [Résumé-Driven Development: How IT trends affect the job market for software developers](https://www.wearedevelopers.com/magazine/59-resume-driven-development-how-it-trends-affect-the-job-market-for-software-developers) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [What’s the Difference between a Junior, Mid, and Senior Developer?](https://www.wearedevelopers.com/magazine/238-what-s-the-difference-between-a-junior-mid-and-senior-developer) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [Why developer experience matters](https://www.wearedevelopers.com/magazine/514-why-developer-experience-matters)