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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Ensemble Integration Engineeer - **Company:** Corporate Brokers, LLC - **Location:** United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Amazon Web Services, Amazon S3, Audit Trail, Health Informatics, Client Server Models, Clinical Data Repository, Cloud Database, Information Systems, Computer Programming, Data Files, Data Integration, Extract Transform Load (ETL), Data Transformation, IBM DB2, IBM InfoSphere DataStage, Datagram Transport Layer Security, Design of User Interfaces, Healthcare Effectiveness Data and Information Set, Intrusion Detection Systems, Routing, Parsing, E2e Testing, Rhapsody, Standard Sql, Simple Object Access Protocol (SOAP), SQL Databases, Systems Integration, Extensible Markup Language (XML), Network Switches, Data Processing, Batch Message Processing, EHR Systems, Epic Tapestry, Fast Healthcare Interoperability Resources, SOAPAPI, Information Technology, Health Level Seven International, Email Notifications, Intersystems, Cerner EMPI, Api Gateway, Data Pipelines, Servicenow - **Published:** August 5, 2026 - **Apply:** https://public-rest40.bullhornstaffing.com/rest-services/BJ529/query/JobBoardPost?where=id=19377&fields=id,title,publishedCategory(id,name),address(city,state),employmentType,dateLastPublished,publicDescription,isOpen,isPublic,isDeleted ## About the Role Engagement Type Managed Services Environment InterSystems Ensemble | HL7 v2.x | CCDA / CDA | SOAP | BM DataStage | DB2 | IBM IIAS Tools (Must) InterSystems Ensemble | HL7 v2.x (ORU, ADT, ORM) | CCDA / CDA XML Tools (Good to have) IBM DataStage | SQL | FHIR R4 | Epic Interconnect | Mirth Connect Certifications Preferred InterSystems HealthShare Certification Industry Healthcare (US) - Clinical Integration, Health Plan, Lab, Pharmacy, Population Health, * Minimum Degree Required: Bachelor's Degree in Computer Science, Information Systems, Engineering, or a related technical field * 5-8 years of hands-on experience with InterSystems Ensemble - Business Services, Business Processes, Business Operations, DTL, and Routing Rules development * Expert-level proficiency in HL7 v2.x message standards - ORU (lab results), ADT (admission/discharge/transfer), ORM (orders), and DFT (financial transactions) message types * Strong ObjectScript programming skills - custom transformations, SOAP web service client/server development, and complex DTL mapping logic * Hands-on CCDA / CDA XML processing experience - parsing, validating, and transforming clinical document structures in Ensemble * Experience integrating with EMPI / MPI systems via SOAP web services for patient identity resolution and Member ID derivation * Solid understanding of clinical integration patterns - real-time vs batch message processing, file-based interfaces, and trigger file mechanisms * Familiarity with enterprise ETL file reader / file adapter integration patterns for downstream consumption of Ensemble-generated data files * Strong SQL proficiency for clinical data validation, audit queries, and staging layer troubleshooting * Experience operating in HIPAA-regulated environments with PHI data handling, audit logging, and access control requirements * Proven ability to manage vendor relationships, coordinate interface testing, and onboard new clinical data sources * Experience operating within ITSM frameworks (ServiceNow or equivalent) for incident management, change control, and delivery tracking, * InterSystems HealthShare or equivalent InterSystems certification * Experience with FHIR R4 APIs and SMART on FHIR for modern clinical data exchange - including FHIR-to-HL7 translation in Ensemble * Familiarity with Epic Interconnect, Epic CareEverywhere, or Epic Tapestry interfaces as clinical data sources * Experience with Mirth Connect or Rhapsody as alternative integration engines - useful for cross-platform comparison and migration projects * Knowledge of HEDIS data requirements, clinical quality measures, and how clinical lab data feeds into population health analytics * Hands-on experience with SureScripts (medication history, refills, prescriber download) integration via HL7 or NCPDP messaging * Familiarity with NCPDP pharmacy messaging standards for pharmacy claims and medication data integration * AWS integration experience - connecting Ensemble interfaces to cloud-based data lakes (S3) or API gateways * Knowledge of HIPAA, HITRUST, HL7 compliance standards, and clinical data regulatory requirements (CMS, ONC) * Experience supporting on-premises to cloud migration for clinical integration platforms * Master's degree in Health Informatics, Computer Science, Information Systems, or a related field preferred ## Description Level Senior Associate, The Ensemble Integration Engineer is a specialist technical contributor within the Healthcare Analytics & Insights Managed Services engagement, responsible for the design, development, and operational support of clinical data integration workflows using InterSystems Ensemble. This role manages the end-to-end flow of real-time and batch clinical messages - including HL7 ORU (lab results), ADT (admission/discharge/transfer), and CCDA (clinical document) feeds - from external healthcare providers, labs, and EHR systems into the enterprise Clinical Data Integration layer. Working closely with data engineers, clinical informatics teams, and source system vendors, this individual ensures reliable, timely, and accurate clinical data feeds that power quality reporting, population health analytics, and enterprise decision-making., * Design, develop, and maintain clinical integration workflows and message routing pipelines in InterSystems Ensemble, handling real-time and batch HL7 ORU, ADT, and CCDA message flows from external labs, EHR systems, and healthcare providers * Build and maintain Ensemble Business Services, Business Processes, Business Operations, and Routing Rules for end-to-end clinical message processing - including message transformation, segment mapping, validation, and error handling * Develop and maintain ObjectScript code for custom message transformations, SOAP web service integrations, and DTL (Data Transformation Language) mappings between HL7 and enterprise canonical schemas * Manage Master Patient Index (MPI) / EMPI lookup integration - calling enterprise MDM systems via SOAP web service to derive and validate Member IDs for incoming clinical messages before routing to the clinical staging layer * Transform raw source-specific HL7 schemas to standardised enterprise structures - including Z-segment population, segment counting, and complete message normalisation * Manage File Adapter and Business Host configurations - writing data files and trigger files to shared landing locations for downstream ETL framework consumption * Monitor Ensemble Run Logs - maintaining visibility of all events, errors, and warnings across active message flows; configure alerting and email notifications for integration failures, validation rejections, and processing errors * Collaborate with ETL developers to ensure Ensemble-generated data files and trigger files are correctly consumed by the downstream file reader framework into the clinical staging layer via bulk load utilities * Maintain and enhance CCDA XML processing pipelines - extracting structured clinical data from CCDA documents, validating against schema, and routing to appropriate clinical data containers * Own L2/L3 escalations for Ensemble integration incidents - message routing failures, SOAP call timeouts, MPI lookup errors, HL7 schema changes from source vendors, and file adapter failures * Manage onboarding of new clinical data vendors and source systems - configuring new integration interfaces, validating message formats, and coordinating end-to-end testing with source system teams * Support scalable architecture for onboarding new vendors in reduced timelines - leveraging reusable Ensemble interface templates and standardised onboarding playbooks * Ensure HIPAA-compliant handling of PHI data throughout all Ensemble integration pipelines - access controls, audit logging, and encryption at rest and in transit * Maintain comprehensive documentation including interface design specifications, message flow diagrams, DTL mapping documents, vendor onboarding guides, and operational runbooks * Participate in change management, release coordination, and production readiness validation for all Ensemble interface changes * Track and manage all integration incidents and enhancements through the ITSM platform, ensuring accurate classification, status updates, and SLA compliance ## Related Videos - [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) - [Creating a routing app with Google Maps API from scratch](https://www.wearedevelopers.com/videos/831-creating-a-routing-app-with-google-maps-api-from-scratch) - [Tips and Tricks for Working with JSON](https://www.wearedevelopers.com/videos/1229-tips-and-tricks-for-working-with-json) - [From Bedside Beeps to Interoperable Bytes – Getting your medical devices ready to talk the IEEE 11073 language](https://www.wearedevelopers.com/videos/771-from-bedside-beeps-to-interoperable-bytes-getting-your-medical-devices-ready-to-talk-the-ieee-11073-language) - [A Technical Introduction to Bitcoin's 2nd Layer- The Lightning Network](https://www.wearedevelopers.com/videos/15-a-technical-introduction-to-bitcoin-s-2nd-layer-the-lightning-network) - [Building a Compiler with C#](https://www.wearedevelopers.com/videos/116-building-a-compiler-with-c) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [From Prototype to Production: Build AI Agents with This Free 4-Course Learning Path](https://www.wearedevelopers.com/magazine/655-from-prototype-to-production-build-ai-agents-with-this-free-4-course-learning-path) - [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) - [Why Event-Driven Architecture Isn’t About Speed (and When You Actually Need It)](https://www.wearedevelopers.com/magazine/745-why-event-driven-architecture-isn-t-about-speed-and-when-you-actually-need-it) - [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)