Clinical Systems and Integration Engineer

The Clinical Systems Integration Engineer is the technical backbone of Dedicated IT’s clinical and integration engagements. This role sits embedded with a client’s workflow governance team, turning complex EHR migrations and interface work from plan into production. It owns the connection between clinic operations and system architecture, translating clinical workflow needs into integration decisions, and configuring, testing, and stabilizing the interfaces that keep patient data moving accurately between systems.

The current assignment is an extended engagement supporting a client’s AthenaPractice-to-AthenaOne migration. After that engagement, the role moves into Dedicated IT’s broader client support rotation, covering ongoing AthenaOne optimization, interface and integration support, and imaging integration work across the client base.

What Success Looks Like

Phase 1: AthenaPractice-to-AthenaOne Migration

The initial engagement, focused on migrating and stabilizing the client’s EHR and integration environment.

• Completes onboarding to the client’s AthenaPractice-to-AthenaOne migration, including a full inventory of active interfaces across lab, imaging/PACS, HIE, e-prescribing, patient portal, and clearinghouse connections.
• Breaks down existing custom integrations into their component parts to determine what carries over to AthenaOne as-is, what needs to be rebuilt, and what can be retired.
• Applies AthenaOne workflow best practices and industry standards to guide the client’s implementation decisions.
• Rebuilds, tests, and stabilizes interfaces within their area of ownership, bringing each up to a standard that can be supported long-term.
• Validates migrated data, including patient demographics, scheduling, clinical history, and financial/AR records, against source system records using SQL-based reconciliation.
• Supports go-live activities, issue triage, and post-go-live stabilization for the migration.
• Documents interface configurations and workflow patterns in a reusable form for Dedicated IT’s internal knowledge base.

Phase 2: Ongoing Clinical Support

Once the migration is stable, the role shifts to a reduced, ongoing support commitment with the original client while expanding into Dedicated IT’s broader clinical support work.

• Moves into a part-time, ongoing support role for the original client while taking on AthenaOne optimization, interface support, and imaging integration work for additional clients.
• Grows into a dedicated Clinical Device & Imaging Integration specialization within the firm, supporting multiple clients’ PACS and medical device interface needs.
• Contributes engagement learnings, methodology, and tooling to Dedicated IT’s delivery playbooks, and trains other consultants as needed.
• Provides input to delivery leadership on scoping and effort estimation for future clinical support and integration engagements, based on hands-on delivery experience.

Core Competencies

These are the skills and behaviors that separate strong performance in this role from average performance.

Competency

What It Looks Like

HL7 & FHIR Interface Engineering

Configures, tests, and troubleshoots healthcare interfaces such as lab, HIE, e-prescribing, patient portal, and clearinghouse connections using HL7v2/v3, FHIR, and Mirth Connect or a comparable integration engine.

DICOM & Imaging Workflows

Applies DICOM standards knowledge to confirm imaging and order-result round-trips function correctly, and validates PACS and other imaging-adjacent interfaces after a migration.

SQL Data Validation

Writes and interprets SQL queries to validate, reconcile, and report on data moving between source and destination systems.

AthenaHealth Platform Fluency

Applies working knowledge of AthenaPractice, AthenaOne, athenaClinicals, and athenaCollector to migration and optimization work.

Clinical & Back-Office Workflow Knowledge

Understands both clinic operations and back-office functions such as billing, scheduling, and registration well enough to translate them into technical decisions.

Data Migration Scoping

Scopes and plans migration work across patient demographics, scheduling, clinical history, and financial/AR data.

Go-Live Support & Issue Triage

Supports cutover activities, triages issues in real time, and stabilizes systems through the post-go-live period.

Influence Without Formal Authority

Builds trust quickly with client stakeholders and operates effectively inside a client’s existing governance structure without direct positional authority over their team.

Technical-to-Clinical Translation

Converts technical constraints and tradeoffs into terms a client’s governance team can act on.

Cross-Audience Communication

Adjusts tone and depth for technical, clinical, and executive audiences within the same engagement.

Documentation Discipline

Documents interface configurations, workflow patterns, and engagement learnings in a form others can reuse.

Adaptability Across Engagements

Adjusts to different client cultures, systems, and governance structures without a drop in delivery quality.

Vendor & Device Coordination

Coordinates with vendors and connected medical device systems to keep interfaces reliable.

Engagement Estimation Input

Gives delivery leadership informed input on scoping and effort estimation for future client engagements.

Practice Development Contribution

Contributes to methodology refinement, tooling, or training of other consultants between engagements.

Prior A2A Migration Experience

Brings direct experience with an AthenaPractice-to-AthenaOne migration or a comparable EHR transition.

Model dedication, reliability, and responsibility. Rise to challenges, follow through, improve interpersonal experiences with clients, partners, and colleagues. Position yourself to be the most dedicated on your team every day., High School Diploma or GED required.

• Experience

5+ years of Athena EMR technical integration and engineering

• MSP Experience

Experience working with or within Managed Service Providers preferred

At Dedicated IT, we are invested in our employees. Their goals, growth, and success (both professional and personal) are a top priority. We offer career planning, career advancement opportunity, education/certification reimbursement, work/life balance, great benefits, and a people-focused culture., $100,000-$150,000

We Are Looking for Candidates That Embody Our Core Values:

Collaborate:

Leave your ego at the door. None of us is as smart as all of us. Collaboration propels us toward our common goals in a way that benefits the company, its people, and its clients., Including medical, dental, and vision coverage to keep you and your family well.

• 401K with Company Match

Start planning for your future with our competitive retirement savings plan.

• Generous Time Off

Enjoy 8 paid company holidays, 3 weeks of paid time off, plus an additional week of sick leave.

• Professional Growth

Take advantage of ongoing learning and development opportunities to advance your career.

• People-Focused Culture

Join a team that values work-life balance and a supportive, collaborative environment.

Dedicated IT is a leading MSP (Managed Service Provider) with a niche focus on healthcare. Named #33 on CRN’s 2022 Fast Growth 150 List, we are a household name in Healthcare IT. Our people-centric culture, amazing benefits and substantial year over year growth has positioned us as an employer of choice in the Managed Services space.