Integrations Engineer

The Senior Integrations Engineer is responsible for designing, building, and maintaining enterprise-grade integrations across ERP, eClinicalWorks (eCW), Snowflake, and external healthcare systems ((EHRs, payer systems, clinical data sources, partner APIs, and internal services). This role builds APIs, microservices, HL7/FHIR interfaces, and event-driven workflows that power clinical, financial, and operational systems.

This engineer will own integrations end-to-end-from requirements and architecture through build, testing, deployment, monitoring, and production support. The engineer will collaborate closely with engineering, product, automation, analytics, and client-facing teams to deliver secure, high-quality interoperability at scale. The engineer will ensure that data flows reliably, securely, and with high integrity across mission-critical workflows spanning Finance, HR, Supply Chain, RCM, and clinical operations., Integration Architecture & Development

• Design integrations using an API-first approach ensuring reusability across multiple internal teams and external partners
• Design and implement integrations between eCW and Oracle Fusion ERP (Finance, SCM, HR/Payroll), Snowflake and Healthcare systems (EHRs, payers, labs, clearinghouses)
• Build secure, scalable integrations using:
• REST APIs, SOAP, FHIR, HL7 v2, SFTP, file-based exchange
• Oracle Integration Cloud (OIC) or integration platforms such as MuleSoft, Boomi, Azure Integration Services
• Python/Java for transformation and orchestration
• Develop reusable integration patterns, mapping frameworks, and data validation logic.
• Ensure integrations adhere to enterprise standards for security, logging, observability, and error handling.

End-to-End Integration Ownership

• Lead the full lifecycle: requirements * design * build * test * deploy * monitor * support.
• Build automated validation and reconciliation processes to ensure high data integrity between eCW, Fusion, Snowflake, and external systems.
• Implement monitoring and alerting for integration of health, latency, and data quality.
• Drive root-cause analysis and permanent fixes for integration issues.

Healthcare Interoperability

• Integrate with external EHRs such as Epic, Cerner/Oracle Health, Meditech, athenahealth.
• Work with healthcare data standards: HL7 v2 (ADT, ORU, ORM, SIU, MDM), FHIR R4, X12
• Collaborate with client IT teams, EHR analysts, and interoperability stakeholders to configure connectivity and troubleshooting issues.

Snowflake & Data Engineering Alignment

• Partner with the Data Engineering team to:
• Define data contracts for inbound/outbound integrations.
• Build ELT pipelines into Snowflake.
• Ensure schema consistency, lineage, and auditability.

Automation & Continuous Improvement

• Identify opportunities to automate integration workflows, testing, and deployment.
• Build reusable scripts, frameworks, and templates to accelerate onboarding of new clinics, vendors, or partners.
• Improve integration throughput and reduce manual effort.

Leadership & Mentorship

• Serve as a senior technical resource for integration best practices.
• Mentor junior engineers and contribute to building a high-performing integration function.
• Influence enterprise architecture decisions based on integration patterns and field experience.

Required

• 7+ years of experience in integration engineering or enterprise application integration.
• Strong experience with REST APIs, JSON/XML, SFTP, EDI and microservices architectures.
• Proficiency in Python, Java, C#, or Node.js.
• Experience with cloud platforms such as Azure, AWS, or GCP.
• Experience with integration platforms such as MuleSoft, Boomi, Azure Integration Services etc.
• Knowledge of messaging and event streaming technologies such as Kafka, RabbitMQ, or Service Bus.
• Strong SQL and database skills.
• Healthcare integration experience with eCW, HL7, FHIR, X12, or payer/provider systems.
• Strong understanding of secure data exchange, encryption, and compliance (HIPAA)

Preferred

• Experience designing API-first and event-driven architecture
• Healthcare provider or payer industry experience.
• Proficiency with AI-driven automation or data quality tooling
• Snowflake or modern data platform experience.