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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Integration Engineer - **Company:** DrFirst Inc. - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $130,000.0 - $150,000.0 - **Contract:** Permanent contract - **Skills:** Java (Programming Language), JavaScript (Programming Language), Amazon Web Services, ASC X12 Standards, Automation of Tests, Health Informatics, C Sharp (Programming Language), Continuous Integration, Health Information Systems (HIS), Interoperability, Python (Programming Language), Node.Js, Software Engineering, Systems Integration, EHR Systems, Fast Healthcare Interoperability Resources, Event Driven Architecture, Information Technology, Health Level Seven International, Enterprise Integration, Microservices - **Published:** June 21, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=902a365b42239d2d ## About the Role Do you have experience in X12 EDI?, Do you have a Bachelor's degree?, * Bachelor's degree in Computer Science, Software Engineering, or related technical field * 5+ years in healthcare integration engineering with focus on payer connectivity * Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI) * Proven ability to manage external business relationships * Strong project management skills coordinating multiple concurrent projects * Experience with Java, C#, Python, JavaScript/Node.js * Background in CI/CD, automated testing, and cloud platforms (AWS) * Understanding of HIPAA, HITECH, and healthcare regulatory requirements Preferred: * Experience with payer organizations on technical integrations * Knowledge of pharmacy benefit management (PBM) systems * Background in mentoring less experienced engineers * Experience with EMR/EHR integration patterns * Experience with microservices and event-driven architectures * Knowledge of healthcare interoperability initiatives (TEFCA, CMS) Physical Requirements: * 95% Desk work * Less than 5% travel to industry events and annual team onsite ## Description For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. Here you will get to work with some of the smartest and most interesting people around, solving unique and complex challenges in healthcare on a scale matched by few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, and care about working with smart colleagues, we want to talk to you!, The Senior Integration Engineer will lead the integration of medication data feeds from payer partners into DrFirst solutions. This role requires both technical excellence and strong relationship management skills, as you will own the ongoing business relationships with payer organizations while managing the continuous integration of their medication data. You will play a critical role in scaling direct payer integrations and prior authorization workflows while owning both the technical execution and business relationships with payer partners. This role blends hands-on integration engineering, project leadership, and cross-functional collaboration with product to establish scalable processes and SOPs as payer connectivity grows. You will serve as a technical and business-facing leader for payer integrations, helping transform complex payer workflows into reliable, repeatable, and scalable integration capabilities. As a senior member of the team, you will also serve as a technical resource and mentor for Integration Services Engineers, supporting medication management solution integrations into EMR/EHR platforms when needed. This role requires managing multiple concurrent integration projects, maintaining strong payer relationships through regular communication and updates, and ensuring seamless delivery as payers continuously add new plans, update formularies, and introduce new data elements., * A relationship builder who excels at managing technical and business partnerships with external organizations * A project leadership professional who manages multiple payer integration projects simultaneously * A technical mentor who enjoys sharing knowledge with team members * A medication management specialist who understands pharmacy benefits and prior authorization workflows * A healthcare technology innovator who builds bridges between disparate healthcare technologies * A quality engineering leader who embeds testing, monitoring, and compliance into development * A continuous improvement catalyst who iteratively enhances integration processes What you will work on: Payer Integration Ownership * Lead end-to-end integration of medication data feeds from national and regional payers * Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana, BCBS * Act as technical subject matter expert for payer-specific integration requirements Business Relationship Management * Serve as primary technical and business contact for payer partners * Own business and technical relationships with payer partners * Partner with payer stakeholders to align on requirements and timelines Prior Authorization Integration Expertise * Build, maintain, and optimize prior authorization integrations * Troubleshoot complex PA issues across payer systems * Collaborate to improve authorization success rates Team Technical Leadership * Act as escalation point and mentor for Integration Services Engineers * Build team capabilities through knowledge sharing and documentation Product Partnership and SOP Development * Partner with Product Management to define scalable payer integration capabilities * Create and maintain Standard Operating Procedures for repeatable delivery Project Management & Integration Delivery * Own end-to-end integration projects from discovery through go-live * Manage timelines, dependencies, and stakeholder communication ## Related Videos - [Microservices: how to get started with Spring Boot and Kubernetes](https://www.wearedevelopers.com/videos/242-microservices-how-to-get-started-with-spring-boot-and-kubernetes) - [Bitcoin SV: The Massively Scaled Blockchain to Meet Developer Needs](https://www.wearedevelopers.com/videos/20-bitcoin-sv-the-massively-scaled-blockchain-to-meet-developer-needs) - [Stop using Node.js like in 2020! 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