InterSystems Health Connect integration engineer

What You'll Do

• Design & Build Integrations
• Develop Health Connect productions leveraging EnsLib adapters (HTTP, MLLP, File, SOAP, JDBC, REST)
• Implement FHIR-based workflows (read/search/$operations/subscriptions/bulk data) and translate to/from HL7 v2 (ADT/ORM/ORU/SIU), C-CDA, and JSON/XML payloads
• Create DTLs for message transformations and BPL for orchestration, routing, and error handling
• Implement SMART on FHIR and OAuth 2.0/OpenID Connect flows; configure client credentials, PKCE, token introspection, and scope management
• Standards, Quality & Compliance
• Map data using USCDI, LOINC, SNOMED CT, RxNorm, ICD-10, and terminology services
• Validate conformance with FHIR Implementation Guides (e.g., US Core, Payer, Da Vinci) using tooling (Inferno/Touchstone/Postman collections)
• Author/maintain API specifications (OpenAPI/Swagger), message specs, and traceable mapping docs
• Ensure HIPAA, security-by-design, data minimization, and audit requirements (e.g., AuditEvent)
• Operations & Reliability
• Own deployments, monitoring, and support for Health Connect productions
• Build alerting/dashboards; perform root cause analysis and tuning (pools, message queues, persistent stores)
• Implement retries, idempotency, and dead-letter strategies; manage schema changes and versioning
• Participate in on-call rotation for critical interfaces
• DevOps & SDLC
• Use Git-based workflows, code reviews, CI/CD pipelines, and artifact versioning for productions and class code
• Containerize and deploy IRIS/HealthShare Health Connect on Docker/Kubernetes (or VM), parameterize environments, and manage secrets
• Write automated tests (unit/integration), generate realistic synthetic test data, and maintain runbooks and operational SOPs

Required Qualifications

• 3-7+ years building healthcare integrations with InterSystems Health Connect (or IRIS for Health/HealthShare), including:
• Hands-on with Productions, DTL, BPL, Message Classes, Record Maps, and EnsLib adapters
• Strong FHIR R4 (R5 a plus): resources (Patient, Encounter, Observation, Condition, Medication*, AllergyIntolerance, Coverage), search params, bundles, transactions, subscriptions, and $bulk data
• Proficiency in HL7 v2.x (ADT, ORU, ORM, SIU), CDA/C-CDA, JSON/XML, and RESTful API design
• Authentication/Authorization: OAuth 2.0, OIDC, SMART on FHIR, JWT/JWS, mTLS
• Programming skills in ObjectScript and at least one of: Python, Java, JavaScript/Node.js, or .NET
• Experience with InterSystems Management Portal, Production configuration, Message Trace, and Visual Trace tooling
• Solid grasp of HIPAA, PHI handling, and secure integration patterns (TLS, secure endpoints, secrets management)
• Version control (Git), issue tracking (Jira/Azure Boards), and CI/CD (Azure DevOps/GitHub Actions/GitLab)
• Strong troubleshooting, performance tuning, and stakeholder communication skills