Sr. Integration Engineer

About the role

SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI platform interprets the nuances behind every patient story and makes clinically-sound recommendations for revenue cycle teams — helping hospitals recover earned revenue, improve quality metrics, reduce denials, and streamline revenue cycle operations. As a Smartian, you’ll help build technology that makes healthcare more accurate, sustainable, and effective for everyone. Learn more at smarterdx.com/careers. This role is fully remote within the US.

Responsibilities

• Design, develop, test, deploy, and support healthcare integrations throughout their lifecycle, including routes, communication endpoints, filters, message transformations, mappings, and connectivity, primarily using HL7v2 across major EHR platforms including Epic and Oracle Health/Cerner.
• Serve as a technical owner and subject matter expert for SmarterDx’s integration platform, including configuration, administration, monitoring, upgrades, and production operations.
• Partner with Infrastructure and Security teams to operate our integration platform in a cloud-hosted environment, including AWS, VPN connectivity, networking, TLS/certificate management, HTTPS endpoints, and secure customer connectivity.
• Maintain the reliability and availability of our high-volume integration environment through proactive monitoring, safe change practices, and capacity and performance planning as message volumes and customer connections grow.
• Define and implement integration development and operational best practices, including reusable components, configuration standards, testing, change review, environment promotion and deployment, technical documentation, and documented operational processes.
• Serve as a senior technical escalation point for production issues, leading troubleshooting, root cause analysis, message recovery/reprocessing when needed, and durable remediation across the integration platform, HL7, connectivity, infrastructure, applications, and external systems.
• Participate in an after-hours on-call / Tier 3 support rotation for high-priority integration and platform incidents, with a focus on rapid recovery and minimizing customer impact.
• Serve as a technical point of contact for integration platform support cases, platform questions, upgrades, capacity planning, and technical escalations.
• Collaborate effectively within Integration Engineering and across Infrastructure, Security, Product, and other teams to solve technical problems and improve integration practices, while working directly with customer technical teams as needed during implementations, connectivity setup, and production support.

Requirements

• 4+ years of healthcare integration experience, including building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
• Deep, hands