Senior Integration Engineer
$160,000–$195,000 year
HybridNew York City, New York, United States
New York City, New York, United StatesHybridFull Time$160,000–$195,000 yearSenior LevelStartup
Full TimeSenior LevelStartup
Job Summary
Build new EHR and clearinghouse integrations using FHIR, HL7v2, and EDI standards, handling real-world vendor quirks. Harden existing connections with observability, alerting, and automated failure recovery while participating in shared on-call for integration incidents. Design and maintain pipelines that ingest, transform, and deliver clinical, scheduling, billing, and claims data into the platform and data warehouse. Partner with product to ensure data arrives in the right shape for customer-facing features and define standards for connection design, error handling, and monitoring.
Required Qualifications
- 5+ years of experience as an integration engineer, software engineer, or related discipline
- Strong Python programming skills
- Comfort reading and writing production-grade backend code
- Experience building and operating production data pipelines, including monitoring, alerting, and incident response
- A builder's orientation—you've worked in small teams where you had to figure things out from scratch, own decisions end-to-end, and move without a lot of process
- Strong communication skills; you can explain a complex integration failure to a non-technical operator as clearly as you can to an engineer
Desired Qualifications
- Strong command of healthcare interoperability standards: FHIR, HL7v2, and X12 EDI
- Clearinghouse or EDI experience (X12 835/837 claim submission and remittance workflows)
- Experience with cloud data warehouses (BigQuery, Snowflake, or similar)
- Cloud infrastructure experience (AWS or GCP)
- Prior experience at a healthcare tech, RCM, or practice management company
- Familiarity with SMART on FHIR or OAuth-based EHR app frameworks
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