Youre a senior healthcare integration engineer who lives and breathes HL7v2 and HL7v4 FHIR. Whether youre building best in class integrations supporting hospital systems or navigating the quirks of different EHRs, you bring both technical mastery and strategic insight to every project. You love the challenge of complex integrations and are at ease leading them end-to-end, writing clean code, guiding teams, and making sure data flows exactly where it needs to. Youre just as comfortable in the weeds of HL7 specifications as you are in cross-team conversations, helping clients and colleagues understand what great interoperability looks like. At SmarterDx, your work powers smarter decisions and generates value for health systems. SmarterDx builds clinical AI that empowers hospitals to analyze the complete record of every patient to fully capture the value of care delivered. Founded by physicians in 2020, its proprietary AI platform understands the nuances of clinical reasoning, enabling hospitals to true the patient record for every discharge. By doing so, hospitals can recover millions in earned revenue, enhance care quality metrics, and optimize healthcare operations. Become a Smartian and help optimize the way the healthcare system works for everyone. Learn more at <a href="http://smarterdx.com/careers">smarterdx.com/careers</a>. **This role is fully remote within the US** What You’ll Do <ol> <li>Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech, etc) during the implementation process.</li> <li>Collaborate directly with health system IT stakeholders (Directors of IT, interface engineers, network engineers) and operational leads (Directors of CDI and Coding) to understand integration capabilities and requirements and translate them into technical solutions in order to launch SmarterDx products quickly and effectively</li> <li>Manage end-to-end integration workflows, including specification development, interface mapping, configuration, testing, and go-live support.</li> <li>Lead data validation and reconciliation processes to ensure data integrity and interoperability compliance.</li> <li>Partner with engineering and new product teams to advise on data integration methodologies and develop schema mapping, data transformation logic, implementation guides, and operational support processes. </li> <li>Improve operational efficiency through automating workflows, optimizing code, and streamlining processes. </li> <li>Troubleshoot complex integration issues in production environments.</li> <li>Monitor and advise on evolving interoperability standards; ensure that SmarterDx and our clients continue to leverage best in class integration approaches. </li> <li>Support Sales by breaking down complex technical integration strategies into clear, accessible explanations for non-technical stakeholders including clinical, operational, and executive audiences.</li> </ol> What You Bring <ol> <li>8+ years of hands-on experience developing and managing HL7v2 integrations in healthcare environments, with a demonstrated ability to interpret, develop, and transform  HL7v2 messages and experience leveraging HIPAA-compliant secure data exchange protocols such as TCP/IP, HTTPS, OAuth2, mTLS, VPN, and SFTP</li> <li>3+ years of hands-on experience enabling FHIR R4 APIs/resources, and SMART on FHIR workflows; candidates with less experience may qualify if they demonstrate strong proficiency. </li> <li>Excellent debugging skills and a systematic approach to root cause analysis.</li> <li>Experience using SQL queries to retrieve, filter, and analyze data for validation and troubleshooting</li> <li>Proven ability to lead collaborative discussions across diverse stakeholder groups- including health system IT leaders (Directors of IT, interface and network engineers), operational end users, and compliance teams- to align on integration goals, workflows, and requirements.</li> <li>Adept at translating HL7v2 message flows, FHIR API interactions, and data mapping logic into business-impact language and supporting documentation to build trust and secure stakeholder alignment</li> <li>Experience fostering confidence in implementations by clearly outlining timelines, risk mitigation strategies, and success metrics in plain terms</li> <li>Entrepreneurial mindset. Previous experience as an early joiner in a young technology company or evidence that you are scrappy with a builder’s mentality and an unwavering sense of ownership to every challenge</li> <li>Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities</li> </ol> Nice To Haves <ol> <li>Deep knowledge of hospital workflows, clinical data structures, and revenue cycle data flows.</li> <li>Deep subject matter expertise in semantic interoperability standards such as SNOMED CT, LOINC, and RxNorm </li> <li>Background in clinical informatics or certified health IT credentials (e.g., HL7 Certified Specialist, FHIR Proficient, Mirth Connect, Rhapsody, Cloverleaf, or EHR certifications).</li> <li>Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation.</li> <li>Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools.</li> <li>A background in healthcare consulting or sales engineering </li> </ol> Our Tech Stack <ul> <li>AWS, Snowflake, JIRA, HL7Spy</li> </ul> <h3>Compensation</h3> $170,000 to 200,000 base + equity #LI-Remote<div><h3>Benefits</h3> <ul> <li>Medical, Dental &amp; Vision – Comprehensive plans with leading insurance providers, covering 90-100% of your premiums and 70-90% for dependents, depending on the plan.</li> <li>One Medical Membership – Free membership included if you enroll in a SmarterDx medical plan.</li> <li>Paid Parental Leave – Up to 12 weeks of paid leave for birth or adoption.</li> <li>Remote-First Team – Work from anywhere in the U.S. with a $400 home office reimbursement stipend.</li> <li>Unlimited PTO &amp; 10 Holidays – 4 of which include floating holidays so you can recognize the days that matter most to you.</li> <li>Learning &amp; Development Budget – $500 per year (prorated) for courses, books, and resources to expand your skills.</li> <li>401(k) with Traditional &amp; Roth Options – Tax-advantaged retirement savings through Empower.</li> <li>Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.</li> <li>Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.</li> </ul></div>