SmarterDx
Healthcare
SeniorIntegrationEngineer(Client-Facing)
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“Senior Integration Engineer (Client-Facing) at SmarterDx. Skills: HL7v2 interfaces, Interface engine architecture, FHIR R4 APIs, Client engagements. Lead integration design, development, validation. Serve as technical expert”
What You'll Achieve.
Optimize the way the healthcare system works; Enable our mission of empowering hospitals to tell the most accurate patient stories; Increase throughput and reduce risk
Industry & Context.
Translate complex interoperability concepts into clear, durable solutions; Solve immediate integration challenges; Shape scalable interoperability strategies; Troubleshoot complex datasets
After-hours Tier 3 rotation for high-priority support
What They're Looking For.
Must Have
7+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, Advanced interface engine architecture and operations experience, Exceptional executive communication skills, Proven expertise in scalable database extraction architecture, Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows, Exceptional skill leading critical meetings and creating supporting documentation, Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation, SQL fluency for validation, reconciliation, and troubleshooting across complex datasets, Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration, Autonomy and the confidence to drive process improvements
Nice to Have
Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows, Advanced Rhapsody architecture and operations experience, Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP, Background in clinical informatics or certified health IT credentials, Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools, Entrepreneurial mindset, Previous experience as an early joiner in a young technology company, Scrappy with a builder’s mentality and an unwavering sense of ownership
What You'll Do.
Lead integration design
Serve as technical expert
Own integrations end to end
Lead data validation and reconciliation
Design for reliability and observability
Lead structured incident response
Improve integration operations through automation
Monitor interoperability standards
Influence product and platform strategy
How You'll Work.
Team & Collaboration
Partner directly with health system IT leaders; Interface with teams and operational stakeholders; Guide architecture discussions with CIOs, Directors of IT; Advise engineering on schemas, data contracts
Communication Scope
Exceptional executive communication skills; Translate complex technical concepts into clear business-impact language; Represent the company in customer forums
Process & Methodology
Define plans with timelines, Critical path, Risks, Mitigations, Measurable success criteria
Full Job Description
SmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, our platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial. Become a Smartian and help optimize the way the healthcare system works for everyone. Learn more at smarterdx.com/careers. Senior Integration Engineer (Client-Facing) You are a healthcare integration architect with deep expertise in healthcare interoperability and a strong client orientation. You partner directly with health system IT leaders, interface teams, and operational stakeholders to design integrations that are secure, reliable, and aligned to real-world workflows. You blend executive presence with operational humility, able to lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. You will lead integrations end to end, from architectural strategy through build, validation, and production support. You excel at both system design decision making as well as direct hands-on build and troubleshooting, and translate complex interoperability concepts into clear, durable solutions that earn client trust. You are comfortable translating complex HL7 specifications and data transformation logic into language that resonates with technical and non-technical stakeholders alike. Clients trust you not only to solve immediate integration challenges, but to shape scalable interoperability strategies. At SmarterDx, your work will build lasting partnerships with health systems and directly enable our mission of empowering hospitals to tell the most accurate patient stories - because the more accurate the patient record, the better outcomes for the patient and for the hospital. **This role is fully remote within the US** What You’ll Do Lead the integration design, development, and validation of r
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