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Quadrivia AI

Senior EHR Integration Engineer

Quadrivia AI

Senior Integration Engineer responsible for designing and building EHR integrations for Quadrivia's healthcare AI platform. Collaborating with teams to ensure reliable data flow and interoperability in a compliant environment.

Posted 7/10/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Tech Stack

Tools & technologies
GroovyJavaJavaScriptPythonTypeScript

About the role

Key responsibilities & impact
  • Design and build resilient, bidirectional integrations with major EHRs
  • Implement and maintain HL7v2 interfaces and FHIR R4 / US Core integrations
  • Build and operate integration pipelines on InterSystems IRIS
  • Handle C-CDA documents, X12 transactions, and the connectivity layer
  • Navigate EHR vendor programs end-to-end
  • Own reliability of the integration estate
  • Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow
  • Support customer and partner due-diligence and security reviews
  • Coordinate multiple parallel, demand-driven integration teams
  • Plan capacity and sequence go-lives
  • Set integration standards and mentor engineers
  • Collaborate closely with Backend, AI, Clinical, and Implementation teams
  • Write clean, test-driven, maintainable code

Requirements

What you’ll need
  • 10+ years in software/integration engineering
  • Deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments
  • Experience coordinating multiple engineers or parallel workstreams across concurrent customers
  • Must be based in the USA and authorized to work in the U.S. without sponsorship
  • Availability to travel within the USA as needed
  • Hands-on experience with at least one major EHR's interface/API surface
  • Production experience with InterSystems IRIS or a comparable engine
  • Strong programming skills in Python, with comfort in JavaScript/TypeScript or Java/Groovy
  • Solid understanding of healthcare data, clinical terminologies, patient matching, and EHR data models
  • Working knowledge of integration connectivity and security
  • Extensive experience working in a highly compliant environment under HIPAA/HITECH, SOC 2, and HITRUST controls
  • Reliability mindset: observability, idempotency, retries, reconciliation, and graceful degradation
  • Excellent communicator — clear, structured, concise

Benefits

Comp & perks
  • Health insurance
  • Paid time off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
HL7v2FHIRIntegration EngineeringPythonJavaScriptTypeScriptJavaEHR IntegrationData Flow ManagementTest-Driven Development
Soft Skills
Excellent CommunicationTeam CoordinationMentoring