Integrations Analyst
ICANotes LLC
AWSAzureCloud
Senior Integration Engineer – Health System EMR and FHIR Interoperability
Rezilient Health
full-time
Posted on:
Origin: • 🇺🇸 United States • Missouri
Visit company websiteJob Level
Senior
Tech Stack
AWSCloudGoogle Cloud Platform
About the role
- Architect and deliver complex bi-directional EMR integrations across Epic, Cerner, and Athenahealth for Rezilient's virtual care platform
- Serve as technical lead for full lifecycle interoperability, from patient matching and encounter management to discrete clinical data writebacks
- Manage patient matching and creation workflows via MPI, FHIR Patient Search, HL7 A28/A31
- Design and implement encounter-aware data exchanges ensuring Observations, Conditions, Medications, and other discrete data associate to correct encounters
- Develop and maintain middleware or interface engines to support queuing, retries, error handling, and logging
- Oversee OAuth 2.0 / SMART on FHIR authentication flows within Epic App Orchard and Cerner Ignite
- Coordinate data normalization and mapping to clinical vocabularies (SNOMED, LOINC, RxNorm, ICD-10)
- Ensure interoperability implementations comply with regulatory requirements and maintain high system reliability and security
- Represent the technical team during health system implementation calls, IT security reviews, and data governance planning
- Partner cross-functionally with product managers, clinical informaticists, and client implementation teams to deliver seamless integration projects
- Provide mentorship to junior integration staff and help establish standardized integration frameworks across the organization
Requirements
- 7–10+ years in digital health, health IT, or EMR integration roles
- 5+ years of direct integration experience with Epic and/or Cerner, including successful end-to-end implementations
- Proven track record leading at least one production-grade, bi-directional FHIR integration involving encounters and discrete clinical documentation
- Hands-on experience with Athenahealth APIs, FHIR endpoints, CCDs, and HL7 v2 interfaces
- Lead the architecture and implementation of bi-directional EMR integrations using FHIR R4, HL7 v2, and custom APIs between Athena and Epic/Cerner
- Manage patient matching and creation workflows (MPI, FHIR Patient Search, HL7 A28/A31)
- Design and implement encounter-aware data exchanges ensuring discrete structured data is associated to correct encounters
- Develop and maintain middleware or interface engines for queuing, retries, error handling, and logging
- Oversee OAuth 2.0 / SMART on FHIR authentication flows within Epic App Orchard and Cerner Ignite
- Knowledge of data normalization and mapping to clinical vocabularies (SNOMED, LOINC, RxNorm, ICD-10)
- Ensure interoperability implementations comply with regulatory requirements and maintain high system reliability and security
- Experience with interoperability standards: FHIR (Patient, Encounter, Observation, Condition, Medication, etc.), HL7 v2 (ADT, ORU, SIU), CCDs
- Authentication & security: OAuth 2.0, SMART on FHIR, JWTs
- Familiarity with vendor platforms: Epic App Orchard / Interconnect APIs; Cerner Ignite / HealtheIntent FHIR
- Middleware & integration tools: Redox, Mirth Connect, Rhapsody, or custom-built API layers
- Cloud & infrastructure experience: AWS or GCP, containerization, secure API development
- Bonus skills: deep knowledge of SNOMED CT, LOINC, RxNorm, ICD-10; familiarity with ONC and CMS interoperability regulations
- Soft skills: clear, adaptable communicator; able to translate technical architecture to clinical and non-technical stakeholders; skilled at navigating enterprise healthcare IT environments; systems thinker comfortable in fast-paced startup environments
- Education: Bachelor’s or Master’s degree in Computer Science, Health Informatics, Biomedical Engineering, or related field (preferred)
