Senior Integration Engineer, Client-Facing

SmarterDx

Healthcare integration architect leading client-facing EHR integrations in the US with SmarterDx. Designing scalable solutions and troubleshooting integration challenges for healthcare interoperability.

Posted 5/26/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Tech Stack

Tools & technologies

JavaScriptPythonSQL

About the role

Key responsibilities & impact

Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech).
Serve as the technical expert on customer engagements, guiding architecture discussions with CIOs, Directors of IT, interface and network teams, CDI and Coding leaders, and implementation sponsors.
Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization.
Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance.
Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks.
Troubleshoot complex production issues and lead structured incident response, root cause analysis, and durable remediation.
Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk.
Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients.
Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.
Blend executive presence with operational humility. You can lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. No engagement is beneath you, and no client environment is too complex. You own outcomes end to end.
Support and troubleshoot high-priority production issues as part of an after-hours Tier 3 rotation.

Requirements

What you’ll need

7-12+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling and downstream impacts.
Advanced interface engine architecture and operations experience, including best practices for modular design, maintainability, performance, and supportability
Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences.
Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation, with the ability to both guide client teams and execute directly within vendor-approved frameworks for top-market EHR systems.
Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
Exceptional skill leading critical meetings that align technical and non-technical stakeholders during complex inpatient hospital and health system implementations, including the ability to explain integration tradeoffs, risks, and decisions in clear business terms.
Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria.
Adept at translating HL7v2 message flows, FHIR API interactions, and data mapping logic into business-impact language and creating supporting documentation to build trust and secure stakeholder alignment
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 throughout times of ambiguity and changing priorities
Executive-level credibility paired with hands-on ownership: experience advising health system leadership while remaining deeply engaged in day-to-day technical execution, including production support and issue resolution.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account SmarterDx Website LinkedIn All Job Openings 201 - 500 employees Founded 2020 💰 Private Equity Round - SmarterDx on 2025-04 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. Senior Integration Engineer, Client-Facing Job not on LinkedIn 🔥 2 minutes ago 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 💻 Solutions Engineer JavaScript Python SQL Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech).
Serve as the technical expert on customer engagements, guiding architecture discussions with CIOs, Directors of IT, interface and network teams, CDI and Coding leaders, and implementation sponsors.
Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization.
Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance.
Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks.
Troubleshoot complex production issues and lead structured incident response, root cause analysis, and durable remediation.
Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk.
Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients.
Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.
Blend executive presence with operational humility. You can lead a CIO-level strategy session in the morning and personally debug a malformed HL7 segment in the afternoon. No engagement is beneath you, and no client environment is too complex. You own outcomes end to end.
Support and troubleshoot high-priority production issues as part of an after-hours Tier 3 rotation. 🎯 Requirements
7-12+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert-level understanding of EHR-specific message structure, triggers, acknowledgements, error handling and downstream impacts.
Advanced interface engine architecture and operations experience, including best practices for modular design, maintainability, performance, and supportability
Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences.
Proven expertise in scalable database extraction architecture, including performance tuning, indexing strategy, and downstream data validation, with the ability to both guide client teams and execute directly within vendor-approved frameworks for top-market EHR systems.
Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
Exceptional skill leading critical meetings that align technical and non-technical stakeholders during complex inpatient hospital and health system implementations, including the ability to explain integration tradeoffs, risks, and decisions in clear business terms.
Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria.
Adept at translating HL7v2 message flows, FHIR API interactions, and data mapping logic into business-impact language and creating supporting documentation to build trust and secure stakeholder alignment
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 throughout times of ambiguity and changing priorities
Executive-level credibility paired with hands-on ownership: experience advising health system leadership while remaining deeply engaged in day-to-day technical execution, including production support and issue resolution. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Solutions Consultant, Data & Insights 🔥 1 hour ago Payscale 501 - 1000 👥 HR Tech ☁️ SaaS Website LinkedIn All Job Openings Solutions Consultant leveraging compensation data for insightful business decisions at Payscale. Helping customers understand and apply compensation data effectively to achieve equitable pay outcomes. 🇺🇸 United States – Remote 💵 $115k - $172.4k / year 💰 $7M Venture Round on 2011-07 ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 Solutions Engineer Solution Architect – Appian 🔥 8 hours ago alphaAI 11 - 50 💳 Fintech 🤖 Artificial Intelligence Website LinkedIn All Job Openings Solution Architect designing and implementing customer solutions on the Appian platform. Collaborating with sales teams and delivering tailored presentations to drive technical wins. 🇺🇸 United States – Remote 💵 $95k - $135k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 Solutions Engineer Cloud Java JavaScript Python SQL Solution Architect – Unqork Platform 🔥 8 hours ago alphaAI 11 - 50 💳 Fintech 🤖 Artificial Intelligence Website LinkedIn All Job Openings Solution Architect designing and implementing client applications using the Unqork platform at Alpha Financial. Collaborating with external customers and leading project development with a focus on quality delivery. 🇺🇸 United States – Remote 💵 $95k - $135k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 Solutions Engineer SDLC Senior Solution Architect – Snowflake 🔥 8 hours ago alphaAI 11 - 50 💳 Fintech 🤖 Artificial Intelligence Website LinkedIn All Job Openings Solution Architect designing Snowflake data solutions for Alpha Financial Markets Consulting. Leading implementations and optimizing client data architectures for financial services. 🇺🇸 United States – Remote 💵 $124k - $160k / year ⏰ Full Time 🟠 Senior 💻 Solutions Engineer AWS Azure Cloud Kafka Python SDLC SQL CRM Solutions Architect 🔥 22 hours ago Huble 51 - 200 ☁️ SaaS Website LinkedIn All Job Openings CRM Solutions Architect designing scalable solutions for clients by leveraging HubSpot CRM. Collaborating with teams to integrate systems and create adaptable solutions for business processes. 🇺🇸 United States – Remote 💵 $120k - $140k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 Solutions Engineer View More Solutions Engineer Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

HL7v2 interfacesEHR-specific message structureinterface engine architecturescalable database extraction architectureFHIR R4 APIsSMART on FHIR workflowsJavaScriptPythonSQLdata transfer security

Soft Skills

executive communicationinfluencing senior leadersleading critical meetingsdefining success planstranslating technical languageautonomyprocess improvementoperational humilityproblem-solvingstakeholder alignment