Senior Integration Engineer

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop and maintain vendor and customer integrations across payers, hospitals, health systems, and EMR/EHR platforms.

• Create the next generation of connectivity for healthcare organizations to DrFirst medication management solutions.

• Enhance payer connectivity and streamline electronic prior authorization workflows.

• Take ownership of technical execution and manage business relationships with payer partners.

• Collaborate with Product teams to transform complex payer workflows into dependable, repeatable integration capabilities.

• Establish processes and Standard Operating Procedures (SOPs) to expand payer connectivity.

• Create self-service tools for tech-savvy customers and implement automation to expedite integrations.

• Ensure enterprise-level security and compliance is maintained.

• Design, develop, and support integrations with hospitals, health systems, and EMR/EHR vendors.

• Convert requirements into stable interfaces and resolve issues across customer environments and internal platforms.

• Design, develop, and support direct payer integrations for the electronic prior authorization (ePA) platform.

• Manage payer-specific rules, request and response workflows, and exception handling.

• Diagnose complex ePA issues and enhance authorization success rates and turnaround times.

• Act as the primary technical contact for payer partners.

• Lead the onboarding process for payers and conduct ongoing integration reviews.

• Develop scalable payer integration capabilities in collaboration with Product and document repeatable onboarding procedures.

• Create automation, APIs, and self-service tools for integration development, testing, and certification.

• Incorporate testing and monitoring into integrations to comply with HIPAA and HITECH requirements, ensuring production reliability.

⛳️ Requirements

• Bachelor's degree in Computer Science, Software Engineering, or a related technical discipline.

• Over 5 years of progressive experience in healthcare integration engineering.

• Profound knowledge of healthcare data standards: HL7 v2, HL7 FHIR, and X12 EDI.

• Practical experience in building production integrations with payers, hospitals, health systems, and/or EMR/EHR platforms.

• Familiarity with payer system architectures and electronic prior authorization standards and workflows, including NCPDP SCRIPT ePA, X12 278, and HL7 FHIR Da Vinci PAS.

• Proficient in Java, C#, Python, and JavaScript/Node.js.

• Experience with EMR/EHR-specific frameworks and integration methodologies.

• Skilled in building automated testing and scripting for integrations.

• Working knowledge of CI/CD pipelines and cloud platforms, particularly AWS.

• Excellent communication abilities and experience leading technical discussions with customers, vendors, or payers, ensuring integrations reach production.

• 95%+ of time spent working at a desk or on the phone.

• Preferred: experience with real-time data streaming, event-driven architectures, and microservices patterns in healthcare settings.

• Preferred: familiarity with infrastructure as code and deployment automation.

• Preferred: demonstrated use of AI tools such as Copilot, Cursor, Claude, Codex, or similar, including prompt engineering and AI-assisted tooling or agent-based workflow experience.

• Preferred: understanding of TEFCA, CMS Interoperability Rule, and 21st Century Cures Act.

• Preferred: experience with Spring Boot or comparable enterprise frameworks.

• Preferred: experience with Kubernetes and Google Cloud Platform or other container orchestrators and cloud platforms.

• Preferred: knowledge of Domain Driven Design (DDD) concepts.

🏝️ Benefits

• Eligibility for a Discretionary Performance-based bonus.

• Comprehensive medical, dental, and vision insurance.

• 401K eligibility after 3 months of employment, with a 50% company match on the first 5% of salary contributed to the plan, featuring a 3-year vesting schedule.

• Health Savings Account (HSA) for eligible employees enrolled in the HDHP, with a generous company contribution of up to $500 for individual coverage and $1000 for family coverage per year.

• Company-paid short and long-term disability, AD&D, and group life insurance.

• Accrued annual paid time off (PTO) of 18 days for the first 3 years, which increases thereafter.

• 7 paid holidays per year.

• Employee Assistance Program.

• Continuing Education funds up to $1500 annually for eligible programs after 1 year of service.

• Voluntary benefits including FSA, Hospital indemnity, Accident, and Critical Illness insurances.

• Remote-First company with a dynamic and flexible workplace.

• Less than 5% travel to industry vendor events for technical collaboration and the annual DrFirst team onsite.