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Ehr Integration Engineer Jobs (NOW HIRING)

SmarterDx

Sr. Integration Engineer

$106K - $143K/yr

Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI ... Learn more at smarterdx.com/careers. Sr. Integration Engineer You are a healthcare integration ...

nLeague

Rhapsody Integration Engineer

Richmond, VA · On-site

$102K - $138K/yr

Job ID: 776984 System Analyst - Rhapsody Integration Engineer Location: Richmond, VA Duration: 12 ... with EHR - Cerner Millennium preferred * Working knowledge of TCP/IP. HTTPs, Web services ...

Bayesian Health

Software Engineer, Application Integration

$106K - $143K/yr

Software Engineer, Application Integration In Brief * We're a rapidly growing startup on a mission ... Working directly with our health system clients' EHR and clinical informatics teams, you'll bring ...

SmarterDx

Sr. Integration Engineer

$106K - $143K/yr

Sr. Integration Engineer You are a healthcare integration architect with deep expertise in health ... Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers ...

Akumincorp

Integration Engineer

$106K - $143K/yr

Architect and administer the organization's enterprise interoperability and interface framework supporting RIS, PACS, and EHR integrations Position Requirements: * 5+ years of experience developing ...

Xealth

Software Engineer

Seattle, WA · On-site

EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and ...

Xealth

Software Engineer

Seattle, WA · On-site

EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and ...

Avo

Software Engineer

New York, NY · On-site +1

Prior EHR integration experience is not required. We care far more about strong engineering fundamentals, curiosity about the healthcare space, and a willingness to learn a specialized domain. What ...

PDS Health

Sr Engineer, Integration

Irvine, CA · On-site

$111K - $150K/yr

... Epic (EHR). * Integration & Middleware: Hands-on experience with MuleSoft Anypoint Platform ... Programming & Web Services: Proficiency in one or more languages (Java, Python, JavaScript) with ...

PDS Health

Sr Engineer, Integration

Irvine, CA · On-site

$111K - $150K/yr

... Epic (EHR). * Integration & Middleware: Hands-on experience with MuleSoft Anypoint Platform ... Programming & Web Services: Proficiency in one or more languages (Java, Python, JavaScript) with ...

PDS Health

Sr Engineer, Integration

California, MO · On-site

$93K - $125K/yr

... Epic (EHR). * Integration & Middleware: Hands-on experience with MuleSoft Anypoint Platform ... Programming & Web Services: Proficiency in one or more languages (Java, Python, JavaScript) with ...

PDS Health

Sr Engineer, Integration

Irvine, CA · On-site

$130K/yr

... Epic (EHR). * Integration & Middleware: Hands-on experience with MuleSoft Anypoint Platform ... Programming & Web Services: Proficiency in one or more languages (Java, Python, JavaScript) with ...

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Ehr Integration Engineer information

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$124.3K

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How much do ehr integration engineer jobs pay per year?

As of Sep 10, 2026, the average yearly pay for ehr integration engineer in the United States is $124,275.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $140,000.00 per year, depending on experience, location, and employer.

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Infographic showing various Ehr Integration Engineer job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $124,275 per year, or $59.7 per hour.

Sr. Integration Engineer

Remote

SmarterDx
Health Care and Social Assistance • 1 - 10 employees
Learn more about SmarterDxexternal

$106K - $143K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI platform interprets the nuances behind every patient story and makes clinically-sound recommendations for revenue cycle teams - helping hospitals recover earned revenue, improve quality metrics, reduce denials, and streamline revenue cycle operations. As a Smartian, you'll help build technology that makes healthcare more accurate, sustainable, and effective for everyone. Learn more at smarterdx.com/careers.
Sr. Integration Engineer
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.
What You'll Do
  1. Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech).
  2. 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.
  3. Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization.
  4. Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance.
  5. Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks.
  6. Lead structured incident response, root cause analysis, and durable remediation for complex production issues, including participation in an after-hours Tier 3 rotation for high-priority support.
  7. Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk.
  8. Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients.
  9. Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.

What You Bring
  1. You have deep strength in multiple areas below, and can lead in all of them:
    1. 7+ 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.
    2. Advanced interface engine architecture and operations experience, including best practices for modular design, maintainability, performance, and supportability
    3. Exceptional executive communication skills, able to influence senior health system leaders and confidently represent the company in customer forums, advisory councils, and conferences.
    4. 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.
    5. Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
  2. Exceptional skill leading critical meetings and creating supporting documentation to align technical and non-technical stakeholders; adept at translating complex technical concepts (like integration tradeoffs, FHIR and HL7v2 message flows, and data mapping logic) into clear business-impact language.
  3. Demonstrated ability to define plans that succeed; timelines, critical path, risks, mitigations, and measurable success criteria.
  4. Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation.
  5. SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
  6. Familiarity with data transfer security best practices and standards such as TLS, HTTPS, and VPN configuration
  7. Autonomy and the confidence to drive process improvements throughout times of ambiguity and changing priorities

Nice To Haves
  1. Epic Integration Experience: Bridges, Interconnect, Reporting Workbench, Clarity, Chronicles, Caboodle, Cogito
  2. Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows.
  3. Advanced Rhapsody architecture and operations experience is strongly preferred
  4. Experience with EHR data extraction and transfer patterns, including flat file and X12 transfers via SFTP
  5. Background in clinical informatics or certified health IT credentials (e.g., HL7, FHIR, Mirth Connect, Cloverleaf, or EHR certifications).
  6. Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools.
  7. Entrepreneurial mindset. Previous experience as an early joiner in a young technology company or evidence that you are scrappy with a builder's mentality and an unwavering sense of ownership to every challenge
Compensation
$185,000 - $220,000
#LI-Remote
Benefits
  • Medical, Dental & Vision - Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
  • Paid Parental Leave - Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
  • Remote-First Team - Work from anywhere in the U.S.
  • Unlimited PTO & 11 Holidays - So you can relax and recharge.
  • 401(k) with Traditional & Roth Options - Tax-advantaged retirement savings through Fidelity with a 4% match.
  • Minimal Bureaucracy - A fast-moving, high-impact environment where you can focus on what matters.
  • Incredible Teammates! - Work alongside smart, supportive, and mission-driven colleagues.

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