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Ehr Integration Jobs (NOW HIRING)

Abbott

Integration Manager

Madison, WI · On-site

$61K - $122K/yr

Lead the execution of EHR and system integration projects, ensuring alignment with organizational goals and compliance with regulatory standards. * Demonstrate proficiency with established project ...

Abbott

Integration Manager

Madison, WI · On-site

$61K - $122K/yr

Lead the execution of EHR and system integration projects, ensuring alignment with organizational goals and compliance with regulatory standards. * Demonstrate proficiency with established project ...

Medclinicx

Integration Engineer

Austin, TX · On-site

$100 - $140/hr

Job Overview We are seeking an Integration Engineer to design, build, and maintain integrations between healthcare SaaS platforms, EHR/EMR systems, APIs, and third-party healthcare tools. In this ...

New

reveleer

EHR Implementation Manager

$120K - $140K/yr

EHR Implementation Manager Remote About Reveleer Reveleer delivers a unified platform spanning risk ... Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and ...

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Xealth

Software Engineer, Clinical Data

Seattle, WA · On-site

$130K - $156K/yr

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

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How much do ehr integration jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for ehr integration in the United States is $29.84, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $36.54 per hour, depending on experience, location, and employer.

What is the difference between Ehr Integration vs Medical Coder?

AspectEhr IntegrationMedical Coder
Required CredentialsKnowledge of EHR systems, certifications in health IT (e.g., CHTS, CHIT)Certification in coding (e.g., CPC, CCS), knowledge of medical terminology
Work EnvironmentHealthcare facilities, health IT companies, hospitalsHospitals, clinics, physician offices
Employer & Industry UsageHealth IT vendors, healthcare providersMedical billing companies, healthcare providers

While Ehr Integration specialists focus on implementing and maintaining electronic health record systems, Medical Coders translate medical reports into standardized codes for billing. Both roles are essential in healthcare IT but serve different functions within the healthcare industry.

What are some common challenges faced by professionals working in EHR integration, and how can they be addressed?

Professionals in EHR Integration often encounter challenges such as ensuring interoperability between different healthcare systems, managing data security and patient privacy, and handling frequent updates or regulatory changes. Addressing these challenges requires strong technical skills, up-to-date knowledge of healthcare standards (such as HL7 and FHIR), and effective communication with both clinical and IT teams. Building collaborative relationships and staying current with industry best practices can help EHR Integration specialists overcome these obstacles and ensure successful implementation projects.

What are the key skills and qualifications needed to thrive as an EHR integration specialist?

To thrive as an EHR Integration Specialist, you need strong knowledge of healthcare IT, data interoperability standards (such as HL7 and FHIR), and experience with electronic health record (EHR) systems, often supported by a degree in computer science, health informatics, or a related field. Familiarity with integration engines like Mirth Connect, interface development, and relevant certifications (such as Certified Health Data Analyst or Epic certification) are highly valuable. Excellent problem-solving abilities, communication skills, and attention to detail help facilitate collaboration between technical teams and clinical staff. These skills ensure seamless data exchange, improve patient care, and support regulatory compliance in healthcare organizations.

How to become an EHR integration specialist?

To become an EHR integration specialist, candidates typically need a background in healthcare IT, computer science, or related fields, along with experience in electronic health record systems and data integration. Certifications such as HL7, FHIR, or Epic certifications can enhance job prospects, and proficiency in programming languages like SQL, Java, or Python is often required. Strong problem-solving skills and understanding of healthcare workflows are also important for success in this role.

What is EHR integration?

EHR integration refers to the process of connecting electronic health record (EHR) systems with other healthcare software, platforms, or devices to allow seamless exchange of patient data. This integration enables healthcare providers to access comprehensive patient information, streamline workflows, and improve the quality of care. EHR integration can involve connecting systems within a hospital, between different healthcare organizations, or with external labs and pharmacies. Effective integration helps reduce errors, saves time, and enhances collaboration among medical professionals.
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Ehr Integration jobs near you
Infographic showing various Ehr Integration job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $62,077 per year, or $29.8 per hour.

Senior (Principal) EHR Integration Engineer (Remote - US only)

Quadrivia

Remote

$128K - $177K/yr

Full-time

Posted 27 days ago

Job description

About Us
Quadrivia is the health technology company behind Q, a comprehensive, controllable, and customizable assistant AI built by clinicians, for clinicians. Addressing the urgent shortage of healthcare professionals, Q provides real-time, personal, and reliable support for clinical tasks across the care continuum. Designed for providers, payers, and pharmaceutical companies, Q is easy to customize and integrates seamlessly into workflows, delivering precise assistance across the care spectrum.
Healthcare Interoperability & Clinical Data Infrastructure - USA-based
Role Overview
You will design, build, and operate the integration layer that connects the Quadrivia AI platform to the U.S. healthcare ecosystem - EHRs, practice-management systems, labs, HIEs, and national interoperability networks. This means moving clinical data into our AI agents (context, history, orders) and writing AI-generated outputs back into the systems of record, safely and within a highly compliant, HIPAA-governed environment.
This is a deeply hands-on, technical role at the boundary between healthcare standards and modern distributed systems. The integrations you own are the front door to every customer deployment - they directly determine how fast we can onboard a new health system and how much our AI can be trusted with real patient data.
As the integration lead, you will also coordinate multiple integrations running in parallel. As demand grows, integration work is delivered by parallel, ad-hoc teams that spin up around specific customers, EHRs, or go-lives - and you are the technical owner who keeps them aligned, sets the standards they follow, and ensures every concurrent integration lands consistently and on time.
Key Responsibilities
  • Design and build resilient, bidirectional integrations with major EHRs (Epic, Oracle Health/Cerner, athenahealth, MEDITECH, TruBridge/CPSI, Veradigm/Allscripts, eClinicalWorks, NextGen).
  • Implement and maintain HL7v2 interfaces (ADT, ORU, ORM, SIU, MDM, DFT) and FHIR R4 / US Core integrations, including SMART on FHIR and Bulk FHIR.
  • Build and operate integration pipelines on InterSystems IRIS (our integration platform) - and, where needed, via aggregators like Redox, Health Gorilla, or 1upHealth.
  • Handle C-CDA documents, X12 transactions (270/271 eligibility, 837/835 claims), and the connectivity layer (MLLP, SFTP, TLS, VPN, OAuth2 client credentials).
  • Navigate EHR vendor programs end-to-end: Epic (Showroom/App Orchard, Bridges, Interconnect), Oracle Health CODE, athenahealth Marketplace - including registration, security review, and go-live.
  • Own reliability of the integration estate: monitoring, message reconciliation, replay/backfill, dead-letter handling, and clear fallback behavior when an interface or downstream EHR is degraded.
  • Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow; partner with Security and Compliance on audits.
  • Support customer and partner due-diligence and security reviews (questionnaires, BAAs, technical assessments) to quickly unblock access to production data and keep integrations on schedule.
  • Coordinate multiple parallel, demand-driven integration teams - assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations.
  • Plan capacity and sequence go-lives across the integration portfolio as ad-hoc teams spin up and down with demand.
  • Set integration standards and mentor engineers; act as the organization's technical authority on interoperability.
  • Collaborate closely with Backend, AI, Clinical, and Implementation teams to map clinical workflows into integration contracts.
  • Write clean, test-driven, maintainable code; validate and own all AI-generated code contributions.

About You
Must Have
  • 10+ years in software/integration engineering, with deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments (including ancillary flows such as imaging/DICOM, scheduling, and ePrescribing/Surescripts).
  • Experience coordinating multiple engineers or parallel workstreams across concurrent customers - comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure.
  • Must be based in the USA and authorized to work in the U.S. without sponsorship.
  • Availability to travel within the USA as needed for customer onboarding, go-lives, and on-site integration work.
  • Hands-on experience with at least one major EHR's interface/API surface (Epic, Oracle Health/Cerner, athenahealth, or MEDITECH) - ideally including a vendor certification or marketplace go-live.
  • Production experience with InterSystems IRIS (our integration platform; Ensemble/HealthShare also relevant) - or a comparable engine (Mirth/NextGen Connect, Rhapsody, Cloverleaf) with the ability to ramp on IRIS quickly.
  • Strong programming skills in Python (and comfort with JavaScript/TypeScript or Java/Groovy for engine scripting).
  • Solid understanding of healthcare data: clinical terminologies (LOINC, SNOMED CT, ICD-10, CPT, RxNorm), patient matching, and EHR data models.
  • Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS.
  • 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 (S.T.A.R / S.A.R or similar).
  • Culture fit: kind, exceptionally smart, mission-driven, field expert.
Desirable
  • Experience with national interoperability networks: TEFCA/QHINs, Carequality, CommonWell, eHealth Exchange, or state/regional HIEs.
  • Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability & Prior Authorization rules.
  • Cloud & DevOps literacy: GCP, Kubernetes, Docker, Terraform; event-driven architectures (queues/streams).
  • Exposure to AI, RAG, or LLM workflows feeding/consuming EHR data.
  • RHIA, CHPS, or equivalent health-informatics credential.

What Success Looks Like
  • New health systems are onboarded predictably and fast, with integration timelines measured in weeks, not quarters.
  • Clinical data flows in and out of the platform with high integrity - accurate patient matching, correct mappings, and zero silent data loss.
  • The integration estate runs with strong availability and full observability; failures are caught, contained, and replayed rather than discovered by customers.
  • Every interface operates within our highly compliant, HIPAA-governed environment and passes customer security review without friction.
  • AI-generated integration code is consistently elevated, corrected, and owned by you.
  • Concurrent integrations stay coordinated and consistent in quality even as their number scales with demand.

Learn more about our mission: Why Quadrivia

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