Hl7 Developer Jobs in Ontario (NOW HIRING)

Position: Senior Integration Developer(X1)

Dept: AI and Digital Planning 

File#: 8100

Status: Permanent Full-time

Role Level: PG 13 $57.50 - $71.87

Site: Credit Valley Hospital

Hours of Work/Shift: Monday to Friday

Posted: August 25, 2026

Internal Deadline: September 1, 2026

 Trillium Health Partners is one of Canada's largest community-based teaching hospitals, serving the growing and diverse populations of Mississauga, West Toronto, and surrounding communities through the Credit Valley Hospital, the Mississauga Hospital, the Queensway Health Centre, the Reactivation care Centre (Church Site) and the new THP-UHN Reactivation Care Centre. Guided by our values of compassion, excellence, and courage, and through our strategic roadmap, Plan to 2030, we are creating a new kind of health care - defined not by illness, but by the health and well-being of people and communities.

Trillium HealthWorks is the largest infrastructure renewal in Canada's history, that will shape the future of our community and beyond, transforming health care with the future Peter Gilgan Mississauga Hospital, including Ontario's first hospital dedicated to women's and children's health at the Shah Family Hospital for Women and Children and expanding the Queensway Health Centre, which will become The Gilgan Family Queensway Health Centre.

 Learn more about Trillium HealthWorks by visiting the Trillium HealthWorks Website.

 This work is guided by our long-term vision for the future of care at Trillium Health Partners.

Position Summary:

Are you ready to step up to the challenge of being an IT leader in your field of expertise? Then bring your talent and passion to Trillium Health Partners and Trillium HealthWorks and become an invaluable leading resource to our team ensuring the highest level of system performance, integrity and reliability to this evolving role in which you will be able to join an outstanding team and develop solutions that contribute to creating a new kind of healthcare for a healthier community. You will receive some of the best hands-on training in the industry, learning and working alongside dedicated and compassionate professionals and have the chance to work in a place where innovation thrives and incredible career and growth opportunities await.

Reporting to the Manager, Systems Development & Integration, the Senior Integration Developer is part of the DevOps team designing, developing and supporting healthcare systems integration solutions, using HL7 v2.x and FHIR R4. This role will play a key part in healthcare integration projects and operational support, requiring deep integration with Epic and other clinical and enterprise systems.

Join Trillium Health Partners' DevOps team as a Senior Integration Developer, bringing 5+ years of healthcare integration experience with HL7 v2.x, FHIR R4, Microsoft BizTalk 2020, Epic, SQL Server 2022, .NET, and Azure DevOps to design innovative, compliant solutions that shape the future of healthcare technology.

 Key Qualifications:

• College Diploma (3-year program), bachelor's degree in computer science or a related field, or equivalent combination of education and experience
• Minimum of 5 years of experience developing interfaces and integration solutions in a healthcare environment
• Hands-on experience with FHIR R4 APIs is required
• Hands-on knowledge of Health Level 7 (HL7) v2.x messaging standards and structures is required
• Experience with REST API design and development (JSON, RESTful services)
• Experience with Microsoft BizTalk Server 2020, including large-scale deployments and high-availability configuration required 
• Working knowledge of the .NET Framework 4.0+ and .NET Core 8.0+, including Visual Studio 2022, C#, and ASP.NET Core is required
• Proficiency with SQL Server 2022, including SQL queries, data access optimization, and database object management
• Knowledge and experience using Azure DevOps (Git) for source control and CI/CD pipelines is required
• Knowledge of Enterprise Service Bus (ESB) integration patterns in a healthcare environment is required
• Knowledge of eXtensible Stylesheet Language Transformations (XSLT) and Extensible Markup Language (XML) messaging standards is required
• Understanding of healthcare data integration patterns: bi-directional data flows, real-time and near-real-time synchronization
• Familiar with Systems Development Life Cycle (SDLC), including design, development, testing, and deployment
• Experience with Epic integration surfaces, including Epic Bridges, is strongly preferred
• Experience with Real-Time Location System (RTLS) integrations for new hospital builds is an asset
• Experience with Oracle Fusion HCM and UKG integrations is preferred
• Experience with Azure Integration Services (Logic Apps, Service Bus, API Management, Azure Functions) is strongly preferred
• Microsoft Certified: Azure Developer Associate (AZ-204) or equivalent Azure integration certification is strongly preferred
• Working knowledge NoSQL databases
• Familiarity with AI-assisted DevOps tools to support continuous improvement in interface development, testing, monitoring, and incident management is an asset
• Working knowledge of the Information Technology Infrastructure Library (ITIL) framework
• Ability to work with teams to achieve goals and meet deadlines in a fast-paced environment

Accountabilities and Responsibilities:

• Managing the entire cycle of interface application development, including analysis, design, specification, implementation, go-live and support, to advance Trillium HealthWorks priorities
• Designing and implementing FHIR R4-based integrations with Epic, including bi-directional data flows (read and write-back)
• Developing and supporting custom API development for FHIR integrations
• Supporting REST API design and development (JSON-based RESTful services) for healthcare data exchange
• Development and migration of interfaces on the Microsoft BizTalk 2020 platform, including large-scale deployments and high-availability configuration
• Application performance tuning across multi-tier applications
• Excellent database skills including SQL Server 2022, SQL queries, data access optimization, database objects creation and optimization, and working with NoSQL databases.
• Ensuring integration solutions comply with PIPEDA, PHIPA, and HIPAA data handling requirements in collaboration with Privacy and Security teams
• Coordinating activities involving multiple players, including vendors, subject matter experts, interface engine developers, and end users, to design, configure, and test interfaces
• Following documentation standards, including adherence to consistent standards when documenting new and existing integration solutions
• Helping to improve the skills and capabilities of others and fostering their long-term learning and development through coaching and mentoring
• Participating in after-hours On-Call rotation coverage
• Other duties as assigned based on organizational priorities

To pursue this career opportunity, please visit our website: www.trilliumhealthpartners.ca

 Internal Candidates who believe they possess the necessary qualifications and experience for this position and who have been in their current position for at least six (6) months are encouraged to apply.

 Candidates are selected on the basis of their skill, ability, experience and qualifications.

Where these factors are relatively equal seniority shall govern providing the successful applicant.

 Trillium Health Partners' (THP) is an equal opportunity employer who values the importance of antiracism work and is committed to integrating antiracism, diversity, equity and inclusion best practices throughout THP operations, policies and culture. Therefore, we ask that even if you do not see yourself fully reflected in every job requirement listed on this posting, we still encourage you to reach out and apply. Research has shown that candidates from underrepresented groups often only apply when they feel 100% qualified. We encourage all applicants who are members of groups that have been marginalized on any grounds enumerated under the Ontario Human Rights Code based on race, gender identity or expression, sex, sexual orientation, disability, political belief, religion, marital or family status, age, and/or status as a First Nations, Metis or Inuk/Inuit person to consider this opportunity.

 In accordance with the Accessibility for Ontarians with Disabilities Act, 2005 and the Ontario Human Rights Code Trillium Health Partners will provide accommodations throughout the recruitment and selection process to applicants with disabilities.  If selected to participate in the recruitment and selection process, please inform Human Resources of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation.

 All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.

 Trillium Health Partners is identified under the French Language Services Act.

We thank all those who apply but only those selected for further consideration will be contacted.

Our organization may use automated tools, including artificial intelligence (AI) or algorithm-assisted systems, to support the initial review of applications. These tools are used only to assist our recruiters and hiring managers; all hiring decisions include meaningful human involvement and final review.