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Integration Engineer Fhir Jobs (NOW HIRING)

SmarterDx

Sr. Integration Engineer

$106K - $143K/yr

Learn more at smarterdx.com/careers. Sr. Integration Engineer You are a healthcare integration ... Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows. * Exceptional ...

Knowtex

Integration Engineer

San Francisco, CA · On-site

$122K - $164K/yr

Position Overview Knowtex is seeking an Integration Engineer to own and scale our healthcare system ... Familiarity with healthcare interoperability standards such as FHIR and HL7 * Experience designing ...

Transform9

Integration Engineer

Birmingham, AL · On-site +1

$97K - $131K/yr

Our agents integrate directly with each practice's EHR, practice management, and phone systems, and ... Strong understanding of RESTful APIs, HL7/FHIR standards, and healthcare data formats * Solid grasp ...

Radiology Partners

Integration Engineer

CA · Remote

$85K - $105K/yr

Build, test, and deploy healthcare data interfaces using HL7, FHIR, and other industry-standard ... Create and maintain detailed integration workflows, technical specifications, and system ...

Transform9

Integration Engineer

Birmingham, AL · Remote

$106K - $143K/yr

Our agents integrate directly with each practice's EHR, practice management, and phone systems, and ... Strong understanding of RESTful APIs, HL7/FHIR standards, and healthcare data formats * Solid grasp ...

Innovaccer Inc.

Implement FHIR R4 APIs and resource mappings against standard implementation guides, including ... integration or interoperability engineering experience. * Strong working knowledge of FHIR R4 ...

Transform9

Integration Engineer

Birmingham, AL · On-site +1

$97K - $131K/yr

Our agents integrate directly with each practice's EHR, practice management, and phone systems, and ... Strong understanding of RESTful APIs, HL7/FHIR standards, and healthcare data formats * Solid grasp ...

Digital Diagnostics Inc.

$76K - $103K/yr

Digital Diagnostics is looking for an Integration Engineer to join our growing team! As the ... Knowledge of HL7, FHIR, and DICOM interface standards * Experience with EHRs such as Epic, Cerner ...

Akumincorp

Integration Engineer

$106K - $143K/yr

HL7 v2, FHIR, CDA/CCD, JSON/XML mapping. * Demonstrated experience withDICOM workflows and DICOM-to ... Strong grasp of integration protocols:MLLP, REST, SOAP, SFTP. * Advanced knowledge of healthcare ...

Saviance

API Integration Engineer (TypeScript)

Boston, MA · On-site

$113K - $152K/yr

... FHIR APIs, or HL7 integrations • Knowledge of microservices architecture • Experience with CI/CD pipelines, Docker, and Kubernetes • Exposure to event-driven systems (Kafka, Event Hub, Pub/Sub ...

DrFirst Inc.

Senior Integration Engineer

Position Overview The Senior Integration Engineer will lead the integration of medication data ... Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI) * Proven ability to ...

Hearst

Advanced Integrations Engineer

Indianapolis, IN · On-site

$99K - $133K/yr

Partnering with our information system developer and healthcare institution customers, you'll help ... Practical experience with SMART on FHIR application integration, OAuth2/OpenID Connect concepts ...

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Integration Engineer Fhir information

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$44.5K

$124.3K

$173.5K

How much do integration engineer fhir jobs pay per year?

As of Sep 14, 2026, the average yearly pay for integration engineer fhir 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.

What is an integration engineer FHIR?

An Integration Engineer FHIR is a technical professional who specializes in connecting healthcare systems using the FHIR (Fast Healthcare Interoperability Resources) standard. They design, develop, and maintain solutions that enable electronic health record (EHR) systems, applications, and services to exchange health data efficiently and securely. Their work ensures different healthcare software can communicate seamlessly, improving patient care and data accessibility. Integration Engineers FHIR often work closely with IT, clinical, and business teams to implement interoperability projects.

What are the key skills and qualifications needed to thrive as an integration engineer FHIR?

To thrive as an Integration Engineer FHIR, you need a strong background in software engineering, healthcare interoperability standards (especially HL7 and FHIR), and experience with system integration. Familiarity with integration engines, APIs, cloud platforms, and relevant certifications like HL7 or FHIR proficiency are typically required. Excellent problem-solving, communication, and project management skills help you collaborate effectively with technical and clinical teams. These skills ensure seamless and secure data exchange between healthcare systems, supporting improved patient outcomes and operational efficiency.

What are some common challenges integration engineers working with FHIR face when integrating healthcare systems?

Integration Engineers specializing in FHIR often encounter challenges related to data standardization, interoperability, and legacy system compatibility. Since healthcare organizations may use a variety of electronic health record (EHR) systems with differing data formats, mapping and transforming this information to FHIR-compliant resources requires careful planning and testing. Additionally, maintaining data security and compliance with regulations like HIPAA is crucial throughout the integration process. Successful Integration Engineers collaborate closely with clinical staff, IT teams, and external vendors to ensure seamless data exchange and resolve issues as they arise.

What is the difference between Integration Engineer Fhir vs Integration Analyst?

AspectIntegration Engineer FhirIntegration Analyst
CredentialsTypically requires healthcare IT certifications, FHIR training, and technical degreesOften holds degrees in IT, health informatics, or related fields; certifications vary
Work EnvironmentWorks in healthcare IT teams, hospitals, or health tech companies focusing on system integrationWorks in healthcare organizations or consulting firms, analyzing and improving data workflows
Industry UsageCommonly employed in healthcare IT projects involving FHIR standardsUsed across healthcare settings for data analysis and system integration tasks
Search & Comparison IntentHigh overlap in healthcare IT, focusing on FHIR integration skillsRelated to data analysis and system integration in healthcare

The main difference is that Integration Engineer Fhir specializes in implementing FHIR standards for healthcare data exchange, while Integration Analyst focuses on analyzing and improving data workflows across healthcare systems. Both roles require technical skills but differ in their primary focus and responsibilities.

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Integration Engineer Fhir jobs near you
Infographic showing various Integration Engineer Fhir job openings in the United States as of September 2026, with employment types broken down into 42% Full Time, and 58% Contract. Highlights an 58% In-person, and 42% 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 20 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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