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Iris Fhir Jobs (NOW HIRING)

InterSystems

Solution Architect

Boston, MA · On-site

$68.50 - $90.25/hr

... IRIS for Health or others. • Strong, practical knowledge of HL7, CCD, FHIR, X12 and other existing healthcare data interchange standards. Exposure to emerging standards • Experience of ...

InterSystems

Engagement Manager

Boston, MA

... IRIS, IRIS for Health, HealthShare, IntelliCare, TrakCare, and related interoperability platforms ... Experience with healthcare interoperability standards (HL7 v2, FHIR, CDA, DICOM) * Background ...

InterSystems

Solution Architect

Boston, MA · On-site

$68.50 - $90.25/hr

... IRIS for Health or others. * Strong, practical knowledge of HL7, CCD, FHIR, X12 and other existing healthcare data interchange standards. Exposure to emerging standards * Experience of InterSystems ...

InterSystems

Engagement Manager

Boston, MA · On-site

... IRIS, IRIS for Health, HealthShare, IntelliCare, TrakCare, and related interoperability platforms ... Experience with healthcare interoperability standards (HL7 v2, FHIR, CDA, DICOM) * Background ...

InterSystems

Solution Architect

Boston, MA · On-site

$68.50 - $90.25/hr

... IRIS for Health or others. * Strong, practical knowledge of HL7, CCD, FHIR, X12 and other existing healthcare data interchange standards. Exposure to emerging standards * Experience of InterSystems ...

InterSystems

Senior Quality Development Engineer

Boston, MA · On-site

$96K - $130K/yr

Familiarity with healthcare specifications such as FHIR, HL7 v2, or CDA * Familiarity with InterSystems products, such as IRIS, ObjectScript, or HealthShare We are an equal-opportunity employer and ...

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Iris Fhir information

What does an Iris FHIR professional do?

Iris FHIR professionals specialize in implementing, managing, or developing solutions using InterSystems IRIS for Health and the FHIR (Fast Healthcare Interoperability Resources) standard. They work to ensure healthcare data is exchanged efficiently and securely across different systems using FHIR protocols within the IRIS for Health platform. Their responsibilities may include configuring FHIR servers, integrating healthcare applications, and maintaining compliance with healthcare interoperability standards. These professionals are essential for organizations looking to modernize their healthcare data exchange and improve interoperability.

What is the difference between Iris Fhir vs FHIR Developer?

AspectIris FhirFHIR Developer
CertificationsTypically requires FHIR standards knowledge, sometimes specific to Iris platformOften holds certifications in HL7 FHIR, healthcare interoperability
Work EnvironmentPrimarily in healthcare IT, working with FHIR APIs within Iris platformIn software development teams, building and maintaining FHIR-based applications
Industry UsageUsed in healthcare organizations implementing Iris FHIR solutionsUsed across healthcare IT projects involving FHIR standards

In summary, Iris Fhir specialists focus on implementing and managing FHIR solutions within the Iris platform, while FHIR Developers design and develop FHIR-based applications across various healthcare systems. Both roles require knowledge of FHIR standards but differ in their specific focus and work environment.

What are some common challenges faced by professionals working with InterSystems IRIS FHIR in a healthcare IT environment?

Professionals working with IRIS FHIR often encounter challenges such as ensuring interoperability between disparate healthcare systems, managing complex data mappings, and maintaining compliance with healthcare data standards and privacy regulations. Additionally, integrating FHIR APIs with legacy systems can require significant customization and troubleshooting. Collaborating closely with clinicians, developers, and data analysts is essential to effectively address these challenges and deliver robust healthcare solutions.

What are the key skills and qualifications needed to thrive as an InterSystems IRIS FHIR developer?

To thrive as an InterSystems IRIS FHIR Developer, you need a solid background in healthcare data standards, particularly HL7 FHIR, along with experience in software development and familiarity with InterSystems IRIS Data Platform. Proficiency with FHIR APIs, InterSystems ObjectScript, and integration tools is typically required, and certifications in HL7 or InterSystems technologies are valuable. Strong problem-solving abilities, attention to detail, and effective communication skills help developers address complex interoperability challenges and collaborate with clinical and technical stakeholders. These competencies ensure seamless healthcare data exchange, regulatory compliance, and successful implementation of interoperable health IT solutions.
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Infographic showing various Iris Fhir job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 65% Physical, 3% Hybrid, and 32% Remote job distribution.

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

Quadrivia

Remote

$128K - $177K/yr

Full-time

Posted 28 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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