Remote Software Engineer Jobs in Ithaca, NY (NOW HIRING)

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are looking for an experienced Cloverleaf Integration Engineer, who will be responsible for the development, implementation, administration, monitoring, and support of healthcare interfaces utilizing Infor Cloverleaf Integration Suite. This position serves as an experienced interface engineer capable of independently designing, building, troubleshooting, and optimizing HL7, X12, FHIR, and API-based integrations between Epic and third-party applications.

The Cloverleaf Integration Engineer collaborates closely with application teams, infrastructure, vendors, and clinical stakeholders to ensure highly available, secure, and scalable integration solutions that support critical business and patient care operations.

• East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.
Special Factors:
• Provide afterhours and weekend support for planned maintenance, system upgrades, Epic golives, and production incidents.
• Occasional travel may be required to support customer implementations, training, project meetings, and golive activities.
• Maintain required technical certifications and complete ongoing training for Cloverleaf, Epic, and other supported technologies.
• Ability to support teams and customers across multiple time zones, as business needs dictate.
• Comply with all applicable healthcare regulations and organizational policies, including HIPAA, information security, change management, and data privacy requirements.
• Participate in disaster recovery testing, business continuity exercises, and production readiness activities.
• Successfully complete all required background checks, security training, and compliance education as a condition of employment.
Why Join Us?
• MissionDriven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risktaking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.
The Role / Work Arrangement:
• Remote position with occasional onsite travel based on business needs.
• Participation in an oncall rotation for production support.
Your Mission:

This role requires strong technical expertise in Cloverleaf, Linux administration, healthcare interoperability standards, and interface lifecycle management while contributing to continuous process improvement and mentoring junior team members.

What You’ll Do Day-to-Day / Key Responsibilities

Interface Development & Implementation
• Design, develop, implement, and maintain healthcare interfaces using Infor Cloverleaf Integration Suite.
• Build, configure, test, and deploy inbound and outbound HL7 interfaces.
• Develop interface translation logic using Xlate, TPS (Tcl), and Cloverleaf process routing.
• Configure message routing, filtering, batching, acknowledgements, and error handling.
• Support interface migrations between development, test, validation, and production environments.
• Participate in new application implementations and system upgrades.
• Perform interface unit testing, integrated testing, and production validation
Develop and support Epic Bridges interfaces including:
• ADT, Orders (ORM), Results (ORU), Billing (DFT), Clinical Documentation (MDM), Scheduling (SIU), Master File Notifications (MFN), FHIR APIs, Web Services, Epic Interconnect
Collaborate with Epic application analysts during:
• New implementations, Upgrade testing, Integrated testing, GoLive support, Optimization initiatives
Administer and support Cloverleaf environments including:
• Sites, Threads, Processes, Routes, Protocols, SMAT management, Xlate libraries, TPS libraries, Process scheduling
Perform:
• Environment health monitoring, Performance tuning, Queue management, Process recovery, Database maintenance, Message replay, Disaster recovery testing

Performance Optimization

Analyze and optimize:
• Interface throughput, Translation performance, Thread utilization, Database performance, Process distribution, Network communications, System capacity, and Recommend improvements to maximize reliability and scalability.

Initiative: Takes care of responsibilities and work efforts without being asked to do so. Demonstrates ownership of assigned tasks and facilitates follow-through. Seeks out opportunities to take on additional responsibilities. Offers constructive recommendations and proposes courses of action in support of team responsibilities. Exercises good judgment in taking appropriate action, while keeping management appropriately informed.

Decision Making /Judgment: Recognizes problems and brings the problem to the attention of others, systematically gathers information, seeks input from others. Is able to articulate the underlying issues of the problem, sorts through complex issues, and evaluates potential solutions. Is able to implement the correct solution to resolve the problem. Communicates decisions to others, and evaluates the results of the decision.

Results Focus: Sets challenging personal goals with achievable dates. Works with others on the team to set and meet team goals. Prioritizes and takes ownership of tasks, overcomes obstacles by researching and asking peers questions. Accepts accountability, and ownership of meeting deadlines. Has the ability to define the problem, and then outline the resolution, and what success would look like. Maintains adherence to Xtensys’ defined processes such as, on-call, incident management, change management testing procedures, and timekeeping.

Adaptability/Flexibility: Quickly adapts to change in the performance of duties. Remains calm and composed under stressful situations. Persuades others to stay calm and focused on the main goals. Promotes and demonstrates open-mindedness towards change.

Creativity / Innovation: Brings new thoughts and ideas to the conversation, challenges the status quo, leads brainstorming sessions with other team members. Takes risk, supports change, and encourages innovation.

Project Management: Comprehensive knowledge of project management concepts and methodology. Able to lead and participate in project planning sessions. Ability to establish project goals, milestones, and procedures. Able to define roles and responsibilities, and acquires project resources. Ability to monitor project progress and identify issues and risk. Able to manage projects with varying levels of complexity.

Mission & Vision: Supports, communicates, and incorporates Xtensys Vision and Mission through daily actions and decisions, generates enthusiasm, incorporates vision when planning.

Self-Development: Takes responsibility for his / her personal growth and development and continually works to expand skillset. Seeks out opportunities for knowledge-sharing with team. Establishes clear and challenging short-term and long-term personal goals and works to increase both individual and team capabilities. Demonstrates great initiative and energy in pursuit of growth goals and individual and team skillset expansion.

Who You Are & What You’ll Bring

REQUIRED Experience
• 35 years of experience administering Infor Cloverleaf Integration Suite.
• 5+ years of healthcare integration experience.
• Experience supporting Epic Bridges integrations.
• Experience supporting production healthcare environments
Required Skills/Integration Platforms
• Infor Cloverleaf, Epic Bridges, Epic Interconnect, FHIR APIs, REST APIs, SOAP Web Services
Healthcare Standards
• HL7 v2.x, HL7 v3 (preferred), FHIR, CDA, CCD, X12, XML, JSON
Operating Systems
• Linux (RHEL preferred), Windows Server
Programming/Scripting
• Tcl/Tk (TPS), SQL, Bash, PowerShell, JavaScript (preferred), Python (preferred)
Preferred Qualifications
• Infor Cloverleaf Certification, Epic Bridges Certification, Epic Interconnect experience, FHIR implementation experience
Education/Certifications:
• Bachelor’s degree in computer science, Information Systems, Healthcare Informatics, or a related technical field; or equivalent combination of education and experience
• Certified in Cloverleaf is required
• Certified in Epic bridges, preferred (preferred)
Travel Requirements:
• This role requires annual travel of up to 25%, which includes mandatory onsite deployment to the client's command center for two weeks during system golives unless the client specifies otherwise. Additionally, you will travel to the client site for three days during postlive followup visits.
Physical Readiness:
• Prolonged periods of sitting and computerbased work.
• Ability to communicate effectively with technical and nontechnical stakeholders.
• Ability to travel occasionally to customer sites or data centers.

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