Senior Integration Engineer (Client-Facing)

Senior Integration Engineer (Client-Facing)

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.

**This role is fully remote within the US**

What You'll Do

• Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital/health system customer EHRs (Epic, Cerner, Meditech).
• 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.
• Own integrations end to end, including specification development, mapping, configuration, testing strategy, go live planning, and production stabilization.
• Lead data validation and reconciliation to ensure integrity, completeness, and interoperability compliance.
• Design for reliability and observability with monitoring, alerting, traceability, replay strategies, and operational runbooks.
• 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.
• Improve integration operations through automation: streamline repetitive implementation tasks (test harnesses, validation tooling, automated checks, deployment patterns) to increase throughput and reduce risk.
• Monitor evolving interoperability standards and translate them into actionable architectural guidance for SmarterDx and our clients.
• Influence product and platform strategy by advising engineering on schemas, data contracts, mapping approaches, and integration tooling based on field experience.

What You Bring

• You have deep strength in multiple areas below, and can lead in all of them: 7+ years building, deploying, and supporting hospital based HL7v2 interfaces at scale, with expert