Smarter Technologies is looking for an Integration Engineer with deep Rhapsody and HL7v2 expertise to architect robust healthcare interoperability solutions. You will lead customer engagements end-to-end, translating complex technical concepts into durable, scalable interfaces for our SmarterDx platform.

What You'll Do

Lead the integration design, development, and validation of robust, scalable interfaces between SmarterDx and hospital EHRs like Epic, Cerner, and Meditech.
Serve as the technical executive on customer engagements, guiding architecture discussions with senior health system leadership.
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.
Troubleshoot complex production issues and lead structured incident response, root cause analysis, and durable remediation.
Improve integration operations through automation to streamline repetitive implementation tasks and increase throughput.
Monitor evolving interoperability standards and translate them into actionable architectural guidance.
Influence product and platform strategy by advising engineering based on field experience with schemas, data contracts, and mapping.
Blend executive presence with operational humility, from leading strategy sessions to hands-on debugging.

What We're Looking For

7-12+ years building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
Advanced Rhapsody architecture and operations experience required.
Exceptional executive communication skills, able to influence senior health system leaders.
Proven expertise in scalable database extraction architecture and performance tuning within top-market EHR systems.
Significant experience enabling FHIR R4 APIs/resources and SMART on FHIR workflows.
Proven leadership aligning technical and non-technical stakeholders during complex health system implementations.
Demonstrated ability to define plans with timelines, critical path, risks, and measurable success criteria.
Adept at translating technical message flows and data mapping logic into business-impact language.
Hands-on experience in languages like JavaScript or Python for message transformation or workflow automation.
SQL fluency for validation, reconciliation, and troubleshooting across complex datasets.
Autonomy and the confidence to drive process improvements through ambiguity and changing priorities.
Executive-level credibility paired with hands-on ownership of day-to-day technical execution and support.

Nice to Have

Deep knowledge of hospital workflows, clinical data structures, semantic interoperability standards, and revenue cycle data flows.
Background in clinical informatics or certified health IT credentials (e.g., HL7, FHIR, Mirth Connect, Rhapsody, Cloverleaf, or EHR certifications).
Participation in HL7 or FHIR working groups or contributions to open-source healthcare integration tools.
Entrepreneurial mindset, with previous experience as an early joiner in a young technology company.

Technical Stack

Rhapsody
AWS
Snowflake
JIRA
HL7Spy

Benefits & Compensation

Compensation: $200K - $230k
Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums.
Paid Parental Leave – Up to 12 weeks for parents.
Remote-First Team – Work from anywhere in the U.S.
Unlimited PTO & 10 Holidays.
401(k) with Traditional & Roth Options through Fidelity with a 4% match.
Minimal Bureaucracy – A fast-moving, high-impact environment.
Incredible Teammates!