Implementation Engineer

Rainfall Health • San Francisco, CA

2d • Hybrid

About The Position

We’re hiring an Implementation Engineer to lead technical integrations with customer EHR and healthcare IT systems. This role is ideal for someone who thrives at the intersection of APIs, healthcare data, and real-world deployment. You will work directly with health system IT teams and internal product and engineering partners to design, build, and deploy API-first integrations that power clinical workflows and analytics inside Rainfall Health.

Requirements

• 4+ years of experience in healthcare IT, interoperability, or technical implementations.
• Hands-on experience integrating with at least one major EHR system.
• Strong experience with FHIR APIs and/or HL7 v2 interfaces.
• Experience working directly with hospital or health system IT teams.
• Ability to troubleshoot complex data and interface issues independently.

Nice To Haves

• Direct experience with Epic Bridges, App Orchard, Cerner Ignite, or Meditech APIs.
• Experience with interface engines (e.g., Mirth, Rhapsody, Cloverleaf, Ensemble).
• Understanding of clinical workflows in perioperative or procedural care settings.
• Basic scripting or development skills (Python, JavaScript, SQL) for data transformation.

Responsibilities

• Design and implement API-first integrations with major EHR platforms, including Epic, Cerner (Oracle Health), Meditech, and Athenahealth.
• Work with standards such as FHIR, HL7 v2, CCD/C-CDA, and REST APIs.
• Configure and manage data interfaces for clinical, scheduling, ADT, orders, and documentation workflows.
• Translate health system technical requirements into scalable integration designs.
• Lead technical onboarding for new customers, from interface design through go-live.
• Collaborate with hospital IT, interface teams, and EHR analysts during implementation.
• Troubleshoot integration issues across environments (test, staging, production).
• Ensure data accuracy, timeliness, and reliability across connected systems.
• Partner with internal engineering teams to evolve Rainfall’s integration framework.
• Help define reusable patterns and best practices for API-based healthcare integrations.
• Build and maintain mapping, transformation, and validation logic for clinical data.

Benefits

• Competitive salary and benefits package
• Hybrid work environment with flexibility (remote + on-site in the San Francisco Bay Area)
• Opportunity to shape scalable solutions that improve patient care and financial performance
• A mission-driven, collaborative team focused on real-world impact

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed