Senior EHR Integration Specialist

McKesson•Columbus, OH

7d•$120,000 - $200,000

About The Position

McKesson is seeking a Senior EHR Integration Specialist to design and deliver secure, scalable, and repeatable integrations between its healthcare platform and external Electronic Health Record and Electronic Medical Record systems. This hands-on senior individual-contributor role combines software engineering, healthcare interoperability, and integration architecture. The specialist will lead production integration of SMART on FHIR applications into Epic clinical workflows and establish reusable integration patterns for Epic and other EHR environments. The role independently evaluates complex integration needs, makes technical recommendations, writes and reviews implementation code, and carries work through production delivery with limited supervision. It serves as a technical authority across Engineering, Product, Security, Identity and Access Management, Compliance, and Operations, while providing technical guidance to engineers and implementation partners without formal people-management responsibility. The position focuses on delivering production EHR integrations, defining reusable architecture, accelerating practice onboarding, establishing security and operational standards, and providing senior technical leadership. The role also creates implementation-ready technical artifacts and improves onboarding through reusable components and automation. Compensation is a base pay range of $120,000–$200,000; annual bonus or long-term incentive opportunities may also be offered. McKesson describes its compensation as part of a competitive Total Rewards package, but specific benefits are not listed in the posting.

Requirements

Degree or equivalent; typically requires 7+ years of relevant experience.
Five or more years of experience in software engineering, integration engineering, healthcare interoperability, or solution architecture.
Hands-on experience delivering SMART on FHIR integrations in a production environment.
Experience integrating applications with external EHR systems, preferably Epic.
Experience with SMART on FHIR application launch patterns, including clinical-context handling.
Hands-on coding experience supporting APIs, application integrations, middleware, or interoperability solutions.
Applied experience with FHIR R4, OAuth 2.0, and OpenID Connect.
Experience working with or deploying FHIR servers.
Experience designing secure, scalable, and reusable healthcare integration architectures.
Experience defining reference architectures using FHIR, HL7, SMART on FHIR, CDS Hooks, or related interoperability patterns.
Understanding of clinical workflows, healthcare data privacy, and payer-provider data exchange.
Experience creating technical artifacts such as reference architectures, sequence diagrams, data mappings, implementation guides, or operational runbooks.
Demonstrated ownership of complex production integrations involving multiple technical and business stakeholders.
Experience independently evaluating integration requirements, making technical recommendations, and carrying work through implementation and production delivery.

Nice To Haves

Direct experience integrating applications into Epic clinical workflows.
Experience with Epic SMART App Launch, App Orchard, Connection Hub, Bridges, FHIR, or related Epic integration capabilities.
Epic certification related to application integration, interoperability, or interfaces.
Experience integrating with iKnowMed.
Experience integrating with Cerner or Oracle Health.
Experience with HL7 v2, CDA, C-CDA, NCPDP, Da Vinci implementation guides, or related healthcare data-exchange standards.
Experience building applications that consume data from or write data to FHIR servers.
Experience with FHIR persistence, versioning, subscriptions, eventing, search, performance, and scaling.
Experience with enterprise FHIR technologies such as HAPI FHIR, Azure Health Data Services, Google Cloud Healthcare API, or comparable platforms.
Experience with enterprise identity providers such as Microsoft Entra ID (formerly Azure Active Directory), Okta, or comparable identity platforms.
Experience supporting large-scale or multitenant healthcare technology platforms.
Experience with HIPAA and related security, compliance, or audit-control frameworks.
Experience using AI-assisted development or automation tools to improve integration engineering, testing, documentation, or implementation efficiency.

Responsibilities

Design, implement, test, and support production integrations with external EHR systems.
Lead integration of SMART on FHIR applications into Epic clinical workflows.
Implement context-aware EHR application launches using patient, encounter, and user context.
Develop FHIR R4 integrations for clinical and administrative data exchange.
Design and configure OAuth 2.0 and OpenID Connect authentication flows aligned with SMART on FHIR requirements.
Translate integration requirements into working code, reusable components, implementation assets, and production-ready solutions.
Troubleshoot application-launch, authentication, authorization, API-access, data-exchange, and integration-performance issues.
Create reference architectures using FHIR, HL7, SMART on FHIR, and CDS Hooks for healthcare application integration and clinical decision-support workflows.
Design secure, maintainable integration patterns reusable across practices, health systems, and EHR platforms.
Recommend approaches involving APIs, FHIR servers, middleware, translation layers, orchestration, event management, and integration monitoring.
Establish standards for data mapping, normalization, validation, and semantic interoperability.
Design architectures in which FHIR services support interoperability between EHRs and downstream applications.
Develop roadmaps and technical implementation approaches that reduce reliance on one-off integrations.
Build reusable templates, scripts, mappings, and integration components to reduce manual onboarding work.
Identify and implement automation opportunities across EHR integration and practice-onboarding workflows.
Improve onboarding repeatability, reliability, and scalability while preserving data integrity and compliance.
Apply approved AI-enabled engineering tools and automation techniques where useful for design, development, testing, documentation, or implementation efficiency.
Evaluate integration outcomes and refine patterns based on production experience.
Define integration requirements involving HIPAA, OAuth 2.0, role-based access control, data privacy, and secure access to clinical information.
Partner with Security, Identity and Access Management, Product, Compliance, Engineering, and Operations to produce secure and auditable solutions.
Create and maintain reference architectures, sequence diagrams, data mappings, implementation guides, integration designs, and operational runbooks.
Ensure technical documentation supports implementation, audit readiness, operational support, and future reuse.
Recommend monitoring and observability approaches for integration health and production performance.
Serve as a subject-matter expert for EHR integration, SMART on FHIR, FHIR architecture, and healthcare interoperability.
Make integration recommendations based on prior production experience for established interoperability patterns.
Independently organize work, manage cross-team dependencies, and bring assigned initiatives to closure.
Participate in technical and business discussions across teams and translate decisions into executable integration plans.
Influence architecture, engineering practices, and technical direction without formal people-management responsibility.
Provide technical guidance to engineers and implementation partners.
Integrate a SMART on FHIR application into an Epic health system and support its production delivery.
Establish reference architectures and implementation standards reusable across future EHR integrations.
Produce implementation-ready sequence diagrams, mappings, technical designs, implementation guidance, and operational runbooks.
Reduce manual onboarding work through reusable components, scripts, templates, and automation.
Provide timely, experience-based technical decisions across EHR integration initiatives.
Independently manage cross-functional work and bring assigned integrations to closure with limited supervision.