Senior Integration Engineer

Octagos HealthHouston, TX
105d$100,000 - $140,000

About The Position

Octagos is a dynamic and rapidly growing healthcare technology company dedicated to improving patient outcomes through AI-driven solutions and clinical accuracy. We are seeking an analytical, technical expert to join our Integrations team. The ideal candidate will bring a strong technical background and attention to detail to design, implement, and support seamless data exchange between disparate healthcare systems, such as EHRs and imaging systems, using standards like HL7, FHIR, and XML. You will lead complex projects, troubleshoot technical issues, ensure regulatory compliance, and provide mentorship to junior staff.

Requirements

  • Proficiency in HL7 v 2.x, FHIR, Smart on FHIR integration frameworks.
  • Experience with cloud platforms (AWS, Azure, Google Cloud) and a deep understanding of system architecture and data engineering principles.
  • Ability to analyze complex requirements, translate business needs into technical solutions, and troubleshoot technical challenges.
  • Strong interpersonal and communication skills to effectively collaborate with both technical and non-technical stakeholders.
  • Familiarity with EHR platforms such as Epic, Cerner, Veradigm, AthenaOne, or NextGen.
  • Experience managing the lifecycle of integration projects, from design through deployment and maintenance.
  • A Bachelor's or Master's degree in Computer Science, Health Informatics, or a related field.

Nice To Haves

  • 5-10 years of integration experience in healthcare IT, ideally within a high-growth or startup environment.
  • Experience managing technical EHR integrations and customer implementations.
  • Familiarity with cardiology IT systems, Epic, or other leading EMRs strongly preferred.
  • Proven track record of managing complex technical timelines with internal and external stakeholders.
  • Exceptional communication, problem-solving, and organizational skills.

Responsibilities

  • Design, develop, and maintain HL7 v2.x interfaces, FHIR APIs, CCD/CCDA exchanges, and other interoperability solutions.
  • Build and manage interfaces using common integration engines (e.g., Mirth Connect, Rhapsody, Corepoint, Cloverleaf, InterSystems Ensemble).
  • Participate in client onboarding, technical discovery sessions, and troubleshooting escalations.
  • Implement bi-directional integrations between EHRs (e.g., Epic, Cerner, Veradigm, AthenaOne, NextGen, Allscripts) and third-party applications.
  • Implement integration solutions and conduct thorough testing to ensure functionality, performance, security, and reliability.
  • Work with software developers and product managers to drive the development and adoption of interoperability frameworks including SMART on FHIR, FHIRcast, CDS Hooks, and OAuth 2.0-based authorization.
  • Monitor integration processes, identify and resolve issues, and ensure the optimal performance of integrated systems.
  • Create detailed documentation of integration processes, workflows, and system configurations for future reference and problem-solving.
  • Stay updated on industry trends, new technologies, and best practices to enhance integration strategies and propose innovative solutions.
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