Own and operate SmarterDx’s healthcare integration platform, designing, deploying, monitoring, and supporting high-volume HL7v2 interfaces across Epic and Oracle Health/Cerner. Responsibilities include interface engine administration, AWS-hosted connectivity, security, production troubleshooting, message recovery, reliability planning, standards, documentation, and Tier 3 on-call support. The role also partners with infrastructure, security, product, and customer technical teams on implementations and integration issues.
SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI platform interprets the nuances behind every patient story and makes clinically-sound recommendations for revenue cycle teams — helping hospitals recover earned revenue, improve quality metrics, reduce denials, and streamline revenue cycle operations. As a Smartian, you’ll help build technology that makes healthcare more accurate, sustainable, and effective for everyone. Learn more at smarterdx.com/careers.
You are a healthcare integration engineer with deep expertise in interface engine development and HL7. You are equally comfortable developing complex interfaces, managing integration platforms and their cloud-hosted environments, and supporting mission-critical production integrations. You understand how to diagnose issues across interface engines, HL7, applications, network connectivity, and infrastructure, and bring the hands-on expertise needed to own problems through resolution.
You will be a technical owner of SmarterDx’s healthcare integration platform, with a primary focus on interface development, platform operations, production support, and technical best practices. Our platform processes a high volume of healthcare data across customer connections, making reliability and availability critical. You will help establish the standards, processes, and documentation that keep our integrations reliable and maintainable as we grow.
While this is primarily a hands-on technical role, you will also work directly with customer technical teams when needed to support implementations, connectivity, troubleshooting, and other integration needs.
At SmarterDx, your work will directly enable our mission of empowering hospitals to tell the most accurate patient stories.
***This role is fully remote within the US***
What You’ll Do- Design, develop, test, deploy, and support healthcare integrations throughout their lifecycle, including routes, communication endpoints, filters, message transformations, mappings, and connectivity, primarily using HL7v2 across major EHR platforms including Epic and Oracle Health/Cerner.
- Serve as a technical owner and subject matter expert for SmarterDx’s integration platform, including configuration, administration, monitoring, upgrades, and production operations.
- Partner with Infrastructure and Security teams to operate our integration platform in a cloud-hosted environment, including AWS, VPN connectivity, networking, TLS/certificate management, HTTPS endpoints, and secure customer connectivity.
- Maintain the reliability and availability of our high-volume integration environment through proactive monitoring, safe change practices, and capacity and performance planning as message volumes and customer connections grow.
- Define and implement integration development and operational best practices, including reusable components, configuration standards, testing, change review, environment promotion and deployment, technical documentation, and documented operational processes.
- Serve as a senior technical escalation point for production issues, leading troubleshooting, root cause analysis, message recovery/reprocessing when needed, and durable remediation across the integration platform, HL7, connectivity, infrastructure, applications, and external systems.
- Participate in an after-hours on-call / Tier 3 support rotation for high-priority integration and platform incidents, with a focus on rapid recovery and minimizing customer impact.
- Serve as a technical point of contact for integration platform support cases, platform questions, upgrades, capacity planning, and technical escalations.
- Collaborate effectively within Integration Engineering and across Infrastructure, Security, Product, and other teams to solve technical problems and improve integration practices, while working directly with customer technical teams as needed during implementations, connectivity setup, and production support.
- 4+ years of healthcare integration experience, including building, deploying, and supporting hospital-based HL7v2 interfaces at scale.
- Deep, hands-on expertise building integrations from scratch within enterprise healthcare interface engines, including routes, communication endpoints, filters and connectors, transformations, mappings, reusable components, administration, monitoring, and troubleshooting.
- Experience owning or administering an interface engine in a production environment, including configuration, monitoring, deployment, message recovery, troubleshooting, and operational support.
- Expert-level HL7v2 knowledge, including message structure, common message types and trigger events, acknowledgements, transformations, sequencing, and error handling.
- Strong JavaScript experience for message transformation and workflow logic; familiarity with Python or other scripting languages is a plus.
- Working SQL proficiency for validation, troubleshooting, and operational analysis.
- Experience supporting high-volume, mission-critical integration platforms in AWS or similar cloud-hosted environments, where reliable message delivery and availability are essential.
- Strong understanding of TCP/IP, MLLP, HTTP/HTTPS, TLS certificates, DNS, firewalls, VPNs, and secure connectivity.
- Strong production support and troubleshooting skills, with the ability to isolate and resolve failures across interface engines, HL7, applications, network connectivity, infrastructure, and external dependencies.
- Ability to operate autonomously while working collaboratively within and across teams, taking ownership of complex technical problems and helping improve engineering standards, processes, and documentation.
- Experience operating enterprise healthcare interface engines in a SaaS or hosted deployment model and working directly with platform vendors or support teams.
- Certifications or formal training in healthcare integration platforms or interface engines.
- Deep knowledge of hospital workflows, clinical data structures, EHR integration patterns, and revenue cycle data flows.
- Experience with SFTP, flat files, X12, REST APIs, SOAP web services, and database connectivity.
- Experience with FHIR and multiple healthcare interface engines such as Mirth Connect, Cloverleaf, Corepoint, InterSystems, or similar platforms.
- Experience with automated testing, CI/CD, configuration management, and repeatable environment promotion for integration platforms.
- Experience with capacity planning and performance tuning of high-throughput integration environments.
- Entrepreneurial mindset, with a builder’s mentality and strong sense of ownership.
- Rhapsody, AWS, Snowflake, JIRA, HL7Spy
Compensation
- $185k-$215K base + bonus potential
Benefits
- Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
- Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
- Remote-First Team – Work from anywhere in the U.S.
- Unlimited PTO & 11 Holidays – So you can relax and recharge.
- 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
- Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
- Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.
Similar Jobs
Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Lead brake-system CAE analysis, virtual testing, design validation, and advanced simulation methodology development for electric vehicle programs. Perform CFD and FEA, brake-noise and fatigue analysis, develop engineering reports and actionable recommendations, coordinate supplier CAE activities, and provide technical leadership across product development and vehicle integration teams. Support system requirements, test planning, validation methods, and CAE-based product design solutions.
Top Skills:
AbaqusCaeCfdDesignlifeFeaLs-DynaMatlabMulti-Body System DynamicsOptistructSimsolidStar Ccm+Tire ModelingUg-Nx Cad
Artificial Intelligence • Computer Vision • Hardware • Robotics • Metaverse
Design and implement LLM-first APIs and documentation for CUDA-X math libraries. Develop tools, metrics, and processes to improve AI-agent code generation and transform library APIs into LLM-friendly formats. Collaborate with stakeholders on LLM-enhanced releases while prototyping solutions for code-generation platforms. Requires expertise in LLMs, fine-tuning, reinforcement learning, RAG, MCP, agent tooling, composable API design, and technical documentation.
Top Skills:
Ai AgentsCode Generation ToolsCublasCudaCuda-XCufftCusolverCusparseFine-TuningLarge Language ModelsMcpReinforcement LearningRetrieval-Augmented Generation
Other
Leads the design, development, and implementation of scalable data pipelines, APIs, cloud-based integrations, and Customer Data Platform solutions. Builds unified customer data ecosystems supporting analytics, personalization, and enterprise integration. Responsibilities include data modeling, Lakehouse and API optimization, governance, privacy compliance, CI/CD automation, monitoring, troubleshooting, documentation, and cross-functional collaboration. Requires extensive experience with Python, SQL, REST APIs, cloud platforms, data integration tools, CDPs, and modern data engineering architectures.
Top Skills:
Adobe Experience PlatformApache AirflowApache NifiAWSAws GlueAzureAzure Data FactoryBicepBigQueryCi/CdCloud Data FusionCloudFormationCustomer Data PlatformsDatabricksDbtEltETLGCPGitInformaticaKafkaLakehousePowershellPulumiPythonRest ApisSalesforce CdpSegmentSnowflakeSQLTalendTerraform
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
