Senior Health Integration Engineer - Remote based in US

About the position We are seeking an experienced Health Integration Engineer to join our team as a senior contributor and technical leader. The ideal candidate has a strong background in healthcare interoperability and has previously built and maintained integration solutions using InterSystems IRIS, HealthShare, Ensemble, or other healthcare integration engines. While IRIS experience is preferred, proven expertise with comparable platforms (Cloverleaf, Rhapsody, Mirth/NextGen, eGate, etc.) is fully acceptable. This role requires the ability to collaborate with business stakeholders and analysts to understand requirements, independently design integration patterns, and implement robust and maintainable solutions—with an emphasis on code-based development rather than BPL-driven design. As a senior engineer, the candidate will also mentor junior developers, contribute to team best practices, and proactively recommend technical improvements that elevate our integration capabilities.

Responsibilities

• Design, develop, test, and deploy healthcare integrations using InterSystems IRIS or other integration platforms.
• Implement production components—business services, processes, and operations—primarily through code (ObjectScript, Embedded Python, or similar), minimizing reliance on BPL.
• Interpret business and technical requirements and convert them into scalable, supportable integration designs.
• Build message transformations, routing logic, and custom adapters as required.
• Work with HL7 v2, FHIR, CCD/C-CDA, X12, and other healthcare data formats and transport protocols.
• Collaborate closely with analysts, business teams, and external partners to clarify requirements and ensure successful solution delivery.
• Troubleshoot issues using logs, message tracing, and integration engine tooling.
• Provide mentorship, code reviews, and architectural guidance to junior team members.
• Identify opportunities to improve team processes, tools, and integration standards; propose and lead technology-enhancing initiatives.
• Adhere to organizational standards for security, reliability, testing, and documentation.

Requirements

• 5+ years of hands-on healthcare integration experience.
• Strong proficiency with at least one major healthcare integration engine; InterSystems IRIS/HealthShare/Ensemble experience is preferred.
• Ability to develop integration components using code (ObjectScript, Python, Java, etc.), not only graphical tools.
• Solid understanding of HL7 v2, FHIR, and common healthcare interoperability workflows.
• Experience designing and implementing integration patterns (synchronous/asynchronous messaging, transformations, routing, error handling).
• Strong problem-solving skills and ability to work independently with minimal oversight.
• Experience mentoring peers or junior engineers.
• Excellent written and verbal communication skills and the ability to engage effectively with both technical and non-technical audiences.
• Familiarity with version control, CI/CD pipelines, and modern development practices is a plus.

Nice-to-haves

• InterSystems IRIS production development experience (ObjectScript, Embedded Python, DTL, custom business services/operations).
• REST/SOAP API integration experience.
• Knowledge of cloud deployment environments and containerized integration workloads.
• Exposure to healthcare standards such as IHE, OAuth-based security, or identity/access management in healthcare systems.

Benefits

• Conifer offers the following benefits, subject to employment status:
• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• Discretionary 401k match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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