Integration Manager

What You’ll Do

• Own integration architecture and patterns: Define scalable, secure integration approaches (API-first, event-driven where appropriate, batch/streaming, canonical models) that balance near-term delivery with long-term supportability and scalability.
• Deliver end-to-end integrations: Lead integrations from discovery and requirements through build, test, go-live, and support; manage dependencies and risks across multiple systems and teams.
• Implement and guide APIs: Design and build APIs, define specifications, versioning, error handling, and documentation standards.
• Lead interoperability standards adoption: Drive implementation decisions and best practices for HL7 v2, FHIR, and X12 transactions; translate standards into pragmatic interface designs.
• Influence and evangelize: Partner with data owners, security, compliance, product, engineering, and client stakeholders to align on data sharing, definitions, governance, and timelines, especially when stakeholders are resistant to change.
• Technical discovery and client consultation: Run high-stakes discovery sessions and devise clear integration strategies, solution options, and trade-offs for technical and executive audiences.
• Operational excellence: Establish integration and data migration runbooks and observability practices for transaction logging, monitoring, alerting, and data reconciliation; drive root cause analysis and durable fixes for production issues.
• Quality and reliability: Define testing strategies and support UAT; ensure data accuracy, reliability, and continuity during migrations and steady-state operations.
• Cross-functional leadership: Represent integration status, risks, and recommendations to leadership; escalate blockers with options and clear asks; build repeatable playbooks and raise the technical bar.

What you bring

• Experience: 7+ years in integration engineering, interoperability, technical consulting, or systems integration, ideally in healthcare, payer/provider networks, or health tech SaaS.
• Healthcare interoperability: Hands-on experience designing/implementing integrations using HL7 v2 and/or FHIR; familiarity with X12 (e.g., 270/271, 276/277, 834, 835) and HIPAA-related considerations.
• Integration architecture: Strong grasp of patterns for system-to-system integration (synchronous/asynchronous, batch, queues/events, canonical models) and making sound tradeoffs.
• Integration Design and development: Ability to design and build APIs and related integration components; strong comfort with API design/documentation and testing tools (e.g., OpenAPI/Swagger, Postman) and at least one modern backend language/framework (e.g., Java/Kotlin, C#/.NET, Python, or JavaScript/TypeScript/Node). Experience with authentication/authorization patterns (e.g., OAuth2/JWT) and secure data exchange.
• Delivery ownership: Proven ability to own delivery outcomes and work prioritization while managing ambiguity and driving measurable results in complex, multi-system environments.
• Stakeholder influence: Demonstrated ability to align and influence cross-functional stakeholders (including challenging data owners) through clear communication, persistence, and structured decision-making.
• Problem solving: Strong analytical and troubleshooting skills across distributed systems; ability to diagnose integration failures, data quality issues, and partner interoperability gaps.
• Written communication: Ability to author clear technical specs, interface agreements, runbooks, and executive-ready status updates.
  
  

• Experience with EHR common workflows (ADT, scheduling, results, claims, eligibility, prior auth).
• Experience with interface engines and iPaaS tools (e.g., Rhapsody, Mirth/NextGen Connect, MuleSoft, Boomi) and/or cloud integration services.
• Experience with cloud platforms and modern delivery practices (CI/CD, infrastructure-as-code concepts, containerization, SRE/observability).
• Experience supporting regulated environments, data governance, and security reviews for integrations.
• Familiarity with emerging agentic technology and how it can support integration delivery, data governance, and ETL.

• Build trust with key stakeholders across internal teams and key clients.
• Assess current integration portfolio and identify 5 highest-impact improvements.
• Create or refine reference architecture and standards (API conventions, error handling, versioning, data contracts) and socialize them with data owners and delivery teams.
• Own delivery of at least one complex client/partner integration milestone end-to-end, with clear risks, mitigations, and executive-level communication.
  
  

• Travel: Up to 10% (as needed for client meetings, go-lives, or team offsites).
• Remote working EST Hours

Compensation & Benefits

• Remote-first environment with company provided computer
• Thirteen paid holidays per year (average)
• Medical, dental and vision coverage with multiple levels of coverage
• HSA, FSA and Dependent Care accounts
• Short-term and Long-term disability
• Life and accidental death insurance
• Discounted voluntary benefits, such as additional life insurance
• Employee Assistance Program
• Paid Parental Leave
• Flexible vacation time
• 401(k) with employer matching and immediate vesting