Software Engineer – InterSystems Caché & TrakCare HIS

About Us Since 2007 Integrella has been delivering integration projects with impressive results. Now it’s all about APIs, DevOps and Microservices – and what we like to call Digital Integration. Our expert IT integration services include consulting, development, delivery, support and resourcing. Our consultants have experience of open-source and best-of-breed technologies. Integrella has been in the integration business for years – so can help with all aspects of integration, strategy, design, implementation. Using open source technology or partnering with all the best suppliers in the industry, we are completely vendor neutral, and work with our customers to find the best solutions for them. Job Description This is a remote position. Role Overview Integrella is seeking a skilled Healthcare IT Engineer to design, develop, and support enterprise healthcare information systems built on the InterSystems technology stack. This role centres on InterSystems TrakCare HIS, Caché/MUMPS, and Caché ObjectScript development, with a focus on building reliable, well-integrated, and high-performing clinical and revenue-cycle solutions for hospital clients. You will develop and maintain Caché ObjectScript solutions, configure and troubleshoot integration interfaces using the Ensemble integration engine, build SQL-based reporting and automation, and support end-to-end deployments and go-lives across multiple hospital units, working closely with both technical teams and clinical stakeholders. Key Responsibilities Develop, customise, and maintain healthcare applications on the InterSystems TrakCare platform using Caché/MUMPS and Caché ObjectScript Design Caché classes encapsulating business logic, data access layers, and reusable components to improve modularity and maintainability Configure, integrate, and troubleshoot interfaces using the Ensemble integration engine to ensure reliable data exchange between clinical and administrative systems Develop and integrate RESTful APIs, including payment gateway and third-party healthcare and insurance integrations Build and optimise SQL-based data extraction, reporting, and reconciliation scripts to support operational and MIS reporting Automate recurring reports and scheduled tasks using Caché ObjectScript and the MUMPS Task Manager (e.g. scheduled email and MIS delivery) Optimise SQL and Caché/MUMPS queries and stored procedures to improve data retrieval speed and overall system performance Perform code reviews and debugging to ensure adherence to coding standards, maintainability, and performance best practices Investigate and resolve integration issues, data-mapping discrepancies, and interface failures to improve data integrity and reduce downtime Support go-live, UAT, and post-implementation stabilisation across multiple hospital units, including configuration testing and end-user technical guidance Collaborate with clinical and administrative stakeholders to gather requirements and translate them into effective software solutions Technical Skills Required 2+ years of experience in healthcare IT / health information systems development and support Hands-on expertise with InterSystems Caché, Caché ObjectScript, and MUMPS development Proven experience developing and supporting the InterSystems TrakCare HIS platform Strong proficiency in SQL for data extraction, reporting, tuning, and validation Experience with the Ensemble integration engine for interface configuration and data exchange Experience designing and integrating RESTful APIs (e.g. payment gateway and third-party healthcare/insurance APIs) Experience automating reports and scheduled tasks using Caché ObjectScript and the MUMPS Task Manager Working knowledge of Core Java Experience with code review, debugging, and resolving software defects across release cycles Familiarity with hospital functional areas such as Billing, Registration, EMR, Laboratory, and reporting/MIS Experience supporting deployments, go-lives, and post-implementation support across multiple hospital units Requirements Technical Skills – Advantageous Experience with HL7 v2.x message types (ADT, ORM, ORU, SIU, MDM) – routing, transformation, and Ensemble integration Exposure to InterSystems HealthShare Experience with TrakCare reporting tools, CSP (Caché Server Pages), and LogiReport Familiarity with Revenue Cycle Management (RCM), billing, claims, and credit-control workflows Exposure to additional healthcare platforms such as Midas (Symplr) Experience with healthcare interoperability integrations such as ABHA, ClaimBook, and insurance/payer APIs What We’re Looking For Proven ability to develop, support, and troubleshoot healthcare applications on the InterSystems stack Strong understanding of Caché/MUMPS development, integration, and SQL reporting principles Experience working in Agile/Scrum environments and distributed delivery teams Ability to communicate effectively with both technical and non-technical stakeholders Strong ownership, problem-solving mindset, and attention to detail Ability to work independently and as part of a distributed team Soft Skills & Consulting Attributes Strong stakeholder management skills with the ability to engage confidently at both technical and business levels Client-focused mindset with the ability to understand requirements and translate them into effective solutions Ability to lead discussions, provide recommendations, and influence decision-making High level of ownership and accountability for deliverables and outcomes Excellent problem-solving and decision-making skills in complex scenarios Ability to mentor junior team members and contribute to team development