Note: The job is a remote job and is open to candidates in USA. IntelePeer/Aqurio is seeking a Senior Integration Engineer, Healthcare to own the design, development, and reliability of integrations connecting AI agents with ambulatory EHRs, practice management systems, and partners. The role focuses initially on scheduling and patient collections workflows while coordinating integration teams, defining standards, and ensuring reliable, accurate, and compliant healthcare data flows.
Responsibilities
- Design, build, and maintain bidirectional integrations using EHR/PMS APIs, webhooks, interfaces, and supported file exchanges across priority platforms, including athenahealth, Denticon, Dentrix, ModMed, Raintree, and Open Dental, as well as scheduling and payment partners
- Implement and maintain HL7v2 interfaces (ADT, ORU, ORM, SIU, MDM, DFT) and FHIR R4 / US Core integrations, including SMART on FHIR and Bulk FHIR
- Handle C-CDA documents, X12 transactions (270/271 eligibility, 837/835 claims), and the connectivity layer (MLLP, SFTP, TLS, VPN, OAuth2 client credentials)
- Own reliability of the integration estate: monitoring, message reconciliation, replay/backfill, dead-letter handling, and clear fallback behavior when an interface or downstream practice management system is degraded
- Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow; partner with Security and Compliance on audits
- Coordinate multiple parallel, demand-driven integration teams — assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations
- Define and maintain mappings for patients, locations, providers, appointment types, scheduling rules, balances, and transaction identifiers. Account for differences across practices, locations, and customer configurations while maintaining reusable integration patterns
- Plan capacity and sequence go-lives across the integration portfolio as ad-hoc teams spin up and down with demand
- Set integration standards and mentor engineers, act as the organization's technical authority on interoperability
- Collaborate closely with Backend, AI, Product, and Implementation teams to map clinical workflows into integration contracts
- Write clean, test-driven, maintainable code; validate and own all AI-generated code contributions
Skills
- 10+ years in software/integration engineering, with deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments
- Bachelor's degree in Computer Science required
- Experience coordinating multiple engineers or parallel workstreams across concurrent customers — comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure
- Must be based in the USA and authorized to work in the U.S. without sponsorship
- Strong programming skills in Python (and comfort with JavaScript/TypeScript or Java/Groovy for engine scripting)
- Solid understanding of healthcare data: clinical terminologies (LOINC, SNOMED CT, ICD-10, CPT, RxNorm), patient matching, and Practice Management data models
- Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS
- Extensive experience working in a highly compliant environment under HIPAA/HITECH, SOC 2, and HITRUST controls
- Reliability mindset: observability, idempotency, retries, reconciliation, and graceful degradation
- Excellent communicator — clear, structured, concise (S.T.A.R / S.A.R or similar)
- Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability & Prior Authorization rules
- Cloud & DevOps literacy: GCP, Kubernetes, Docker, Terraform; event-driven architectures (queues/streams)
- Exposure to AI, RAG, or LLM workflows feeding/consuming Practice Management data
Benefits
- Unlimited vacation for exempt employees
- Paid holidays
- Competitive medical, dental, and vision insurance for employees and their dependents
- 401(k) retirement plan
- Stock options
- Company-paid life insurance
- Health and Flexible Savings Accounts
- Cell phone, gym, and internet reimbursement
- Paid parental leave
- Tuition reimbursement
- Employee Assistance Program (EAP)
- Free snacks in Denver and/or Fort Lauderdale
- Fun events, virtual and in-person
Company Overview