Healthcare Interoperability Support Engineer

Centauri Health Solutions, Inc.; Northern (KY); Hybrid; USD 95,000 - 130,000; Full time

Job summary

Centauri Health Solutions, Inc. is seeking a Client Support Engineer to diagnose and resolve complex interoperability issues across the organization’s data exchange ecosystem, including FHIR APIs, HL7 messaging, and ITI-style network integrations.

This role owns root cause analysis, partners with Engineering and Product to drive resolution, supports customer escalations, and contributes to operational enablement through runbooks, playbooks, and knowledge articles.

Qualifications

• Bachelor's degree or 3+ equivalent experience in a relevant field.
• Experience troubleshooting interoperability solutions including FHIR APIs and RESTful APIs using OAuth.
• Experience analyzing logs and diagnosing issues in distributed systems.
• Experience executing SQL queries and analyzing data to support troubleshooting.
• Familiarity with interoperability platforms and tools like interface engines (InterSystems) and monitoring tools (Datadog).
• Strong analytical and problem-solving skills.
• HL7 and SOAP APIs troubleshooting interoperability solutions.
• GCP cloud experience.

Responsibilities

• Diagnose interoperability issues across FHIR/HL7, ITI protocols, RESTful and SOAP APIs.
• Investigate API timeouts, latency, and message delivery failures.
• Trace issues end-to-end across systems and partners.
• Own and defend root cause conclusions; escalate as needed.
• Collaborate with Engineering to validate and resolve issues; create clear Jira tickets.

Skills

Interoperability troubleshooting

FHIR APIs

HL7 messaging

RESTful APIs

OAuth

SQL

GCP cloud

Datadog

Interface engines

Education

Bachelor’s degree or 3+ years equivalent experience

Bachelor’s degree in CS/IS/Engineering or related field

Tools

InterSystems

Datadog

Job description

Your Daily Mission

The Client Support Engineer is responsible for diagnosing and resolving complex interoperability issues across the organization’s data exchange ecosystem. This role performs deep technical analysis of interoperability failures—including FHIR APIs, HL7 messaging, and network integration by analyzing logs, system behavior, and data flows. This position owns root cause determination, partners with Engineering and Product to drive resolution, and supports customer escalations alongside integration leadership. The role also contributes to operational improvement through knowledge sharing and light data analysis. Primary focus on two interoperability frameworks, with exposure to additional networks over time. Works across internal systems, external networks, and third-party partners. Operates in a fast-paced, issue-driven environment with a focus on reliability and resolution.

Who You Are

• Bachelor’s degree in computer science, Information Systems, Engineering, or related field or 3+ equivalent experience
• Experience troubleshooting interoperability solutions, including:
  • FHIR APIs
  • RESTful APIs using oAuth
• Experience analyzing logs and diagnosing issues in distributed systems
• Experience executing queries (e.g., SQL) and working with data to support troubleshooting

• Familiarity with interoperability platforms and tools (e.g., interface engines such as InterSystems, monitoring tools such as Datadog)
• Strong analytical and problem-solving skills

• HL7 messaging troubleshooting interoperability solutions

• SOAP APIs troubleshooting interoperability solutions
• GCP cloud experience

The Reality of the Role

Interoperability Troubleshooting & Diagnosis

• Diagnose complex interoperability issues across FHIR APIs, HL7 messaging, IHE Profiles, RESTful APIs, SOAP APIs, and network integrations (e.g., ITI-41, ITI-43, etc.)
• Investigate issues such as API timeouts, latency, message delivery failures, and data inconsistencies
• Trace issues end-to-end across systems, interface engines, and external partners

Root Cause Analysis

• Analyze logs, payloads, and system behavior to determine root cause
• Own and defend root cause conclusions
• Differentiate between software defects, configuration issues, network failures, and external dependencies
• Escalate complex or disputed findings through defined channels

Engineering & Product Collaboration

• Partner with Engineering to validate and resolve issues
• Create clear, actionable Jira tickets with supporting evidence (logs, queries, payloads, impact)
• Recommend improvements based on findings; Product drives prioritization and follow-through
• QA product fixes to validate resolutions

Customer Escalation Support

• Participate in customer escalation calls alongside Integration Manager
• Provide technical insight and support during issue resolution
• Translate technical findings into clear, understandable communication when needed

Data Analysis & Reporting

• Execute basic queries and leverage existing reports to support troubleshooting
• Identify trends or recurring issues where possible

Knowledge Sharing & Operational Enablement

• Develop runbooks, playbooks, and knowledge articles for repeatable issues
• Enable support teams to resolve recurring problems independently
• Identify recurring patterns in interoperability issues and contribute recommendations for system and process improvements

Other duties assigned by leadership.

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