Healthcare Interoperability Support Engineer

centauri; United States; Remote; USD 110,000 - 140,000; Full time

Job summary

centauri is seeking a Client Support Engineer to diagnose and resolve complex interoperability issues across data exchange ecosystems. You will analyze logs, trace data flows, and own root-cause determinations for FHIR, HL7, RESTful and SOAP APIs, as well as network integrations.

Collaborate with Engineering and Product to drive resolutions, create evidence-backed Jira tickets, and contribute to runbooks and knowledge sharing.

Qualifications

• Bachelor’s degree or 3+ years of related experience.
• Experience troubleshooting interoperability solutions including FHIR and HL7 messaging.
• Ability to analyze logs and diagnose distributed systems.
• Experience executing SQL queries and working with data for troubleshooting.
• Familiarity with interface engines (e.g., InterSystems) and monitoring tools (e.g., Datadog).
• Strong analytical and problem-solving skills.
• GCP cloud experience.

Responsibilities

• Diagnose complex interoperability issues across FHIR APIs, HL7 messaging, IHE Profiles, RESTful APIs, SOAP APIs, and network integrations.
• Investigate API timeouts, latency, message delivery failures, and data inconsistencies; trace issues end-to-end.
• Partner with Engineering to validate and resolve issues; create Jira tickets with logs, queries, payloads, and impact.
• Support customer escalations alongside Integration Manager and translate findings for clear communication.
• Execute basic data analysis and leverage reports to support troubleshooting.
• Develop runbooks and knowledge articles for repeatable issues; enable support teams.
• Perform any other duties as assigned by leadership.

Skills

FHIR APIs

RESTful APIs

Log analysis

SQL queries

Interoperability platforms

Datadog monitoring

Analytical skills

HL7 messaging

SOAP APIs

GCP cloud

Education

Bachelor's degree or 3+ years experience

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.