Integration Engineer

Akumin®; Knoxville (TN); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Competitive compensation

Flexible scheduling

Cross training opportunities

Medical, dental, and vision insurance

HSA accounts with employer CONTRIBUT

401(k) eligibility with employer match

Paid holidays

Defined PTO and sick time programs

Job summary

Akumin is a leading provider of outpatient radiology and oncology services, seeking an Integration Engineer to design, govern, and maintain enterprise interoperability systems supporting imaging workflows, patient identity, and data exchange across RIS, PACS, and EHRs. The role requires 5+ years with HealthShare/IRIS or similar, HL7/FHIR, DICOM, MPI, and experience in cloud and containerized deployments.

This on-site Knoxville position offers competitive benefits and opportunities for remote

Qualifications

• 5+ years of experience developing or administering integration platforms such as HealthShare, IRIS, or similar.
• Expertise in HL7 v2, FHIR, CDA/CCD, and mapping to JSON/XML.
• Proven experience with DICOM workflows and DICOM-to-HL7 transformations in radiology.
• Familiarity with Radiology Information Systems (e.g., Royal, eRAD).
• Understanding of MPI, patient identity management and record matching.
• Knowledge of integration protocols: MLLP, REST, SOAP, SFTP.
• Strong knowledge of healthcare compliance (TEFCA, HIPAA) and NIST standards.

Responsibilities

• Build, configure, and maintain interfaces and data transformations using HL7, FHIR, JSON, XML.
• Oversee HealthShare/IRIS engines for scalability and data fidelity.
• Implement and manage automation pipelines for deployment, configuration, and testing.
• Document specifications, diagrams, and test plans for knowledge transfer.
• Architect and administer enterprise interoperability across RIS, PACS, and EHR integrations.

Skills

HealthShare/IRIS integration

HL7 v2 & FHIR

DICOM workflow expertise

RIS/PACS/EHR integration

MPI administration

REST/SOAP/MLLP

HIPAA/TEFCA/NIST compliance

Docker/Kubernetes deployment

Education

Bachelor's Degree

Tools

Docker/Kubernetes

AWS / GCP cloud

HealthShare/IRIS tooling

Job description

Akumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home.

Integration Engineer leads the design, governance, and maintenance of enterprise-level interoperability systems supporting imaging workflows, patient identity management, and cross-system data exchange. This role blends architectural vision with hands‑on administration of interface platforms and health data standards that drive our connected radiology ecosystem. The ideal candidate combines deep technical expertise in HealthShare/IRIS (or similar integration engines) with strong familiarity in radiology information systems (e.g. Royal, eRAD) and data interoperability across DICOM and HL7/FHIR protocols.

• Build, configure, and maintain interfaces and data transformations using ObjectScript, HL7 v2.x, FHIR, CCD/CDA, JSON, and XML standards
• Oversee and optimize HealthShare/IRIS engines for scalability, uptime, and data fidelity
• Implement and manage automation pipelines for interface deployment, configuration management, and testing.
• Document technical specifications, workflow diagrams, and test plans to support knowledge transfer and operational continuity.
• Architect and administer the organization’s enterprise interoperability and interface framework supporting RIS, PACS, and EHR integrations

Position Requirements:

• 5+ years of experience developing or administering integration platforms such as InterSystems HealthShare, IRIS
• Expertise in healthcare interoperability standards: HL7 v2, FHIR, CDA/CCD, JSON/XML mapping.
• Demonstrated experience with DICOM workflows and DICOM-to-HL7 data transformation in radiology environments.
• Familiarity with Radiology Information Systems (Royal, eRAD, or equivalent).
• Understanding of patient identity management, record matching, and Master Patient Index (MPI) administration.
• Strong grasp of integration protocols: MLLP, REST, SOAP, SFTP.
• Advanced knowledge of healthcare compliance (TEFCA, 21st Century Cures Act), privacy (HIPAA, and regulatory standards (NIST).

Preferred:

• Bachelor's Degree.
• Experience supporting large, multisite imaging organizations with distributed RIS/PACS environments.
• Knowledge of API management, containerized interface deployment (Docker/Kubernetes), or message queuing infrastructure.
• Proven success in remote or hybrid collaboration and stakeholder communication.
• Experience architecting or migrating integration systems within cloud environments (AWS, GCP)
• Certification in InterSystems Healthshare, HL7, or integration architecture a plus
• AWS or GCP Health Interoperability Certifications a plus

At Akumin, we invest in the well‑being of our employees, so you can bring your best self to work each day. You can expect to see the following benefits:

• Competitive compensation
• Flexible scheduling
• Cross training opportunities
• Medical, dental, and vision insurance
• HSA accounts with employer contributions
• 401(k) eligibility with employer match
• Paid holidays
• Defined PTO and sick time programs

Eligibility for benefits will vary based on role type and hours worked.

Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.