Integration Engineer

Monogram Health, Inc; United States; Remote; USD 110,000 - 143,000; Full time

Benefits offered by this job

Medical insurance

Dental and Vision coverage

401k with employer match

PTO and holidays

Job summary

Monogram Health, Inc is seeking an Integration Engineer to implement and support interfaces between customers and Monogram’s integration platform. You will work under IT leadership to ensure secure, scalable bi-directional connectivity with EHRs and healthcare systems.

The role requires HL7 experience (v2.x/v3), REST services, XML/JSON, and familiarity with integration engines like Rhapsody or Mirth. You’ll collaborate across teams and engage in troubleshooting, testing, and on-call support.

Qualifications

• Bachelor's degree in Computer Science or Engineering preferred.
• Minimum of three years HL7 experience (v2.x/v3) and interface support/troubleshooting.
• Knowledge of HL7 Integration Engine Platforms and CDA standards.
• Familiarity with REST, XML, JSON for interfaces.

Responsibilities

• Lead design and development of application integrations including Salesforce Health Cloud and Athena Health.
• Maintain knowledge of HL7 FHIR versions and interoperability frameworks.
• Create data flow diagrams and end-user process maps.
• Configure tools to implement bi-directional application and EHR connectivity.
• Lead authentication and security strategy for system connections.
• Review design documents for alignment with development standards and change management.
• Identify technology trends and apply them to healthcare interoperability.
• Configure interface monitoring and address errors per SLAs.
• Participate in change management and integration testing with internal and external apps.
• Provide on-call support for production performance and availability.

Skills

HL7 Experience

REST Web Services

XML/JSON

Interface Troubleshooting

Interoperability Knowledge

Education

Bachelor's degree in CS or Engineering

Tools

Rhapsody

Mirth

HL7 Integration Engines

Job description

Open — Monogram Health, Inc has a posting for this job. Posted 14 Oct 2026.

About this job

Position: Integration Engineer

Under the supervision of the Director of Information Technology, the Integration Engineer is responsible for implementing, maintaining, and supporting interfaces between customers, both external and internal, and Monogram Health’s integration platform. This includes applying governance best practices, automation, design, implementation, support of interfaces, and some operational work. Engage and communicate with stakeholders, work closely with technical teams, and participate in troubleshooting sessions. Occasional off-hours support is sometimes required.

Responsibilities

• Lead the design and development of various application integrations including Salesforce Health Cloud and Athena Health.
• Be familiar with the latest HL7 FHIR version as well as other interoperability frameworks. Maintain proficient programming skills in REST web services, C#.NET, XML, JSON, and other relevant languages and/or frameworks.
• Create, present, and maintain program design artifacts like data flow diagrams and end-user process maps.
• Elicit and help configure integration tools or platforms necessary to implement bi-directional application and EHR connectivity.
• Lead authentication and security strategy for connections between internal and external systems.
• Review all project-related design documents and ensure alignment with enterprise software development standards including change management.
• Identify emerging technology trends and leverage them in the healthcare industry. Stay up to date on interoperability concepts and standards.
• Configure interface monitoring options and review and ensure all error messages are addressed according to Service Level Agreements (SLAs).
• Participate in implementing change management processes for all solution releases.
• Participate in integration testing with internal applications and with external third-party external applications.
• Provide on-call support for production performance/availability or other critical issues.
• Virtual experience with the ability to effectively drive results, provide feedback/direction, and manage and build relationships with leaders and team members in a geographically dispersed team environment.
• Exhibit excellent time management, organizational, and prioritization skills and an ability to balance and fulfill multiple priorities.
• Adhere to an analytical approach with an ability to solve complex problems.

Position Requirements

• Bachelor’s degree required; Computer Science or Engineering degree preferred.
• Minimum of three (3) years of HL7 experience (version 2.x / version 3), interface support/troubleshooting experience, and experience with XML / JSON
• Knowledge of HL7 Integration Engine Platforms
• Working knowledge of CDA (Clinical Document Architecture) standards
• Experience with Rhapsody or Mirth integration engines is preferred
• Proficient in change management and working with other engineers to resolve critical issues.
• In-depth knowledge of interoperability techniques and best practices for EHRs.

Compensation

The base salary range for this role is $110,159 to $143,207 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.