IT Consultant - Integrations Solutions

Duke Careers; Durham (NC); On-site; USD 120,000 - 150,000; Full time

Job summary

Duke Health Technology Solutions is building a Digital Enablement Team to accelerate digital and AI-enabled solutions from idea to scale. The Integrations Solutions IT Consultant provides expert integration design across clinical, operational, and partner platforms using APIs, HL7/FHIR, and reusable patterns.

Collaborating with product, engineering, clinical, and vendor teams, you will deliver reliable, scalable, observable integrations, support production operations, and help reduce vendor

Qualifications

• Healthcare integration experience with HL7/FHIR and APIs.
• Epic integration capabilities and Chronicles knowledge.
• Bachelor's degree and 5+ years in technical healthcare IT.

Responsibilities

• Design and document integration architecture using APIs, HL7/FHIR.
• Establish reusable integration patterns and governance.
• Ensure reliability, scalability, observability, and high availability.
• Collaborate with cross-functional teams to translate workflows.
• Support Epic and non-Epic integrations and vendor service integrations.

Skills

HL7/FHIR

APIs design

Interoperability

Epic integration

Agile/Scrum

Vendor management

Communication

Education

Bachelor's degree

Epic certification

Tools

Epic APIs

Nova Notes

Chronicles

SFTP

OAuth2

Basic Auth

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health Technology Solutions

Pursue your passion for caring and innovation with Duke Heath Technology Solutions, which is dedicated to the transformation, development, and management of enterprise information technology solutions across Duke Health.By harnessing the power of innovative technologies like cloud computing and artificial intelligence — and pairing them with a forward-thinking approach — Duke Health Technology Solutions is revolutionizing the future of health care at Duke Health and beyond.

Occupational Summary

Duke Health is establishing a Digital Enablement Team to provide a durable throughline to rapidly move digital and AI-enabled solutions from idea to pilot to readiness for scale. The Integrations Solutions IT Consultant provides dedicated integration expertise, defining and developing reusable patterns across clinical, operational, and partner platforms and supporting their transition into durable platform service teams.

The consultant designs integration architecture using APIs, HL7/FHIR, messaging, and reusable interface patterns. The role partners with product, engineering, clinical, operational, vendor, and platform service teams to deliver interoperability solutions that are reliable, scalable, observable, and supportable.

Success in this role requires strong organization, technical documentation, and Agile delivery skills. The consultant translates clinical, operational, and partner needs into practical integration patterns, technical requirements, and implementation-ready solutions.

By applying healthcare interoperability expertise, the role helps Duke Health reduce one-off integrations, coordinate effectively with vendors and platform teams, and scale digital and AI-enabled solutions across the enterprise.

Reports To

Reports to Allen Coleman, Sr. Director, Integrations — CTO Strategy & Architecture, with a dotted-line relationship to Jennifer Maddocks, Director, Digital Strategy Office. This role sits with the Integrations team and has no supervisory responsibility.

• Design, develop, and document integration architecture using APIs, HL7/FHIR, messaging, and reusable interface patterns across clinical, operational, and partner platforms.
• Establish and govern reusable integration patterns that reduce one-off interfaces, limit vendor dependency, and support enterprise reuse.
• Design integrations for reliability, scalability, observability, supportability, and high availability, including monitoring and operational readiness needs.
• Collaborate with product, engineering, clinical, operational, Digital Enablement, application, and technical teams to translate workflow needs into practical integration solutions.
• Coordinate with vendors and platform service teams to troubleshoot integrations, support production transition, and enable durable operational support.
• Support Epic and non-Epic integration work, including Epic APIs, AI model integrations, SMART on FHIR flows, OAuth2, Basic Auth, SFTP and related vendor service integrations.
• Develop and maintain monitoring resources, technical documentation, Nova Notes, and integration artifacts needed to support APIs, AI models, and production operations.
• Perform other related duties incidental to the work described herein.

Knowledge/Skills

Required:

• Expertise in healthcare integration and interoperability, including API design, HL7/FHIR, messaging/interface patterns, SMART on FHIR, OAuth2, Basic Auth, SFTP and vendor service integrations.
• Ability to design reliable, scalable, observable, supportable, and highly available integration solutions for clinical, operational, partner, and AI-enabled workflows.
• Strong knowledge of Epic integration capabilities, Epic APIs, AI model integrations, Nova Notes, Chronicles data structures, and related Epic certification or proficiency requirements.
• Experience establishing reusable integration patterns, maintaining pattern governance, and documenting solutions for transition to platform service teams.
• Working knowledge of Agile and Scrum, with hands-on experience delivering integration work in sprints alongside product and engineering teams.
• Ability to translate clinical, operational, and business requirements into technical requirements, architecture diagrams, detailed design specifications, and implementation-ready solutions.
• Strong communication and presentation skills, including the ability to explain complex technical concepts to clinical, operational, technical, and senior leadership audiences.
• Demonstrated collaboration, meeting facilitation, vendor management, conflict resolution, and problem-solving skills across cross-functional teams.
• Strong organizational skills, with the ability to manage multiple work streams, prioritize effectively, and maintain composure when addressing complex or urgent technical issues.

Education/training

Required:

• Work requires technical knowledge generally acquired through completion of a bachelor’s degree program in a related field or equivalent experience, with five years of technical experience including development and knowledge of Chronicles programming.
• Epic certification or proficiency required.

Experience

Required:

• Related integration and interoperability architecture experience in a healthcare setting, including HL7/FHIR, API design, messaging/interface patterns, and participation in Agile or sprint-based delivery.
• Three years of experience with API development.

This job description outlines the general duties and responsibilities typically associated with this position and is not intended to be an exhaustive list of all tasks. It serves as a guide to the expected level of engagement and the variety of tasks that may be required. Employees may be asked to undertake tasks beyond those specifically listed here, as needed. This flexibility ensures that the evolving needs of the organization can be met.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.