IT Integration Engineer Principal

CommonSpirit Health; Chicago (IL); Remote; USD 150,000 - 200,000; Full time

Job summary

CommonSpirit Health offers a remote IT Integration Engineer Principal role, focusing on architecting and enhancing enterprise-level integrations that support clinical and revenue cycle workflows. You will lead API governance, design-first API strategies (OpenAPI/Swagger), and supervise API lifecycle across the organization.

You will mentor engineering teams, oversee incident resolution, and ensure security and compliance (HIPAA/FHIR) at the Apigee proxy layer, while aligning technical efforts

Qualifications

• 10+ years of relevant experience.
• Experience with enterprise-scale API integration.
• Leading architectural design of large enterprise initiatives.
• Partnering with Clinical and/or Revenue Cycle leadership.

Responsibilities

• Architect and oversee API governance and enterprise API lifecycle.
• Lead API management using Apigee and centralized policy enforcement.
• Guide architectural strategy and centralized API catalogs for discoverability and reuse.
• Translate HIPAA/FHIR compliance into scalable security guardrails at the API layer.
• Provide high-level technical leadership and mentorship to engineering teams.
• Serve as escalation point for complex incidents and ensure system stability.

Skills

API governance

API management

Security compliance

Technical leadership

Mentorship

Education

Bachelor's degree in Computer Science/Technology/Medical/Business (or equivalent)

Tools

Apigee

OpenAPI/Swagger

OAuth2

mTLS

HL7/FHIR

Job description

Job Summary and Responsibilities

*This is a remote opportunity

As anIT Integration Engineer Principal, you will serve as a key technical leader responsible for architecting and enhancing enterprise-level applications that directly support clinical and revenue cycle management workflows. You will act as a primary subject matter expert, overseeing the design, implementation, and quality assurance of complex integration solutions. By aligning technical strategies with organizational goals, you will ensure that our EAI (Enterprise Application Integration) ecosystems are robust, scalable, and optimized to meet the evolving needs of our end-users and healthcare business stakeholders.

Every day you will provide high-level technical guidance and oversight to software engineering teams, acting as the ultimate escalation point for complex troubleshooting and incident resolution. You will balance multiple enterprise-scale projects simultaneously, ensuring that all deliverables adhere to strict timelines and budget constraints. Your role will involve constant collaboration with cross-functional teams, authoring enterprise policies and guidelines, and staying at the forefront of emerging healthcare technologies to drive continuous improvement across our integrated platforms.

To be successful in this role, you will possess deep technical expertise in software design and EAI frameworks, coupled with the leadership skills necessary to mentor and develop engineering talent. You will be a strategic thinker who can navigate complex technical landscapes and communicate effectively with stakeholders across the organization. Success is defined by your ability to lead large-scale integration programs, manage enterprise-level incidents, and foster a culture of technical excellence and innovation within the integration team.

• Strategic API Governance:Possess the gravitas to act as a gatekeeper, ensuring all APIs adhere to 'Design-First' principles (OpenAPI/Swagger) before moving to production.
• API Management:Expertise in API management, specifically Apigee. The candidate must be able to enforce enterprise-wide standards through automated policies, shared flows, and consistent proxy architecture.
• Architectural Strategy & Innovation:Experience in implementing centralized API catalogs and managing the full API lifecycle to ensure discoverability, reuse, and high-quality documentation across the organization.
• Advanced Security & Compliance:Ability totranslate complex healthcare compliance (HIPAA/FHIR) into scalable security guardrails. They should be experts at implementing OAuth2, mTLS, and threat protection directly at the Apigee proxy layer.
• Technical Leadership & Mentorship:Provide high-level mentorship to engineering teams, fostering professional growth while ensuring deep subject matter expertise across integrated platforms.
  
• Operational Excellence & Troubleshooting:Serve as the primary escalation point for enterprise-level incidents, performing root-cause analysis and managing centralized API catalogs to ensure high-quality documentation and system stability.

Job Requirements

Required

• 10+ years relevant experience
• Bachelors Other in Computer Science, Technology, Medical, or Business discipline
• or equivalent experience
• Broad experience with server, infrastructure architecture and application design
• Leading architectural design of large enterprise initiatives
• A record of partnering with Clinical and/or Revenue Cycle Management Senior leadership

Preferred

• Experience working with HL7, HIPAA transactions sets, and EDI engines is highly

Where You'll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.