Senior Integration Engineer (US)

Innovaccer Inc.; Northern (KY); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

20 days Paid Time Off

Parental leave

Recognition & Rewards

Comprehensive insurance coverage

Pet insurance

Job summary

Innovaccer Inc. seeks a Senior Integration Engineer to own how clinical data and AI agents cross Innovaccer's on-premise platform. You will implement HL7 v2 feeds over MLLP, manage outbound HL7 delivery, and expose data via FHIR R4 APIs with standard profiles.

Design and secure agent interoperability surfaces, including MCP and A2A, in a locked-down network. You will work with customer teams on connectivity, testing, and cutover.

Qualifications

• Requires a technical degree in CS or related field.
• 5+ years in healthcare integration or interoperability engineering.
• Strong knowledge of FHIR R4, including resources and profiles.
• Hands-on HL7 v2 experience with MLLP transport.
• Experience with REST API design, OAuth2, and mutual TLS.

Responsibilities

• Own ingestion of inbound HL7 v2 feeds and MLLP handling.
• Design outbound HL7 delivery paths in controlled network models.
• Implement FHIR R4 APIs and mappings to standard IGs.
• Build agent interoperability surfaces and A2A flows.
• Define integration patterns in a locked-down network, including certs and TLS.
• Collaborate with customer teams for connectivity and testing.

Skills

Healthcare integration

Interoperability engineering

FHIR R4 knowledge

HL7 v2

REST API design

OAuth2

Mutual TLS

MCP/A2A

Medical terminology

Python

Java

Education

B.E./B.Tech./M.Sc. in Computer Science or related

Tools

Mirth/Rhapsody

Job description

About the Role

As a Senior Integration Engineer, you will own how clinical data and AI agents cross the boundary of Innovaccer's on-premise platform. On the clinical side, that means inbound HL7 v2 feeds over MLLP, outbound HL7 delivery through controlled egress, and FHIR R4 APIs that expose platform data through standard profiles. On the agent side, it means implementing the emerging interoperability protocols, Model Context Protocol (including healthcare-specific HMCP patterns) and Agent-to-Agent (A2A), that let AI agents interact with the platform safely inside a locked-down network. This role sits at the intersection of healthcare interoperability standards and agent-era infrastructure.

A Day in the Life

• Build and operate inbound clinical feeds: HL7 v2 message ingestion (ADT, ORU, and related event types) over MLLP, with acknowledgment handling, error queues, and replay.
• Design outbound clinical delivery paths through gateway-controlled egress in a default-deny network model.
• Implement FHIR R4 APIs and resource mappings against standard implementation guides, including terminology handling across code systems.
• Build agent interoperability surfaces: MCP servers exposing platform capabilities, HMCP patterns for healthcare-safe agent access, and A2A flows with proper authentication and authorization.
• Define integration patterns that hold under strict network isolation: certificate management, mutual TLS, and boundary-controlled connectivity.
• Work directly with customer integration teams on connectivity setup, interface testing, and cutover of clinical feeds.

What You Need

• B.E., B.Tech., M.Sc. degree in Computer Science or a related technical field.
• 5+ years of healthcare integration or interoperability engineering experience.
• Strong working knowledge of FHIR R4: resources, profiles, search, and implementation guides (US Core or equivalent).
• Hands-on HL7 v2 experience: message structures, segments, acknowledgments, and MLLP transport.
• Working knowledge of REST API design, OAuth2, and mutual TLS; SMART on FHIR experience is a plus.
• Familiarity with agent interoperability protocols: Model Context Protocol (MCP) and/or Agent-to-Agent (A2A), or demonstrated ability to come up to speed quickly on emerging standards.
• Experience with clinical terminologies: SNOMED CT, LOINC, ICD-10, CPT.
• Professional development experience with Python or Java; integration engine experience (Mirth/Rhapsody or equivalent) is a plus.

We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer

• Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
• Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
• Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
• Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.