Sr. Integration Engineer, Healthcare

Aqurio; Florida; Hybrid; USD 140,000 - 170,000; Full time

Benefits offered by this job

Unlimited Vacation

Paid Holidays

Competitive medical, dental & vision

401K Retirement Plan

Stock Options

Life insurance

Health & Flexible Spending Accounts

Parental Leave

Tuition Reimbursement

EAP

Free snacks

Fun events

Job summary

IntelePeer/Aqurio seeks a Senior Integration Engineer, Healthcare to own the design, development, and reliability of integrations connecting our AI agents with ambulatory EHRs and practice management systems. The initial focus is enabling end-to-end scheduling and patient collections workflows.

You will design, build, and maintain HL7v2 and FHIR interfaces across athenahealth, Denticon, Dentrix, ModMed, Raintree, and Open Dental, plus related HL7v2 and X12 handling, with a strong emphasis on

Qualifications

• 10+ years in software/integration engineering with HL7v2 and FHIR in production healthcare environments.
• Bachelor's degree in Computer Science.
• Experience coordinating multiple engineers across concurrent customers—comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure.
• Based in the USA and authorized to work in the U.S. without sponsorship.
• Strong programming skills in Python (and comfort with JavaScript/TypeScript or Java/Groovy for engine scripting).
• Solid understanding of healthcare data concepts (LOINC, SNOMED CT, ICD-10, CPT, RxNorm).
• Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS.
• Experience with HIPAA/HITECH, SOC 2, HITRUST controls.
• Reliability mindset: observability, idempotency, retries, reconciliation, graceful degradation.
• Excellent communicator with structured, concise style.

Responsibilities

• Own technical design, development, and reliability of healthcare integrations.
• Coordinate multiple integration teams across customers and maintain standards.
• Define and maintain mappings for patients, locations, providers, and scheduling data.
• Ensure data quality, patient matching, and PHI de-identification across data flows.
• Mentor engineers and establish interoperability standards across the org.
• Collaborate with Backend, AI, Product, and Implementation teams to map clinical workflows into integration contracts.

Skills

HL7v2 integrations

FHIR integrations

Python

REST/OAuth2

HIPAA/HITECH

Observability

High availability

Clear communication

Mentoring/leadership

Education

Bachelor's degree in Computer Science

Tools

athenahealth

Denticon

Dentrix

ModMed

Raintree

Open Dental

Job description

About IntelePeer/Aqurio

IntelePeer/Aqurio is a healthcare-focused AI communications platform that powers AI voice agents and intelligent workflow automation for ambulatory care groups, all specialty healthcare verticals, health systems, and payers. Our AI Agent suite and SmartFlow platform are deployed at scale across some of the nation's most complex healthcare organizations — handling millions of patient interactions annually for scheduling, care coordination, billing inquiry, and more. We build AI that talks to real patients and produces real outcomes, and we need people who take that responsibility seriously.

Job Summary

We are seeking an experienced Senior Integration Engineer, Healthcare to own the technical design, development, and reliability of integrations connecting our AI agents with ambulatory EHRs, practice management systems, and supporting partners. The initial focus is enabling end-to-end scheduling and patient collections workflows.

• Design, build, and maintain bidirectional integrations using EHR/PMS APIs, webhooks, interfaces, and supported file exchanges across priority platforms, including athenahealth, Denticon, Dentrix, ModMed, Raintree, and Open Dental, as well as scheduling and payment partners.
• Implement and maintain HL7v2 interfaces (ADT, ORU, ORM, SIU, MDM, DFT) and FHIR R4 / US Core integrations, including SMART on FHIR and Bulk FHIR.
• Handle C-CDA documents, X12 transactions (270/271 eligibility, 837/835 claims), and the connectivity layer (MLLP, SFTP, TLS, VPN, OAuth2 client credentials).
• Own reliability of the integration estate: monitoring, message reconciliation, replay/backfill, dead-letter handling, and clear fallback behavior when an interface or downstream practice management system is degraded.
• Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow; partner with Security and Compliance on audits.
• Coordinate multiple parallel, demand-driven integration teams — assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations.
• Define and maintain mappings for patients, locations, providers, appointment types, scheduling rules, balances, and transaction identifiers. Account for differences across practices, locations, and customer configurations while maintaining reusable integration patterns.
• Plan capacity and sequence go-lives across the integration portfolio as ad-hoc teams spin up and down with demand.
• Set integration standards and mentor engineers, act as the organization's technical authority on interoperability.
• Collaborate closely with Backend, AI, Product, and Implementation teams to map clinical workflows into integration contracts.
• Write clean, test-driven, maintainable code; validate and own all AI-generated code contributions.

About You

Must Have

• 10+ years in software/integration engineering, with deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments.
• Bachelor's degree in Computer Science required.
• Experience coordinating multiple engineers or parallel workstreams across concurrent customers — comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure.
• Must be based in the USA and authorized to work in the U.S. without sponsorship.
• Strong programming skills in Python (and comfort with JavaScript/TypeScript or Java/Groovy for engine scripting).
• Solid understanding of healthcare data: clinical terminologies (LOINC, SNOMED CT, ICD-10, CPT, RxNorm), patient matching, and Practice Management data models.
• Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS.
• Extensive experience working in a highly compliant environment under HIPAA/HITECH, SOC 2, and HITRUST controls.
• Reliability mindset: observability, idempotency, retries, reconciliation, and graceful degradation.
• Excellent communicator — clear, structured, concise (S.T.A.R / S.A.R or similar).
• Culture fit: exceptionally smart, mission-driven, collaborative.

Desirable

• Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability & Prior Authorization rules.
• Cloud & DevOps literacy: GCP, Kubernetes, Docker, Terraform; event-driven architectures (queues/streams).
• Exposure to AI, RAG, or LLM workflows feeding/consuming Practice Management data.

What Success Looks Like

• New customers are onboarded predictably and fast, with integration timelines measured in weeks, not quarters.
• Operational data flows in and out of the platform with high integrity — accurate patient matching, correct mappings, and zero silent data loss.
• The integration estate runs with strong availability and full observability; failures are caught, contained, and replayed rather than discovered by customers.
• Every interface operates within our highly compliant, HIPAA-governed environment and passes customer security review without friction.
• AI-generated integration code is consistently elevated, corrected, and owned by you.
• Concurrent integrations stay coordinated and consistent in quality even as their number scales with demand.

Physical Requirements

• Sedentary work lifting no more than 10 pounds.
• Occasional lifting, carrying, and standing.
• Frequent hand/eye coordination to operate office equipment.
• Vision sufficient to read computer screens, reports, and related department documents.
• Dexterity to operate computer keyboards and other related office equipment.
• Endurance sufficient to sit and work at a computer for extended periods of time.
• Frequent speech communication and hearing.

Why You'll Love It Here

• Unlimited Vacation for exempt employees
• Paid Holidays
• Competitive medical, dental & vision insurance for employees and their dependents
• 401K Retirement Plan
• Stock Options
• Company-paid life insurance
• Health & Flexible Savings Accounts
• Cell phone, gym, and internet reimbursement
• Paid Parental Leave
• Tuition Reimbursement
• Employee Assistance Program (EAP)
• Free snacks (Denver, and or Fort Lauderdale)
• Fun events (virtual and in-person)

Applicants must be authorized to work for any employer in the U.S.

We are unable to sponsor or take over sponsorship of an employment visa at this time.

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IntelePeer/Aqurio participates in E-Verify. https://www.eeoc.gov/poster

At IntelePeer/Aqurio, we value diversity and are proud to be an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status.

We strive to provide reasonable accommodations to applicants and employees with disabilities to support them in performing the essential functions of their roles.