Quadrivia

Quadrivia

Senior (Principal) EHR Integration Engineer (Remote - US only)

United States · Principal

Work authorization requiredDetected 12 days ago
JavaScriptTypeScriptPythonJavaGCPDockerKubernetesTerraformDevOpsRESTOAuthLLMsRAGAgentic AIComplianceOnboardingVPNHIPAAEpicCernerHL7/FHIREHR/EMRICD-10Radiology

About the role

  • This means moving clinical data into our AI agents (context, history, orders) and writing AI-generated outputs back into the systems of record, safely and within a highly compliant, HIPAA-governed environment.
  • This is a deeply hands-on, technical role at the boundary between healthcare standards and modern distributed systems.

Responsibilities

  • 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 EHR is degraded.
  • partner with Security and Compliance on audits.
  • Support customer and partner due-diligence and security reviews (questionnaires, BAAs, technical assessments) to quickly unblock access to production data and keep integrations on schedule.
  • Coordinate multiple parallel, demand-driven integration teams - assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations.
  • Collaborate closely with Backend, AI, Clinical, and Implementation teams to map clinical workflows into integration contracts.

Requirements

  • Must be based in the USA and authorized to work in the U.S. without sponsorship.
  • Production experience with InterSystems IRIS (our integration platform
  • Ensemble/HealthShare also relevant) - or a comparable engine (Mirth/NextGen Connect, Rhapsody, Cloverleaf) with the ability to ramp on IRIS quickly.
  • Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/mTLS.
  • Experience with national interoperability networks: TEFCA/QHINs, Carequality, CommonWell, eHealth Exchange, or state/regional HIEs.
  • Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability & Prior Authorization rules.
  • Production experience with InterSystems IRIS (our integration platform; Ensemble/HealthShare also relevant) - or a comparable engine (Mirth/NextGen Connect, Rhapsody, Cloverleaf) with the ability to ramp on IRIS quickly.

Benefits

  • Epic (Showroom/App Orchard, Bridges, Interconnect), Oracle Health CODE, athenahealth Marketplace - including registration, security review, and go-live.
  • Hands-on experience with at least one major EHR's interface/API surface (Epic, Oracle Health/Cerner, athenahealth, or MEDITECH) - ideally including a vendor certification or marketplace go-live.
  • RHIA, CHPS, or equivalent health-informatics credential.
  • New health systems are onboarded predictably and fast, with integration timelines measured in weeks, not quarters.
  • Design and build resilient, bidirectional integrations with major EHRs (Epic, Oracle Health/Cerner, athenahealth, MEDITECH, TruBridge/CPSI, Veradigm/Allscripts, eClinicalWorks, NextGen).
  • Build and operate integration pipelines on InterSystems IRIS (our integration platform) - and, where needed, via aggregators like Redox, Health Gorilla, or 1upHealth.

Company info

  • Quadrivia is the health technology company behind Q, a comprehensive, controllable, and customizable assistant AI built by clinicians, for clinicians. Addressing the urgent shortage of healthcare professionals, Q provides real-time, personal, and reliable support for clinical tasks across the care continuum. Designed for providers, payers, and pharmaceutical companies, Q is easy to customize and integrates seamlessly into workflows, delivering precise assistance across the care spectrum.
  • Healthcare Interoperability & Clinical Data Infrastructure - USA-based
  • You will design, build, and operate the integration layer that connects the Quadrivia AI platform to the U.S. healthcare ecosystem - EHRs, practice-management systems, labs, HIEs, and national interoperability networks. This means moving clinical data into our AI agents (context, history, orders) and writing AI-generated outputs back into the systems of record, safely and within a highly compliant, HIPAA-governed environment.
  • Why Quadrivia https://quadrivia.ai/why-q
  • Quadrivia is the health technology company behind Q, a comprehensive, controllable, and customizable assistant AI built by clinicians, for clinicians.
  • Addressing the urgent shortage of healthcare professionals, Q provides real-time, personal, and reliable support for clinical tasks across the care continuum.
  • Designed for providers, payers, and pharmaceutical companies, Q is easy to customize and integrates seamlessly into workflows, delivering precise assistance across the care spectrum.
  • kind, exceptionally smart, mission-driven, field expert.
  • Experience coordinating multiple engineers or parallel workstreams across concurrent customers - comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure.
  • The integration estate runs with strong availability and full observability; failures are caught, contained, and replayed rather than discovered by customers.

Visa & Work Authorization

  • Must be based in the USA and authorized to work in the U.S. without sponsorship.
Apply directly at Quadrivia →Create a free account for alerts like thisView Quadrivia immigration profile

This listing is sourced directly from Quadrivia's careers page and normalized into a canonical job model.