[Remote] Senior Integration Engineer
Note: The job is a remote job and is open to candidates in USA. Innovaccer is a healthcare technology company developing an on-premise platform for clinical data and AI agent interoperability. The Senior Integration Engineer will build and operate HL7 and FHIR integrations, implement MCP, HMCP, and A2A agent interoperability surfaces, and design secure connectivity patterns for isolated networks. The role also involves collaborating with customer integration teams on setup, testing, and clinical feed cutovers.
Responsibilities
- 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
Skills
- 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
- 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
- Working knowledge of REST API design, OAuth2, and mutual TLS; SMART on FHIR experience is a plus
- Professional development experience with Python or Java; integration engine experience (Mirth/Rhapsody or equivalent) is a plus
Benefits
- 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.
Company Overview