Senior Integration Engineer

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🇺🇸 United States – Remote

💵 $140k - $160k / year

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

👻 Ghost score 0%

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DrFirst, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2000

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2024-01

Healthcare • SaaS • B2B

DrFirst is a healthcare technology company that provides medication management solutions focusing on electronic prescribing, electronic prior authorization (ePA), medication history, prescription engagement, population health management, prescription renewals, price transparency, prescription orchestration, specialty medications support, and business continuity for EHRs. Their products include E-Prescribing, EPCS (electronic prescribing for controlled substances), Backline secure messaging, and tools for streamlining prior authorizations and medication access. DrFirst serves hospitals & health systems, EHR & HIT vendors, private practices, pharmaceutical companies, and payers. The company emphasizes integration with clinical workflows, patient engagement to improve adherence, and leveraging a large medication management network in the U. S. ; they also provide system migration services and AI-assisted data transitions.

📋 Description

• Build and support vendor and customer integrations across payers, hospitals, health systems, and EMR/EHR platforms • Design the next generation of healthcare organization connectivity to DrFirst medication management solutions • Scale payer connectivity and electronic prior authorization workflows • Own technical execution and business relationships with payer partners • Partner with Product to turn complex payer workflows into reliable, repeatable integration capabilities • Build processes and SOPs for expanding payer connectivity • Build self-service tools for technology-forward customers and automation to accelerate integrations • Maintain enterprise-grade security and compliance • Design, build, and support integrations with hospitals, health systems, and EMR/EHR vendors • Translate requirements into reliable interfaces and troubleshoot issues across customer environments and internal platforms • Design, build, and support direct payer integrations for the ePA platform • Handle payer-specific rules, request and response workflows, and exception handling • Troubleshoot complex ePA issues and improve authorization success rates and turnaround times • Serve as primary technical point of contact for payer partners • Lead payer onboarding and ongoing integration reviews • Shape scalable payer integration capabilities with Product and document repeatable onboarding processes • Build automation, APIs, and self-service tools for integration build, testing, and certification • Build testing and monitoring into integrations to meet HIPAA and HITECH requirements and ensure production reliability

🎯 Requirements

• Bachelor’s degree in Computer Science, Software Engineering, or a related technical field • 5+ years of progressive experience in healthcare integration engineering • Deep understanding of healthcare data standards: HL7 v2, HL7 FHIR, and X12 EDI • Hands-on experience building production integrations with payers, hospitals, health systems, and/or EMR/EHR platforms • Working knowledge of payer system architectures and electronic prior authorization standards and workflows, including NCPDP SCRIPT ePA, X12 278, and HL7 FHIR Da Vinci PAS • Experience with Java, C#, Python, and JavaScript/Node.js • Experience with EMR/EHR-specific frameworks and integration patterns • Experience building automated testing and scripting for integrations • Working familiarity with CI/CD pipelines and cloud platforms, including AWS • Strong communication skills and experience leading technical discussions with customers, vendors, or payers and seeing integrations through to go live • 95%+ of time working at a desk or on the phone • Preferred: experience with real-time data streaming, event-driven architectures, and microservices patterns in healthcare environments • Preferred: exposure to infrastructure as code and deployment automation • Preferred: demonstrated use of AI tools such as Copilot, Cursor, Claude, Codex, or similar, with prompt engineering and AI-assisted tooling or agentic workflow experience • Preferred: knowledge of TEFCA, CMS Interoperability Rule, and 21st Century Cures Act • Preferred: experience with Spring Boot or similar enterprise frameworks • Preferred: experience with Kubernetes and Google Cloud Platform, or another container orchestrator and cloud platform • Preferred: experience with Domain Driven Design (DDD) concepts

🏖️ Benefits

• Eligible for a Discretionary Performance-based bonus • Medical, dental, and vision insurance • 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule • HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year • 100% company paid short and long-term disability, AD&D, and group life insurance • Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter • 7 paid holiday days • Employee Assistance Program • Continuing Education funds up to $1500 annually for eligible programs after 1 year of service • Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances • Remote-First company with a dynamic and flexible workplace • Less than 5% travel to industry vendor events for technical collaboration and the annual DrFirst team onsite

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