Senior EHR Integration Engineer

🕒 July 10

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

👻 Ghost score 29%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Quadrivia AI

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🤖 Artificial Intelligence

☁️ SaaS

Healthcare • Artificial Intelligence • SaaS

Quadrivia AI is a healthcare-focused AI company that builds “Qu,” a clinician-facing AI assistant designed to support clinical workflows across providers, payors, pharma and startups. Qu performs tasks such as history-taking, hypothesis generation, investigation recommendations, treatment planning, monitoring, care coordination, and consultation summarization; it maintains a personal health record, is designed for EHR and wearable integration (future capabilities), and emphasizes clinical safety, human-in-the-loop oversight, regulatory compliance, and customizable deployment. The platform is delivered as a cloud-based, customizable product to help clinicians and healthcare organizations scale patient outreach, follow-up, and routine clinical tasks while preserving clinician control and clinical accuracy.

📋 Description

• Design and build resilient, bidirectional integrations with major EHRs • Implement and maintain HL7v2 interfaces and FHIR R4 / US Core integrations • Build and operate integration pipelines on InterSystems IRIS • Handle C-CDA documents, X12 transactions, and the connectivity layer • Navigate EHR vendor programs end-to-end • Own reliability of the integration estate • Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow • Support customer and partner due-diligence and security reviews • Coordinate multiple parallel, demand-driven integration teams • Plan capacity and sequence go-lives • Set integration standards and mentor engineers • Collaborate closely with Backend, AI, Clinical, and Implementation teams • Write clean, test-driven, maintainable code

🎯 Requirements

• 10+ years in software/integration engineering • Deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments • Experience coordinating multiple engineers or parallel workstreams across concurrent customers • Must be based in the USA and authorized to work in the U.S. without sponsorship • Availability to travel within the USA as needed • Hands-on experience with at least one major EHR's interface/API surface • Production experience with InterSystems IRIS or a comparable engine • Strong programming skills in Python, with comfort in JavaScript/TypeScript or Java/Groovy • Solid understanding of healthcare data, clinical terminologies, patient matching, and EHR data models • Working knowledge of integration connectivity and security • 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

🏖️ Benefits

• Health insurance • Paid time off