Sr. Integrations Engineer
Hirewell
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Remote · Tampa, FL · Posted October 19, 2026
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November 2026
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About the job
Sr. Integrations Engineer
Location: Tampa, FL / Remote
Department: Software Engineering & Integrations
Reports to: Director, Data Integrations
About the Role
The Senior Integrations Engineer is responsible for designing, building, and maintaining enterprise ‑ grade integrations across ERP, eClinicalWorks (eCW), Snowflake, and external healthcare systems ((EHRs, payer systems, clinical data sources, partner APIs, and internal services). This role builds APIs, microservices, HL7/FHIR interfaces, and event ‑ driven workflows that power clinical, financial, and operational systems.
This engineer will own integrations end‑to‑end—from requirements and architecture through build, testing, deployment, monitoring, and production support. The engineer will collaborate closely with engineering, product, automation, analytics, and client‑facing teams to deliver secure, high‑quality interoperability at scale. The engineer will ensure that data flows reliably, securely, and with high integrity across mission‑critical workflows spanning Finance, HR, Supply Chain, RCM, and clinical operations.
Key Responsibilities
Integration Architecture & Development
Design integrations using an API‑first approach ensuring reusability across multiple internal teams and external partners
Design and implement integrations between eCW and Oracle Fusion ERP (Finance, SCM, HR/Payroll), Snowflake and Healthcare systems (EHRs, payers, labs, clearinghouses)
Build secure, scalable integrations using:
REST APIs, SOAP, FHIR, HL7 v2, SFTP, file‑based exchange
Oracle Integration Cloud (OIC) or integration platforms such as MuleSoft, Boomi, Azure Integration Services
Python/Java for transformation and orchestration
Develop reusable integration patterns, mapping frameworks, and data validation logic.
Ensure integrations adhere to enterprise standards for security, logging, observability, and error handling.
End‑to‑End Integration Ownership
Lead the full lifecycle: requirements → design → build → test → deploy → monitor → support.
Build automated validation and reconciliation processes to ensure high data integrity between eCW, Fusion, Snowflake, and external systems.
Implement monitoring and alerting for integration of health, latency, and data quality.
Drive root‑cause analysis and permanent fixes for integration issues.
Healthcare Interoperability
Integrate with external EHRs such as Epic, Cerner/Oracle Health, Meditech, athenahealth.
Work with healthcare data standards: HL7 v2 (ADT, ORU, ORM, SIU, MDM), FHIR R4, X12
Collaborate with client IT teams, EHR analysts, and interoperability stakeholders to configure connectivity and troubleshooting issues.
Snowflake & Data Engineering Alignment
Partner with the Data Engineering team to:
Define data contracts for inbound/outbound integrations.
Build ELT pipelines into Snowflake.
Ensure schema consistency, lineage, and auditability.
Automation & Continuous Improvement
Identify opportunities to automate integration workflows, testing, and deployment.
Build reusable scripts, frameworks, and templates to accelerate onboarding of new clinics, vendors, or partners.
Improve integration throughput and reduce manual effort.
Leadership & Mentorship
Serve as a senior technical resource for integration best practices.
Mentor junior engineers and contribute to building a high‑performing integration function.
Influence enterprise architecture decisions based on integration patterns and field experience.
Qualifications
Required
7+ years of experience in integration engineering or enterprise application integration.
Strong experience with REST APIs, JSON/XML, SFTP, EDI and microservices architectures.
Proficiency in Python, Java, C#, or Node.js.
Experience with cloud platforms such as Azure, AWS, or GCP.
Experience with integration platforms such as MuleSoft, Boomi, Azure Integration Services etc.
Knowledge of messaging and event streaming technologies such as Kafka, RabbitMQ, or Service Bus.
Strong SQL and database skills.
Healthcare integration experience with eCW, HL7, FHIR, X12, or payer/provider systems.
Strong understanding of secure data exchange, encryption, and compliance (HIPAA)
Preferred
Experience designing API-first and event-driven architecture
Healthcare provider or payer industry experience.
Proficiency with AI‑driven automation or data quality tooling
Snowflake or modern data platform experience.