Advanced Integrations Engineer

In Some Jobs You Take Orders. In This One, You Write History. 

Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. 

We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth.

Are you ready for this exciting challenge? 

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First Databank, Inc. (FDB) is currently seeking an Advanced Integration Engineer (Epic) who is responsible for designing, developing, deploying, and supporting secure, scalable healthcare interoperability solutions across major EHR platforms, including Epic, Meditech, and Oracle Cerner. This role owns end-to-end interface delivery and production reliability for HL7 v2 messaging, FHIR R4 APIs/services, SMART on FHIR workflows, and EHR application registration. 

The position partners with client IT teams, EHR analysts, and internal engineering/product teams to translate clinical and operational needs into robust technical integrations that meet quality, compliance, and performance standards. 

The position will be based out of the Carmel, IN office and follows a hybrid work model, with an expectation to work onsite at least three days per week.

Responsibilities:

• Lead design, development, and lifecycle management of integrations with Epic, Meditech, and Oracle Cerner. 

• Build and maintain interfaces using HL7 v2 standards (including ADT, ORM, ORU, SIU, and MDM) and related healthcare message workflows. 

• Design, implement, and support FHIR R4-based APIs and services for clinical and administrative data exchange. 

• Implement and support SMART on FHIR launch and OAuth2 authorization flows, including scopes and token lifecycle management. 

• Support Epic application registration workflows (including App Orchard processes, OAuth client setup, and environment onboarding). 

• Develop and support modern web services and APIs using technologies such as C#, JavaScript/TypeScript, .NET, and related frameworks. 

• Follow strong engineering practices using Git and GitHub workflows, including pull requests, branching strategies, and peer code reviews. 

• Own integration workstreams end-to-end: requirements gathering, technical design, development, testing, deployment, and production support. 

• Partner with client implementation teams to define interface specifications, data mappings, validation criteria, and go-live readiness plans. 

• Develop transformation logic, error-handling patterns, and resiliency controls across integration pipelines. 

• Create and maintain integration documentation, including interface control documents, runbooks, support guides, and architecture diagrams. 

• Implement proactive monitoring, alerting, and observability for interfaces and FHIR services; drive rapid root-cause analysis and incident resolution. 

• Ensure integration solutions align with security and compliance requirements, including HIPAA, least-privilege access, and secure data handling practices. 

• Collaborate across engineering, product, and operations to prioritize integration roadmaps and resolve cross-functional dependencies. 

• Provide technical leadership across integration initiatives, including architecture guidance, delivery planning, and risk management. 

• Mentor peers on interoperability standards, implementation approaches, and engineering best practices. 

• Lead technical design and code review sessions; establish and reinforce development standards for integration and API services. 

• Apply AI-assisted engineering practices using coding agents (such as Claude Code, Cursor, and similar tools) to improve delivery speed and code quality. 

• Drive spec-driven AI development by translating requirements into clear technical specifications, acceptance criteria, and implementation plans that can be executed reliably by AI-enabled workflows. 

Required Skills:

• Ability to thrive in a fast-paced, client-focused, and evolving delivery environment. 

• Ability to work independently while leading cross-functional integration efforts. 

• Excellent problem-solving skills for diagnosing message, mapping, and API workflow issues. 

• Strong communication and stakeholder management skills across engineering, implementation, and client teams. 

• Commitment to high-quality documentation and disciplined operational ownership. 

• Strong leadership skills with the ability to influence architecture and delivery outcomes without direct authority. 

• Ability to delegate effectively, coach junior engineers, and drive accountability across multi-team initiatives. 

• Ability to use AI-enabled coding tools responsibly with attention to security, maintainability, and correctness. 

• Able to work independently and be self-directed 

• Excellent analytical, programming, troubleshooting, and problem-solving skills 

• Desire and ability to quickly learn new skills 

• Very strong Interpersonal and Communication Skills with all levels of the organization 

Required Experience:

• Bachelor’s degree in Computer Science, Information Systems, Engineering, or related field preferred.

• 5+ years of healthcare integration and/or software engineering experience with direct interoperability delivery ownership. 

• Demonstrated expertise in HL7 v2 messaging and healthcare interface implementation across multiple trading partners. 

• Hands-on experience building and supporting FHIR R4 integrations and services in production environments. 

• Practical experience with SMART on FHIR application integration, OAuth2/OpenID Connect concepts, and API security controls. 

• Proven experience with Epic, Meditech, and Oracle Cerner integration patterns, tooling, and deployment practices. 

• Strong background in RESTful API development, JSON/XML data modeling, and message transformation techniques. 

• Experience with one or more integration platforms/middleware tools (Mirth Connect, Rhapsody, Cloverleaf, HealthShare, MuleSoft, or equivalent). 

• Proficiency in one or more development languages such as C#, JavaScript/TypeScript, Python, or Java. 

• Experience designing and maintaining SOAP/REST web services in enterprise healthcare environments. 

• Strong experience with Git/GitHub source control workflows, CI/CD fundamentals, and production support practices. 

• Practical experience using AI coding agents (for example, Claude Code, Cursor, or similar tools) in day-to-day engineering workflows. 

• Experience with spec-driven development approaches, including creating implementation-ready technical specs and testable acceptance criteria. 

• Strong analytical, troubleshooting, and communication skills with both technical and non-technical stakeholders. 

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About FDB:

FDB is the leading provider of drug and medical device knowledge that helps healthcare professionals make precise decisions. With thousands of customers worldwide, FDB enables our information system developer partners to deliver valuable, useful, and differentiated solutions. We offer more than three decades of experience in transforming medical knowledge into actionable, targeted, and effective solutions that help improve patient safety, operational efficiency, and healthcare outcomes. For a complete look at our solutions and services, please visit www.fdbhealth.com or follow us on and LinkedIn.

We value Integrity, Respect, Responsibility, Teamwork, and Creativity. Our offices in South San Francisco and Carmel have been awarded with Top Workplaces honors by The Bay Area News Group and the Indy Star, since 2016 (the Top Workplaces honors are based solely on the results of an employee feedback survey by a leading research firm that specializes in organizational health and workplace improvement). FDB offers competitive salaries and extensive benefits – including medical, dental, vision, long term disability, life insurance, and matching 401k.
 
We are an Equal opportunity employer – vets/disabled. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.

First Databank, Inc. (FDB) endeavors to make www.fdbhealth.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please email [email protected]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

For more information about our commitment to equal employment opportunity, please visit EEO is the Law, EEO is the Law Supplement,  Pay Transparency, and FDB EEO/AA Statement.

In accordance with applicable law, Hearst is required to include a reasonable estimate of the compensation for this role if hired in Carmel, IN. The reasonable estimate, if hired in Carmel, IN is $120,000 to $160,000. Please note this information is specific to those hired in location. If this role is open to candidates outside of location, the salary range would be aligned to that specific location. A final decision on the successful candidate’s starting salary will be based on a number of permissible, non-discriminatory factors, including but not limited to skills and experience, training, certifications, and education.

This role is also eligible for a competitive benefits package that includes medical, dental, vision, life, and disability insurance; 401(k) retirement plan; flexible spending savings account; paid holidays; paid time off; employee assistance program; and other company benefits.