Job Description:
The Sr. Specialist II, Integration is a technical expert role focused on enterprise-wide integration initiatives, ensuring interoperability solutions align with industry best practices and long-term scalability goals. This role designs, oversees, and guides complex integration efforts, particularly within regulated and industry-specific environments such as healthcare and financial services.This role is suited for an experienced professional with a strong background in software development and a proven ability to architect and integrate complex, custom solutions. They bring deep expertise in C#/.NET development, along with a solid foundation in SQL, APIs, and web services, enabling them to deliver scalable, compliant solutions that align with both client needs and organizational capabilities.
In addition to hands-on development, this individual provides technical leadership by guiding teams, supporting solution delivery from design through implementation, and mentoring developers to promote best practices. A strong understanding of Agile methodologies, modern development frameworks, and proficiency across multiple programming languages is essential, along with the ability to solve complex problems and translate requirements into effective technical strategies.
Strategic Design and Architecture:
- Lead the design, architecture, and optimization of high performance, scalable integration solutions across multiple systems, ensuring they meet client needs and align with best practices.
- Design and implement enterprise-wide security, compliance, and disaster recovery strategies.
- Provide guidance on data normalization, mapping, and governance strategies. Evaluate emerging technologies and advise on FHIR adoption, and cloud-based integration.
Client-Facing Consultations:
- Lead cross-functional initiatives, collaborating with EHR vendors, HIEs, and healthcare organizations to solve complex technical challenges through innovative and customized integration strategies.
- Work closely with stakeholders and clients to understand and define integration requirements and system architecture.
- Serve as a trusted advisor to ensure that integration solutions meet industry and regulatory standards.
Oversight and Mentorship:
- Oversee the work of Integration Specialists to ensure their deliverables align with broader project goals and strategic direction.
- Provide mentorship and technical leadership to ensure team success.
Compliance and Standards:
- Perform security assessments and compliance audits for data exchange solutions.
- Ensure integration aligns with standards such as HL7, FHIR, APIs, and other relevant protocols.
- Keep solutions compliant with industry-specific regulations (e.g., HIPAA in healthcare).
Perform other duties that support the overall objective of the position.
Education Required:- Bachelor's or Master's degree in Computer Science, Information Technology, or a related field.
- Or, any combination of education and experience which would provide the required qualifications for the position.
- 6+ years experience in healthcare interoperability, integration, and Mirth Connect architecture.
- Expert-level proficiency in HL7 v2/v3, FHIR, X12 (EDI), APIs, ETL, and scripting (JavaScript, SQL, Python).
- Strong background in security frameworks, compliance, and risk mitigation.
- Certifications in relevant integration technologies or methodologies is a plus.
- Knowledge of: Deep knowledge of cloud-based integration (AWS, Azure, Linux, GCP).
- Skill in: Demonstrated leadership skills to guide technical teams and mentor engineers. Strong analytical and problem solving skills. Technical aptitude.
- Ability to: Proven ability to lead and execute large-scale integration projects. Work in an environment that requires both collaborative and independent efforts as needed in a fast-paced, highly skilled environment.
NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Skills Required
- Bachelor's or Master's degree in Computer Science, Information Technology, or a related field
- 6+ years experience in healthcare interoperability, integration, and Mirth Connect architecture
- Expert-level proficiency in HL7 v2/v3, FHIR, X12 (EDI), APIs, ETL, and scripting
NextGen Healthcare Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about NextGen Healthcare and has not been reviewed or approved by NextGen Healthcare.
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Healthcare Strength — Health coverage includes multiple Anthem medical options plus dental and vision, and company HSA contributions are provided for HDHP selections. Wellbeing resources such as mental health support and fitness programs complement the core plans.
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Wellbeing & Lifestyle Benefits — A Lifestyle Spending Account, paid Volunteer Time Off, and Employee Resource Groups are highlighted alongside flexible and remote‑friendly work arrangements. These extras add lifestyle and community value beyond core insurance.
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Fair & Transparent Compensation — Sales compensation plans are characterized as fair and transparent with competitive on‑target earnings in go‑to‑market roles. Top performers can achieve higher outcomes under these structures.
NextGen Healthcare Insights
What We Do
NextGen Healthcare is on a relentless quest to improve the lives of those who practice medicine and those they care for. We provide tailored solutions to fit the precise needs of ambulatory practices, as they strive to reach the quadruple aim while navigating the journey of value-based care. The result? Healthier patients and happier providers.






