Senior (Principal) EHR Integration Engineer

Quadrivia

Remote regions

US

Benefits

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Role Overview:

  • You will design, build, and operate the integration layer connecting Quadrivia AI to the U.S. healthcare ecosystem.
  • This involves moving clinical data into AI agents and writing AI-generated outputs back into systems of record within a HIPAA-governed environment.
  • As the integration lead, you will coordinate multiple parallel integrations and keep standards consistent.

Key Responsibilities:

  • Build and maintain HL7v2 interfaces (ADT, ORU, ORM) and FHIR R4 integrations including SMART on FHIR and Bulk FHIR.
  • Implement integration pipelines on InterSystems IRIS and via aggregators like Redox or Health Gorilla.
  • Own reliability, patient-matching integrity, and compliance across every data flow.

About You:

  • 10+ years experience with HL7v2 and FHIR integrations in production healthcare environments.
  • Hands-on experience with at least one major EHR's interface or API surface.
  • Strong programming in Python and understanding of clinical terminologies and HIPAA compliance.

Quadrivia

Quadrivia is a health technology company behind Q, an assistant AI built by clinicians for clinicians, providing real-time support for clinical tasks. The company addresses healthcare professional shortages and integrates seamlessly with providers, payers, and pharmaceutical companies.

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