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As a Senior Integration Engineer at Innovaccer, you will own the interoperability layer for clinical data and AI agents crossing the boundary of the company's on-premise healthcare platform. This role sits at the intersection of healthcare interoperability standards and emerging agent-era infrastructure.
Key responsibilities include:
- Build and operate inbound clinical feeds: HL7 v2 message ingestion (ADT, ORU, and related event types) over MLLP, with acknowledgment handling, error queues, and replay mechanisms.
- Design outbound clinical delivery paths through gateway-controlled egress in a default-deny network model, ensuring secure data transmission.
- Implement FHIR R4 APIs and resource mappings against standard implementation guides, including terminology handling across code systems (SNOMED CT, LOINC, ICD-10, CPT).
- Build agent interoperability surfaces: MCP (Model Context Protocol) servers exposing platform capabilities, HMCP patterns for healthcare-safe agent access, and Agent-to-Agent (A2A) flows with proper authentication and authorization.
- Define integration patterns that hold under strict network isolation: certificate management, mutual TLS, and boundary-controlled connectivity.
- Work directly with customer integration teams on connectivity setup, interface testing, and cutover of clinical feeds.
Required qualifications:
- B.E., B.Tech., or M.Sc. in Computer Science or related technical field
- 5+ years of healthcare integration or interoperability engineering experience
- Strong working knowledge of FHIR R4: resources, profiles, search, and implementation guides (US Core or equivalent)
- Hands-on HL7 v2 experience: message structures, segments, acknowledgments, and MLLP transport
- Working knowledge of REST API design, OAuth2, and mutual TLS; SMART on FHIR experience is a plus
- Familiarity with agent interoperability protocols: MCP and/or A2A, or demonstrated ability to learn emerging standards quickly
- Experience with clinical terminologies
- Professional development experience with Python or Java; integration engine experience (Mirth/Rhapsody or equivalent) is a plus
Innovaccer offers competitive benefits including 20 days of paid time off, generous parental leave, recognition and rewards programs, and comprehensive insurance coverage (medical, dental, vision, disability, and life insurance).
