Advanced Integrations Engineer

Job Description

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?

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/Type Script, .NET, and related frameworks.
• Follow strong engineering practices using Git and Git Hub workflows, including pull requests, branching strategies, and peer code reviews.
• Own integration work streams 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…