Integration Engineer

FHIR Integration Engineer

Parser is seeking an experienced FHIR Integration Engineer to lead the design and implementation of CMS-0057-F compliance APIs. This is a hands-on technical role requiring deep expertise in Da Vinci FHIR standards and production-grade healthcare system integration. You will own the architecture and delivery of mission-critical APIs that connect payer systems with provider workflows in a regulated, high-availability environment.

• Design and implement CMS-0057-F compliant APIs including CRD (Coverage Requirements Discovery), DTR (Documentation Templates & Rules), and PAS (Prior Authorization Support)
• Architect multi-API systems with shared decision engines and pre-screeners, defining clear service boundaries and integration patterns
• Build and maintain integrations with core payer systems including claims/benefits platforms and utilization management (UM) systems
• Develop REST wrappers and manage end-to-end endpoint integration work
• Design real-time routing logic for point-of-order requests into shared backend systems
• Ensure all implementations meet regulatory requirements and production-grade reliability standards
• Collaborate with cross-functional teams to integrate provider-facing channels and payer backend systems.

• Da Vinci / FHIR Implementation Expertise:
  Hands-on experience building and shipping production CMS-0057-F compliance APIs (CRD, DTR, and PAS) using FHIR R4 standards
• Payer System Integration:
  Proven track record connecting to core claims/benefits systems (e.g., Facets, Zyter Tru Care, or equivalents) and utilization management platforms.
• Provider Channel
  
  Experience:
  
  Experience integrating with provider-facing channels such as Availity, Pro Auth, or similar platforms.
• API Architecture & System Design:
  Demonstrated ability to own technical design of complex, multi-API systems with shared backend logic and decision engines.
• Production Environment
  
  Experience:
  
  Track record designing for regulated, high-availability production environments (not prototypes or proof-of-concepts.
• End-to-End Ownership:
  Comfortable owning REST wrapper development and endpoint integration work from concept through production deployment
• Strong understanding of healthcare interoperability standards, regulatory requirements, and payer operations

• FHIR R4 standard and Da Vinci Implementation Guides
• RESTful API design and development
• Healthcare payer systems architecture (claims, benefits, UM)
• Integration patterns and service-oriented architecture
• High-availability system design and reliability engineering
• Healthcare regulatory compliance (CMS requirements

• You've shipped real FHIR implementations to production, not just read specifications
• You understand both the technical and operational aspects of payer-provider integration
• You can balance regulatory compliance requirements with practical system design
• You thrive on owning complex technical problems end to end

Parser is committed to transforming healthcare interoperability through innovative technology solutions that connect payers and providers seamlessly.

• Competitive salary and comprehensive benefits package
• Opportunity to work with cutting-edge technology in the healthcare space
• Collaborative and innovative work environment
• Professional development and growth opportunities
• Central NYC office