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EMR Architect; FHIR R4 - Chicago, IL ( Onsite , Remote
Remote / Online - Candidates ideally in
Chicago, Cook County, Illinois, 60611, USA
Listed on 2026-06-02
Chicago, Cook County, Illinois, 60611, USA
Listing for:
Net Orbit
Full Time, Remote/Work from Home
position Listed on 2026-06-02
Job specializations:
-
IT/Tech
IT Consultant, Cloud Computing, IT Support, Cybersecurity
Job Description & How to Apply Below
Role: EMR Architect (FHIR R4 Implementation)
Location:
Chicago, IL ( Onsite preferred, Remote with travel)
Duration:
Contract to hire / Full-time
Remote position | Frequent travel to Chicago, IL | Travel / Hotel / Per Dem - Reimbursed
Required Experience
- 15+ years in healthcare IT with a primary focus on EMR integration and interoperability - not a generalist background
- Experience leading a blended onshore/offshore engineering pod in a client-facing delivery engagement
- History of delivering multi-hospital EMR integration projects against commercial deadlines
- Clinical decision support (CDS) system architecture or physician-facing application design experience
- Experience with AI/ML integration in a clinical context - ambient documentation, acuity classification, clinical summarization
- Current Mirth Connect certification (Next Gen Mirth Certified Fundamentals or higher)
- Epic certification - Ambulatory, Inpatient, and/or Orders. Current certifications strongly preferred
- AWS Certified Solutions Architect or Azure equivalent in a healthcare data context
- PMP or equivalent project management certification
- Prior experience at a healthcare IT consultancy, EMR vendor, or large health system IT department
Healthcare integration engine - production depth
- Must have built, deployed, and operated a healthcare integration engine (Mirth Connect, Rhapsody, Azure Health Data Services, or equivalent) in a live clinical environment. Not configured templates - built channels, transformers, and error handling from code.
- Must have implemented FHIR R4 APIs in a production provider or payer environment. Must be able to name specific FHIR resources, explain Concept Map usage, and describe how they have handled proprietary EMR code sets that do not map cleanly to SNOMED CT or LOINC.
- Must have built integration adapters across at least two of:
Epic, Cerner/Oracle Health, Meditech. Not evaluated EMRs - built production connectors against their APIs in a live hospital environment.
- Must be able to describe a SMART on FHIR write-back implementation - OAuth2 scopes, CPOE approval governance, signed order flow, error handling on failed write-back. HL7-era database coordination answers are insufficient.
- Must be U.S.
-based and able to work on-site in Chicago at and hospital locations. Regular on-site presence required during Phase 0 sprint and go-live. Tennessee, remote-only, or non-U.S. candidates will not meet client requirements.
- Phase 0 sprint begins within 5 business days of SOW signature. Candidates who cannot confirm availability within 2 weeks will not be considered.
Integration Engines & Middleware
- Mirth Connect (Next Gen) - channel build, JavaScript transformer development, error handling, monitoring (certification preferred)
- Rhapsody, Azure Health Data Services, or Google Cloud Healthcare API - production deployment experience a strong plus
- Interface engine configuration, version management, and operational governance in a clinical environment
- Connector design for both inbound (EMR → hub) and outbound (hub → EMR) data flows
- FHIR R4 / US Core - production implementation, resource-level depth (Patient, Encounter, Observation, Medication Request, Condition, Diagnostic Report, Allergy Intolerance)
- SMART on FHIR - OAuth2 authorization, read and write scopes, token management, EMR-specific scope approval processes
- HL7 v2.x - ADT, ORM, ORU, MDM message types. Interface engine configuration and transformation
- CCDA - clinical document exchange, section mapping, data reconciliation
- X12 EDI - 270/271, 837, 835 (payer integration experience a plus)
- Clinical vocabulary standards - SNOMED CT, LOINC, RxNorm, ICD-10. Concept Map design and proprietary code set mapping
- Epic - Interconnect API, Bridges, FHIR R4 sandbox, SMART on FHIR, Ambulatory and Inpatient workflow architecture. Epic certification strongly preferred.
- Oracle Health / Cerner - FHIR R4 Millennium APIs (Ignite), HL7 ADT…
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