Senior EHR Integration Specialist (SMART on FHIR)

Location: Hybrid role based in Columbus, Ohio, United States

Salary: $120,000–$200,000 base pay annually

Company

hirify.global operates within McKesson, a Fortune 10 healthcare company delivering products, services, and technology that support more accessible and affordable care.

What you will do

• Design, implement, test, troubleshoot, and support production integrations with external EHR and EMR systems.
• Lead SMART on FHIR application launches in Epic clinical workflows, including patient, encounter, and user context.
• Develop FHIR R4 integrations and configure OAuth 2.0 and OpenID Connect authentication flows.
• Create reusable reference architectures and integration patterns using FHIR, HL7, SMART on FHIR, and CDS Hooks.
• Build templates, scripts, mappings, and automation that improve practice onboarding and reduce manual work.
• Partner with Engineering, Product, Security, Identity and Access Management, Compliance, and Operations to deliver secure, auditable solutions.

Requirements

• Degree or equivalent and typically 7+ years of relevant experience.
• At least five years of experience in software engineering, integration engineering, healthcare interoperability, or solution architecture.
• Hands-on production experience delivering SMART on FHIR integrations and integrating applications with external EHR systems, preferably Epic.
• Practical experience with FHIR R4, OAuth 2.0, OpenID Connect, FHIR servers, APIs, middleware, and integration architecture.
• Understanding of clinical workflows, healthcare data privacy, HIPAA, secure access controls, and payer-provider data exchange.
• Ability to independently evaluate requirements, make technical recommendations, create implementation documentation, and deliver complex integrations to production.

Nice to have

• Experience with Epic SMART App Launch, App Orchard, Connection Hub, Bridges, iKnowMed, Cerner, or Oracle Health.
• Experience with HL7 v2, CDA, C-CDA, NCPDP, Da Vinci implementation guides, or related standards.
• Experience with HAPI FHIR, Azure Health Data Services, Google Cloud Healthcare API, or comparable enterprise FHIR platforms.
• Experience with Microsoft Entra ID, Okta, multitenant healthcare platforms, or AI-assisted development and automation tools.

Culture & Benefits

• Work in an impact-driven healthcare environment focused on improving access to quality care.
• Hybrid workplace with opportunities for professional growth and technical influence.
• Competitive base pay with potential annual bonus or long-term incentive opportunities.
• Equal employment opportunities and reasonable accommodation support are provided.