Integration Engineer

Parser Limited

$110K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Hands-on experience with CMS-0057-F compliant APIs using FHIR R4 standards.
  • Proven track record integrating with core claims/benefits systems and utilization management platforms.
  • Experience with provider-facing channels integration.
  • Ability to design complex multi-API systems with shared backend logic.
  • Experience in regulated, high-availability production environments.
  • Comfortable with end-to-end REST wrapper development and integration work.
  • Strong knowledge of healthcare interoperability standards and payer operations.

Responsibilities

  • Design and implement CMS-0057-F compliant APIs including CRD, DTR, and PAS.
  • Architect multi-API systems with clear service boundaries and integration patterns.
  • Build and maintain integrations with core payer systems and utilization management systems.
  • Develop REST wrappers and handle end-to-end endpoint integration.
  • Design real-time routing logic for point-of-order requests.
  • Ensure implementations meet regulatory and reliability standards.
  • Collaborate with cross-functional teams to integrate provider-facing channels with payer backend systems.

Benefits

  • Competitive salary with a 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.
Full Job Description
About you

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.

Key Responsibilities
  • 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.


Required Qualifications
  • 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 TruCare, or equivalents) and utilization management platforms.
  • Provider Channel Experience: Experience integrating with provider-facing channels such as Availity, ProAuth, or similar platforms.
  • API Architecture & System Design: Demonstrated ability to own technical design of complex, multi-API systems with shared backend logic and decision enginers.
  • 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


Technical Skills
  • 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


What Sets You Apart
  • 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


About Parser

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

What we offer
  • 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

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