Dr First

Senior Integration Engineer

Dr First$130K — $150K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Software Engineering, or related field
  • 5+ years in healthcare integration engineering focusing on payer connectivity
  • Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI)
  • Proven ability to manage external business relationships
  • Strong project management skills for concurrent projects
  • Experience with programming languages like Java, C#, Python, JavaScript/Node.js
  • Knowledge of CI/CD, automated testing, and cloud platforms (AWS)
  • Understanding of HIPAA, HITECH, and healthcare regulations

Responsibilities

  • Lead end-to-end integration of medication data feeds from payers
  • Design, build, and support direct payer integrations with major healthcare payers
  • Act as the subject matter expert for payer-specific integration needs
  • Serve as the primary contact for payer partners, managing technical and business aspects
  • Own and maintain business relationships with payer organizations
  • Build, optimize, and troubleshoot prior authorization integrations
  • Act as a mentor for Integration Services Engineers, providing technical guidance
  • Develop scalable payer integration capabilities with Product Management

Benefits

  • Medical, dental, and vision insurance
  • 401K with a 50% company match up to 5% of salary contributed after 3 months
  • HSA contributions for HDHP enrollees
  • Fully company-paid short and long-term disability, AD&D, and life insurance
  • 18 days of annual PTO plus 7 paid holidays, increasing with tenure
  • Continuing Education funds up to $1500 annually after 1 year of service
  • Flexible remote-first workplace environment
Full Job Description
Position Overview

The Senior Integration Engineer will lead the integration of medication data feeds from payer partners into DrFirst solutions. This role requires both technical excellence and strong relationship management skills, as you will own the ongoing business relationships with payer organizations while managing the continuous integration of their medication data.

 

You will play a critical role in scaling direct payer integrations and prior authorization workflows while owning both the technical execution and business relationships with payer partners. This role blends hands-on integration engineering, project leadership, and cross-functional collaboration with product to establish scalable processes and SOPs as payer connectivity grows.

 

You will serve as a technical and business-facing leader for payer integrations, helping transform complex payer workflows into reliable, repeatable, and scalable integration capabilities. As a senior member of the team, you will also serve as a technical resource and mentor for Integration Services Engineers, supporting medication management solution integrations into EMR/EHR platforms when needed.

 

This role requires managing multiple concurrent integration projects, maintaining strong payer relationships through regular communication and updates, and ensuring seamless delivery as payers continuously add new plans, update formularies, and introduce new data elements.

Who Will Love This Job
  • A relationship builder who excels at managing technical and business partnerships with external organizations
  • A project leadership professional who manages multiple payer integration projects simultaneously
  • A technical mentor who enjoys sharing knowledge with team members
  • A medication management specialist who understands pharmacy benefits and prior authorization workflows
  • A healthcare technology innovator who builds bridges between disparate healthcare technologies
  • A quality engineering leader who embeds testing, monitoring, and compliance into development
  • A continuous improvement catalyst who iteratively enhances integration processes
What you will work on Payer Integration Ownership
  • Lead end-to-end integration of medication data feeds from national and regional payers
  • Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana, BCBS
  • Act as technical subject matter expert for payer-specific integration requirements
Business Relationship Management
  • Serve as primary technical and business contact for payer partners
  • Own business and technical relationships with payer partners
  • Partner with payer stakeholders to align on requirements and timelines
Prior Authorization Integration Expertise
  • Build, maintain, and optimize prior authorization integrations
  • Troubleshoot complex PA issues across payer systems
  • Collaborate to improve authorization success rates
Team Technical Leadership
  • Act as escalation point and mentor for Integration Services Engineers
  • Build team capabilities through knowledge sharing and documentation
Product Partnership and SOP Development
  • Partner with Product Management to define scalable payer integration capabilities
  • Create and maintain Standard Operating Procedures for repeatable delivery
Project Management & Integration Delivery
  • Own end-to-end integration projects from discovery through go-live
  • Manage timelines, dependencies, and stakeholder communication
Qualifications Required:
  • Bachelor's degree in Computer Science, Software Engineering, or related technical field
  • 5+ years in healthcare integration engineering with focus on payer connectivity
  • Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI)
  • Proven ability to manage external business relationships
  • Strong project management skills coordinating multiple concurrent projects
  • Experience with Java, C#, Python, JavaScript/Node.js
  • Background in CI/CD, automated testing, and cloud platforms (AWS)
  • Understanding of HIPAA, HITECH, and healthcare regulatory requirements
Preferred:
  • Experience with payer organizations on technical integrations
  • Knowledge of pharmacy benefit management (PBM) systems
  • Background in mentoring less experienced engineers
  • Experience with EMR/EHR integration patterns
  • Experience with microservices and event-driven architectures
  • Knowledge of healthcare interoperability initiatives (TEFCA, CMS)
Physical Requirements
  • 95% Desk work
  • Less than 5% travel to industry events and annual team onsite

#LI-GF1 #LI-Remote

Benefits
  • Competitive compensation, with a base salary of $130,000 - $150,000 (Exact compensation may vary based on skills and experience)
  • Eligible for a Discretionary Performance-based bonus
  • Medical, dental, and vision insurance
  • 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule
  • HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year
  • 100% company paid short and long-term disability, AD&D, and group life insurance
  • Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter and 7 paid holiday days
  • Employee Assistance Program
  • Continuing Education funds up to $1500 annually for eligible programs after 1 year of service
  • Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances

DrFirst is committed to being a Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from. Check out our approach to remote workhttps://drfirst.com/company/about-us/careers/.

About Dr First

Dr First is a healthcare technology company that provides a variety of solutions to healthcare providers and patients. The company's products include electronic prescribing, medication management, and telehealth solutions. Dr First's solutions are designed to improve patient outcomes, reduce costs, and increase efficiency in healthcare delivery. The company serves a variety of healthcare providers, including hospitals, clinics, and pharmacies.
Learn more about Dr First
Size
500 employees
Industry
Founded
2000

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