Ph3 About Us /h3 p Quadrivia is the health technology company behind Q, a comprehensive, controllable, and customizable assistant AI built by clinicians, for clinicians. Addressing the urgent shortage of healthcare professionals, Q provides real-time, personal, and reliable support for clinical tasks across the care continuum. Designed for providers, payers, and pharmaceutical companies, Q is easy to customize and integrates seamlessly into workflows, delivering precise assistance across the care spectrum. /p h3 Healthcare Interoperability Clinical Data Infrastructure — USA-based /h3 h3 Role Overview /h3 p You will design, build, and operate the integration layer that connects the Quadrivia AI platform to the U. S. healthcare ecosystem — EHRs, practice-management systems, labs, HIEs, and national interoperability networks. This means moving clinical data into our AI agents (context, history, orders) and writing AI-generated outputs back into the systems of record, safely and within a highly compliant, HIPAA-governed environment. /p p This is a deeply hands-on, technical role at the boundary between healthcare standards and modern distributed systems. The integrations you own are the front door to every customer deployment — they directly determine how fast we can onboard a new health system and how much our AI can be trusted with real patient data. /p p As the integration lead, you will also coordinate multiple integrations running in parallel. As demand grows, integration work is delivered by parallel, ad-hoc teams that spin up around specific customers, EHRs, or go-lives — and you are the technical owner who keeps them aligned, sets the standards they follow, and ensures every concurrent integration lands consistently and on time. /p h3 Key Responsibilities /h3 ul li Design and build resilient, bidirectional integrations with major EHRs (Epic, Oracle Health/Cerner, athenahealth, MEDITECH, Tru Bridge/CPSI, Veradigm/Allscripts, e Clinical Works, Next Gen). /li li Implement and maintain HL7v2 interfaces (ADT, ORU, ORM, SIU, MDM, DFT) and FHIR R4 / US Core integrations, including SMART on FHIR and Bulk FHIR. /li li Build and operate integration pipelines on Inter Systems IRIS (our integration platform) — and, where needed, via aggregators like Redox, Health Gorilla, or 1up Health. /li li Handle C-CDA documents, X12 transactions (270/271 eligibility, 837/835 claims), and the connectivity layer (MLLP, SFTP, TLS, VPN, OAuth2 client credentials). /li li Navigate EHR vendor programs end-to-end: Epic (Showroom/App Orchard, Bridges, Interconnect), Oracle Health CODE,



athenahealth Marketplace — including registration, security review, and go-live. /li li Own reliability of the integration estate: monitoring, message reconciliation, replay/backfill, dead-letter handling, and clear fallback behavior when an interface or downstream EHR is degraded. /li li Guarantee accuracy, patient-matching integrity, and de-identification/PHI handling across every data flow;

partner with Security and Compliance on audits. /li li Support customer and partner due-diligence and security reviews (questionnaires, BAAs, technical assessments) to quickly unblock access to production data and keep integrations on schedule. /li li Coordinate multiple parallel, demand-driven integration teams — assigning work, reviewing designs, unblocking engineers, and keeping standards and timelines consistent across concurrent customer integrations. /li li Plan capacity and sequence go-lives across the integration portfolio as ad-hoc teams spin up and down with demand. /li li Set integration standards and mentor engineers;

act as the organization's technical authority on interoperability. /li li Collaborate closely with Backend, AI, Clinical, and Implementation teams to map clinical workflows into integration contracts. /li li Write clean, test-driven, maintainable code;

validate and own all AI-generated code contributions. /li /ul h3 About You /h3 h3 Must Have /h3 ul li10+ years in software/integration engineering, with deep, demonstrated expertise building HL7v2 and FHIR integrations in production healthcare environments (including ancillary flows such as imaging/DICOM, scheduling, and e Prescribing/Surescripts). /li li Experience coordinating multiple engineers or parallel workstreams across concurrent customers — comfortable keeping standards and delivery consistent in a fluid, demand-driven team structure. /li li Must be based in the USA and authorized to work in the U. S. without sponsorship. /li li Availability to travel within the USA as needed for customer onboarding, go-lives, and on-site integration work. /li li Hands-on experience with at least one major EHR's interface/API surface (Epic, Oracle Health/Cerner, athenahealth, or MEDITECH)



— ideally including a vendor certification or marketplace go-live. /li li Production experience with Inter Systems IRIS (our integration platform;

Ensemble/Health Share also relevant) — or a comparable engine (Mirth/Next Gen Connect, Rhapsody, Cloverleaf) with the ability to ramp on IRIS quickly. /li li Strong programming skills in Python (and comfort with Java Script/Type Script or Java/Groovy for engine scripting). /li li Solid understanding of healthcare data: clinical terminologies (LOINC, SNOMED CT, ICD-10, CPT, Rx Norm), patient matching, and EHR data models. /li li Working knowledge of integration connectivity and security: MLLP, SFTP, REST, OAuth2/SMART, TLS/m TLS. /li li Extensive experience working in a highly compliant environment under HIPAA/HITECH, SOC 2, and HITRUST controls. /li li Reliability mindset: observability, idempotency, retries, reconciliation, and graceful degradation. /li li Excellent communicator — clear, structured, concise (S. T. A. R / S. A. R or similar). /li li Culture fit: kind, exceptionally smart, mission-driven, field expert. /li /ul h3 Desirable /h3 ul li Experience with national interoperability networks: TEFCA/QHINs, Carequality, Common Well, e Health Exchange, or state/regional HIEs. /li li Familiarity with Da Vinci, Argonaut, and US Core implementation guides, and CMS Interoperability Prior Authorization rules. /li li Cloud Dev Ops literacy: GCP, Kubernetes, Docker, Terraform;

event-driven architectures (queues/streams). /li li Exposure to AI, RAG, or LLM workflows feeding/consuming EHR data. /li li RHIA, CHPS, or equivalent health-informatics credential. /li /ul h3 What Success Looks Like /h3 ul li New health systems are onboarded predictably and fast, with integration timelines measured in weeks, not quarters. /li li Clinical data flows in and out of the platform with high integrity — accurate patient matching, correct mappings, and zero silent data loss. /li li The integration estate runs with strong availability and full observability;

failures are caught, contained, and replayed rather than discovered by customers. /li li Every interface operates within our highly compliant, HIPAA-governed environment and passes customer security review without friction. /li li AI-generated integration code is consistently elevated, corrected, and owned by you. /li li Concurrent integrations stay coordinated and consistent in quality even as their number scales with demand. /li /ul p Learn more about our mission: Why Quadrivia /p /p #J-18808-Ljbffr

📌 Senior (Principal) Ehr Integration Engineer (Remote - Us Only)
🏢 Quadrivia AI
📍 Barcelona