Akumin®

Integration engineer in healthcare

In short

This role builds and maintains healthcare interoperability interfaces using InterSystems HealthShare/IRIS, HL7 v2, FHIR, CDA/CCD, and DICOM workflows for a national outpatient radiology and oncology provider. It requires 5+ years of experience with integration platforms, deep knowledge of healthcare data standards and compliance (HIPAA, TEFCA, 21st Century Cures Act), and familiarity with RIS/PACS/EHR systems. The role is fully remote, full-time, mid-level, with compensation not disclosed.

About the company
Akumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home. With a national footprint, cutting-edge technology, and a strong commitment to innovation and patient-centered care, our teams play a vital role in improving outcomes for millions of patients each year.
Responsibilities
•Build, configure, and maintain interfaces and data transformations using ObjectScript, HL7 v2.x, FHIR, CCD/CDA, JSON, and XML standards
•Oversee and optimize HealthShare/IRIS engines for scalability, uptime, and data fidelity
•Implement and manage automation pipelines for interface deployment, configuration management, and testing
•Document technical specifications, workflow diagrams, and test plans to support knowledge transfer and operational continuity
•Architect and administer the organization's enterprise interoperability and interface framework supporting RIS, PACS, and EHR integrations
Requirements
•5+ years of experience developing or administering integration platforms such as InterSystems HealthShare, IRIS
•Expertise in healthcare interoperability standards: HL7 v2, FHIR, CDA/CCD, JSON/XML mapping
•Demonstrated experience with DICOM workflows and DICOM-to-HL7 data transformation in radiology environments
•Familiarity with Radiology Information Systems (Royal, eRAD, or equivalent)
•Understanding of patient identity management, record matching, and Master Patient Index (MPI) administration
•Strong grasp of integration protocols: MLLP, REST, SOAP, SFTP
•Advanced knowledge of healthcare compliance (TEFCA, 21st Century Cures Act), privacy (HIPAA), and regulatory standards (NIST)
Nice to have
•Bachelor's Degree
•Experience supporting large, multisite imaging organizations with distributed RIS/PACS environments
•Knowledge of API management, containerized interface deployment (Docker/Kubernetes), or message queuing infrastructure
•Proven success in remote or hybrid collaboration and stakeholder communication
•Experience architecting or migrating integration systems within cloud environments (AWS, GCP)
•Certification in InterSystems Healthshare, HL7, or integration architecture a plus
•AWS or GCP Health Interoperability Certifications a plus
Conditions
•Competitive compensation
•Flexible scheduling
•Cross training opportunities
•Medical, dental, and vision insurance
•HSA accounts with employer contributions
•401(k) eligibility with employer match
•Paid holidays
•Defined PTO and sick time programs
•Eligibility for benefits will vary based on role type and hours worked

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