Senior Integration Engineer

About DrFirst

For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth.

Here you will get to work with some of the smartest and most interesting people around, solving unique and complex challenges in healthcare on a scale matched by few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, and care about working with smart colleagues, we want to talk to you!

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

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 work https://drfirst.com/company/about-us/careers/.

Our recruitment process at DrFirst is straightforward and secure. You will only be contacted by our recruitment team through an official @drfirst.com email address. We will never ask you for payment or sensitive personal information, such as your social security number or banking details, at any stage of the hiring process. Additionally, we will not request that you purchase equipment or accept e-checks or checks for deposit. If you encounter any communications claiming to be from DrFirst that seem suspicious, please contact our recruitment team directly at recruiter@drfirst.com to verify the message's authenticity. Your security is important to us!

Learn more about our benefits and professional development opportunities https://drfirst.com/company/about-us/careers/the-perks/.