Technical Lead – Healthcare Integration Engineer
Posted on May 22, 2026 (3 days ago)
Technical Lead – Healthcare Integration Engineer
Position: Technical Lead – Healthcare Integration Engineer
Department: Regulatory Affairs and Quality Systems
Hiring Manager: Head of EHR Technology
Company: Amalgam Rx, Inc.
Company Overview
At Amalgam Rx our mission is to empower patients and providers to make the best decisions possible in the provider workflow and in patients’ everyday lives. We deliver EHR solutions and a modular SaMD platform used by life sciences companies, health plans, and provider organizations to reimagine healthcare and scale across health systems globally.
Amalgam combines design, clinical science, and engineering to create regulated digital products including digital medicine, patient identification, clinical decision support, and clinical trial recruiting. Our platform supports millions of patients and has helped providers make millions of decisions.
About the Role
We are seeking a Technical Lead – Healthcare Integration with 7–10 years of experience (or equivalent depth) to lead end-to-end delivery of CDS- and EMR-focused integrations. This is a player-coach role that includes hands-on engineering, architecture, roadmap ownership, mentoring, and ensuring operational excellence of a production platform.
Position Type: Full-time, 40 hours per week
Location: U.S. remote
Job Responsibilities
Technical Leadership & Roadmap Ownership
- Own technical roadmap and execution for CDS and EMR integrations, aligning with product strategy and customer commitments
- Define quarterly and long-term architecture and delivery plans, including prioritization and dependency management
- Establish engineering standards, best practices, and reference architectures for interoperability
- Drive technical decision-making across performance, scalability, security, and maintainability
End-to-End Delivery Ownership
- Lead full lifecycle of integrations: discovery & requirements; architecture & design; development management; certification & validation; implementation & go-live; reporting & optimization
- Ensure delivery predictability, quality, and adherence to timelines
Integration Architecture & Development
- Design and implement scalable integrations using FHIR (R4+), CDS Hooks, SMART on FHIR
- Support and modernize legacy integrations: HL7 v2, HL7 v3/CDA, X12
- Define patterns for synchronous, asynchronous, and event-driven integrations
- Contribute hands-on to backend and frontend development as needed
Cross-Functional & External Collaboration
- Act as primary technical interface with product, engineering, program/delivery, customer success, data science, and external EHR/vendor teams
- Lead technical discussions with client IT and clinical stakeholders and translate clinical/business needs into technical solutions
Platform Health & Operations
- Own platform reliability, scalability, SLAs/SLOs, observability, and incident response
- Ensure security, compliance, and data governance best practices (HIPAA, ONC, CMS)
- Drive cost optimization and performance tuning across cloud infrastructure
Data & Cloud Engineering
- Design and manage data models and persistence using PostgreSQL
- Optimize data pipelines and leverage AWS services (Lambda, API Gateway, SQS/SNS, S3, RDS, ECS/EKS)
- Define CI/CD pipelines and release management strategies
Team Leadership & Mentorship
- Mentor and grow engineers through coaching, reviews, and career development
- Provide technical guidance, unblock team members, and contribute to hiring and onboarding
Required Qualifications
- 7–10 years of experience in healthcare integration and/or software engineering
- Proven experience leading technical design and delivery of complex integration projects
- Strong experience with PostgreSQL and relational data modeling
- Experience with AWS cloud and serverless/microservice architectures
- Familiarity with Ruby on Rails or similar backend frameworks
- Exposure to frontend frameworks (React, Vue, or similar)
- Demonstrated ability to own roadmap, execution, and cross-functional alignment
- Strong understanding of healthcare workflows, terminology, and interoperability concepts
- Experience writing and reviewing healthcare technical specifications and implementation guides
Preferred / Nice-to-Have Qualifications
- Experience integrating with major EHRs (Epic, Cerner, Athena, eCW, Meditech)
- Deep hands-on experience with FHIR (R4 preferred) and RESTful API design
- Practical experience with CDS Hooks and clinical decision support systems
- Strong working knowledge of HL7 v2, HL7 v3/CDA, and X12 standards
- Experience with event-driven architectures and message queues
Compensation & Benefits
Amalgam offers competitive compensation, outstanding benefits, plus equity ownership for all employees.
How to Apply
Apply by emailing your resume to [email protected] or to [email protected] (Head of EHR Technology). You may also email [email protected] as an alternative.
Other Application Options
The page includes an "Apply Now" link and a contact form on the careers site for submissions. If you have questions, use the contact channels on the Amalgam Rx careers page.