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Position Overview

At Adaptive, we are revolutionizing diagnostic testing by delivering precise, timely, and actionable insights to healthcare providers and their patients. Our mission is to harness cutting-edge technology and data integration to ensure MRD results drive better clinical outcomes. As part of that mission, we are seeking an Integration Engineer to support EMR and LIS integrations across our clinical network.

This role partners with internal teams, external vendors, and healthcare organizations to deliver and maintain reliable EMR and LIS integrations supporting ordering, results delivery, and clinical data exchange, and owns the technical strategy and integration architecture across a portfolio of customer integrations.

This role is responsible for designing, configuring, testing, and deploying HL7, FHIR, and API-based interfaces and workflows, including establishing establishes reference architectures, standards, and guardrails that drive global process improvements across integration initiatives. This includes analyzing and mapping healthcare data, validating interoperability, and troubleshooting issues to improve stability across systems and reliability across the integration portfolio. Expertise with Mirth Connect is required.

This role also collaborates with product and engineering teams to support live integrations, enhance automation, and optimize performance as Adaptive expands its data connectivity footprint. These collaborative partnerships require the role to demonstrate subject matter expertise as the primary technical function for our integration portfolio and related systems.

Key Responsibilities and Essential Functions

Collaborate Across Partners: Work with external vendors, EMR partners, and hospital IT teams to negotiate technical scope, SLAs, and timelines. Partner daily with internal stakeholders and departmental leaders to align integration strategy with business imperatives.
Drive Support Processes and Technical Operations: Design and operate technical onboarding/go‑live playbooks and post‑launch support models. Define and own SLOs, error budgets, error monitoring, and incident response processes. Lead major incident resolution and root‑cause analysis; implement corrective actions that improve system-wide reliability and efficiency.
Design and Validate Interfaces: Define architecture for HL7, FHIR, and API-based interfaces across EHR platforms (Epic, Cerner, Athena, etc.). Standardize mappings, streamline validation, and maintain configurations to ensure compliance and interoperability at scale.
Ensure Data Quality: Analyze, map, and troubleshoot clinical data to maintain accuracy and integrity across systems. Engineer data quality controls and maintain test plans to ensure scalability across platforms.
Enhance and Optimize Solutions: Partner with product and engineering teams to support live integrations by owning technical integration health measurement, KPIs, and performance visualization. Drive automation for deployment, testing, and monitoring. Continuously drive workflow evolutions to improve reliability across the portfolio.
Serve as Integration SME: Provide expert guidance on EMR connectivity, interface troubleshooting, and best practices for scalable deployment. Represent the technical function on organization‑wide initiatives and communicate complex concepts to non‑technical audiences.
Standardize and Scale: Author and maintain standards, documentation, playbooks, and SOPs that enable efficient, repeatable integrations. Establish change‑management and versioning practices to ensure consistency and auditability across deployments.
Advance Integration Strategy: Co-develop the long-term connectivity roadmap through ownership of technical infrastructure decisions for integration platforms. Evaluate emerging standards with internal stakeholders to ensure alignment with organizational and interoperability goals.
All other duties as assigned

Position Requirements (Education, Experience, Other)

Required

Bachelor’s degree + 7 years of experience of related experience (or Master’s + 5 years) in Health IT integration, EMR interoperability, or a closely related field
Proven technical leadership of multiple cross‑functional integration initiatives
Deep proficiency in HL7 v2 (ADT, ORU, ORM, etc.), FHIR (R4), and API-based integrations (REST, SOAP, OAuth 2.0, JSON, XML)
Hands-on experience with EHR systems such as Epic (Aura, Care Everywhere), Cerner, Flatiron, or similar platforms
Mirth Connect expertise
Strong JavaScript for data validation and troubleshooting, familiarity with Unix command-line, Git, and serialization formats (JSON, CSV, XML)
Demonstrated ability to analyze, map, and validate healthcare data to ensure data quality and interoperability; demonstrated ability to implement function‑wide quality controls that improve overall efficiency and reliability
Deep understanding of HIPAA, PHI security, and regulatory compliance in clinical data exchange environments; ability to embed these requirements in standards and operational practices
Proficiency with monitoring and logging tools to track interface performance and resolve production issues, define KPIs, and drive incident/issue-management improvements
Exceptional communication and documentation skills; able to translate technical concepts for non-technical audiences, including business leadership, and mentor client/internal teams
Demonstrated success managing multiple concurrent integrations with detailed workflows, test plans, and go-live documentation
Detail-oriented with a focus on system stability, data integrity, and post-go-live optimization

Preferred

Experience with genetics, oncology, laboratory workflows, or clinical decision support integrations
Strong analytical and problem-solving skills with a commitment to clear, scalable documentation
High emotional intelligence and proven ability to thrive in fast-paced, dynamic environments while managing competing priorities
Passion for exceptional client service and intrinsic motivation to deliver excellence in diagnostics or health IT settings

Working Conditions

Primarily remote with infrequent travel (up to 5%) for client engagements, go-lives, and/or training.
May require occasional work during evenings or weekends to support critical implementations.
Daily use of a computer and virtual communication tools; must be able to read, write, and communicate clearly in digital formats

#LI-Remote

Compensation

Salary Range: $90,000 - $135,000

Other compensation elements include:

equity grant
bonus eligible

ALERT: Malicious groups posing as Adaptive employees have recently used fraudulent email aliases to extend employment offers, provide fake documents, and request sensitive personal and financial information. Legitimate Adaptive employment opportunities are initiated through our careers page and extended after multiple interviews with verified employees. Adaptive does not ask new hires to purchase anything out-of-pocket, including home office supplies and equipment.

Interested in this position, but don’t meet all the requirements? Adaptive is committed to building diverse, equitable, and inclusive teams across our organization. Please consider applying even if your experience doesn’t match all the qualifications; you may be the exact candidate we’re searching for!

Adaptive is not currently sponsoring candidates requiring work authorization support for this position.

Adaptive’s posted compensation information includes a base salary (or hourly rate) range and summary of other available total compensation. The base salary range represents a minimum-to-maximum salary (or hourly rate) available to candidates upon extension of offer. Base salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate’s ability to meet minimum qualifications (skills/experience/education), a candidate’s ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. Listed base salary is exclusive of bonus, commission, equity, differential pay, benefits, and other incentives.

Adaptive's benefits at-a-glance.

Adaptive Biotechnologies is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Please refer the “Know Your Rights: Workplace Discrimination is Illegal” Poster for more information. If you’d like to view a copy of the company’s affirmative action plan or policy statement, please email [email protected].

If you have a disability and you believe you need a reasonable accommodation to search for a job opening or to submit an online application, please e-mail [email protected]. This email is created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.

NOTE TO EMPLOYMENT AGENCIES: Adaptive Biotechnologies values our relationships with our Recruitment Partners and will only accept resumes from those partners who have active agreements with Adaptive. Adaptive Biotechnologies is not responsible for any fees related to resumes that are unsolicited or are received by any employee of Adaptive Biotechnologies who is not a member of the Human Resources team.

Integration Engineer, EMR Connectivity

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