App Systems Programming Specialist

Job Description

Job Summary

The Application Systems Programming Specialist is an advanced technical role responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. This specialist demonstrates expertise in industry trends, best practices, and interface programming using tools such as Rhapsody and HL7. The role involves ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance.

Essential Functions

• Mirth Connect (Primary Focus)

  • Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect

  • Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.)

  • Handle Mirth upgrades, performance tuning, and participate in DR/HA documentation and validation

  • Collaborate with platform specialists to ensure high availability and platform integrity

• Integration & Support

  • Provide end-to-end support for hospital-specific integrations, state reporting, PHR workflows, and EMR conversions

  • Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors

  • Coordinate with offshore/onshore teams for 24x7 support coverage

• InterSystems HealthShare (Strategic Focus)

  • Participate in the pilot deployment of HealthShare Health Connect  

  • Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble)

  • Support platform consolidation planning across fragmented integration engines

  • Assist in evaluating cloud-hosted options (e.g., GCP) for future-state deployment

• Interoperability & Standards

  • Work closely with the Technical Integration Manager and enterprise architecture team

  • Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, CCD, CDA

  • Contribute to roadmap planning for advanced HIE participation, API adoption, and care coordination use cases

  • Documentation & Communication

  • Develop and maintain documentation including design specs, test cases, support runbooks, and DR plans

  • Communicate with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies

Qualifications

• 5+ years of hands-on Mirth Connect experience in a healthcare integration environment

• Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols

• At least 2 year of experience   with InterSystems HealthShare (Health Connect or Ensemble)

• Experience supporting production interfaces in mission-critical hospital or HIE environments

• Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic

• Basic scripting experience (JavaScript, XSLT, or Python preferred)

• Ability to contribute to 24x7 on-call rotation

• Preferred:

  • Experience with cloud-based integration (GCP preferred)

  • Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks

  • Understanding of HIPAA, HITECH, and healthcare compliance