Senior Integration Engineer

Founded in 2019 and headquartered in Pittsburgh, PA, Free Market Health supports forward-thinking payers and specialty pharmacies of all sizes who need to operate in a complex and opaque market. We empower all stakeholders to optimize resources and maximize opportunities while focusing on the most important stakeholder of all: the patient.

Role Overview:

As a member of the Technology Services team at Free Market Health, the Senior Integration Engineer will own and lead integration projects from initiation through go-live, serving as the primary technical contact for clients and internal teams. This role demands strong autonomy in managing complex healthcare integrations and close collaboration with customers and cross-functional teams across Free Market Health.

Company Culture:

At Free Market Health, culture is foundational. We operate as a collaborative center of excellence where people are at the core of everything we do. Our mission—never let the process fail the patient—guides every decision.

We value integrity, grit, collaboration, and adaptability. We foster an environment that supports growth, innovation, and inclusivity. Employees are not just numbers; they're essential partners in redefining the specialty pharmacy experience. We celebrate teamwork through engaging events, encourage open communication, and invest in leadership development to make FMH the best place to work and the top choice for industry talent.

What You'll Do:

• Own end-to-end integration solution delivery with FMH partners, including discovery, architectural alignment, build, testing, deployment, and operational handoff.
• Create and maintain interface documentation and test plans to support knowledge sharing.
• Collaborate with PMO, Product, Client Success, Pharmacy Operations, and Security to translate business rules into robust, testable technical specifications.
• Enhance reliability and performance through automation, logging, observability, CI/CD, and post-incident reviews.
• Ensure compliance with HIPAA, SOC2, and HITRUST control framework.
• Serve as the technical owner of integration solutions, facilitate testing calls and maintain test plans. Lead project development, deployment, and monitoring efforts.
• Handle escalations and coordinate resources to ensure timely resolution.
• Demonstrate strong communication skills in all client interactions.
• Flexibly align work to client demand.

Qualifications:

• Minimum 5 years of experience delivering complex production integrations in healthcare or similarly regulated domains, with clear ownership from design through go-live.
• Hands-on experience with integration engines (preferably NextGen Mirth Connect) and strong JavaScript skills for transformation logic.
• Working knowledge of interoperability standards and protocols, including FHIR, REST/SOAP, JSON/XML, and other common healthcare exchange patterns.
• Expertise in Azure SQL Server, including stored procedures, database architecture and tuning, query optimization, and performance monitoring.
• Solid understanding of networking fundamentals and authentication/authorization mechanisms.
• Strong communication skills, with the ability to work cross-functionally with external technical teams and internal stakeholders.
• Ability to learn complex business processes and apply technical solutions effectively.
• Mentorship capability, coaching less experienced team members on support, development, and implementation best practices.

Benefits & Perks:

• Comprehensive healthcare coverage, including medical, dental, vision.
• Paid holidays and unlimited paid time off.
• 401(k) savings plan with company match.