Senior Software Engineer, EMR Integrations
Location: Remote/Austin
Type: Full-Time
Reports to: VP of Engineering
Our Story 💡
At Titan Intake, we are united by a mission our founders experienced firsthand: the complexity and chaos of referral and intake workflows in healthcare. Whether as patients, operators, physicians, or technologists, we’ve lived the pain of broken access and inefficient coordination
What began as a purpose-built referral automation product has evolved into a full-stack AI platform designed to streamline patient access across health systems of all sizes. From independent surgical specialists to enterprise-scale networks, our goal is to help the helpers: enabling access teams to move faster, reduce delays, and deliver better care.
Today, we’re scaling fast—with deeply held values, a clear vision, and an expanding customer base. To support that growth, we’re hiring a foundational Senior Software Engineer to architect, build, implement and support our library of reusable integrations.
Who You Are
You’re detail-oriented, systems-minded, and passionate about solving real-world problems in healthcare through clean, reliable integration architecture. You understand how data moves across the healthcare ecosystem and are excited to build the connective tissue that powers better care delivery. You are eager to work at the cutting edge of FHIR-first healthcare integration design, helping our clients push the boundaries of what's possible to advance the mission of improving patient access.
What You’ll Do
Design and implement a reusable library of FHIR-first, real-time, API-driven EMR integrations
Translate JSON, HL7 v2/v3 messages into FHIR resources and back
Develop, test, and deploy APIs to support real-time, secure exchange of clinical and patient data
Collaborate with internal product, engineering, and client teams to understand integration needs and translate them into scalable technical solutions
Create and maintain Interface Design Documents and data mapping specifications
Implement security and authentication protocols (e.g., OAuth2, SMART on FHIR)
Monitor integration performance and troubleshoot issues to ensure reliability and uptime
Contribute to the development of best practices and internal tooling for integrations and integration reliability
Support Customer Success and Support in integrations delivery and support
Support sales in scoping and designing integrations
Must-Haves
Experience working in a startup, especially a digital health, health tech, or SaaS startup
You hold a 4-year degree in computer science, software engineering, or a related field (or equivalent experience)
You bring 7+ years of professional software development experience across frontend and backend with an emphasis on backend
You have some experience with TypeScript, React, and Node.js
You write clean code, great unit tests and integration tests
You work well and are comfortable in LLM-first and LLM-assisted coding environments
Experience integrating with major EHR platforms (e.g., Epic, Cerner, Athenahealth, Allscripts)
3+ years of experience with HL7 FHIR standards and FHIR resources (Patient, DocumentReference, ServiceRequest, Medication, etc.)
Proficiency with HL7 v2 message structures (ADT, MDM, ORU) and transformation into FHIR formats
Experience developing or configuring APIs with RESTful architecture
Familiarity with OAuth2 authentication flows
Strong communication skills and ability to work cross-functionally with clinical and technical stakeholders
Hands-on experience with at least one integration engine (e.g., Mirth Connect, Cloverleaf, Rhapsody, etc…)
Nice-to-Haves
Experience building out a library of EMR integrations at another healthcare startup
Experience building SMART on FHIR Apps with FHIR Write Back
Experience leading a team
Experience with Robotic Process Automation integrations (platforms like UI Path, Automation Anywhere, Robocorp, Blue Prism or similar)
Experience with cloud platforms and cloud native serverless architectures (AWS, Azure, or GCP)
Familiarity with SMART on FHIR and OAuth2 authentication flows
Knowledge of healthcare data exchange protocols and formats (CDA and C-CDA)
Familiarity with FHIR server implementations such as HAPI-FHIR, AWS HealthLake, Azure FHIR Service, Medplum, or similar platforms
Background in building integrations for scheduling, patient engagement, and registration
Exposure to SQL, scripting languages, or ETL pipelines
Certifications in HL7 FHIR, Mirth Connect, or related technologies
Experience with EMR integrations with Enterprise Content Management Systems (Hyland OnBase, OpenText Documentum or LaserFiche)
About the Team
You'll get to work with:
CEO/CTO, aligning on vision and product roadmap
Head of Infrastructure and DevOps
Head of Application Development, Head of AI, and Head of Integrations
We’re a smart and scrappy globally remote team that genuinely enjoys working together, takes our mission seriously (but not ourselves), and values empathy, transparency, and a bias toward action.
Our Hiring Process
Initial interview with a recruiter
Interview with the hiring manager
A take-home coding challenge
Meet with the Head of Integrations to review challenge
Final meeting with the Founders
Why Titan?
Competitive Salary and Benefits
Remote-friendly team
Mission-driven work solving meaningful problems in healthcare
Culture of learning, collaboration, and ownership and growth
