SmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, our platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial. Become a Smartian and help optimize the way the healthcare system works for everyone. Learn more at smarterdx.com/careers.
Senior Manager, Integration Support
Role
As a servant leader, you will build, lead, and scale SmarterDx’s Integration Support function, owning the reliability and performance of hundreds to thousands of live integrations across complex inpatient and acute care health systems. This role is the operational counterpart to the Integration Engineering and Solution Engineering build functions within the Integration team, ensuring that what is built is stable, resilient, and trusted long after go live.
You will deliver a high touch, enterprise grade support model that reinforces confidence with CIOs, IT leaders, and interface teams. With a strong blend of people leadership, HL7, and operational discipline, you understand the realities of supporting HL7v2, database extracts, FHIR/API integrations, and file-based transfer data feeds supporting production hospital environments. You bring structure to high stakes situations, simplify technical complexity, and position SmarterDx as a long term strategic partner.
In close partnership with Product, Engineering, and Implementation, you will mature the systems, processes, and team required to support 500+ HL7v2 interfaces and growing. This is both a strategic and hands-on leadership role focused on scale, risk management, and continuous improvement.
**This role is fully remote within the US**
What You’ll Do
- Lead and scale SmarterDx’s Integration Support (Tier 2/Tier 3) function, owning reliability and performance across 500+ HL7v2 interfaces and growing, in addition to providing support for FHIR, API, sFTP, and database interfaces.
- Serve as the senior escalation point for high severity production incidents, driving structured triage, root cause analysis, and clear executive level communication.
- Design and operationalize a best in class support model including SLAs, severity frameworks, escalation pathways, change management standards, and formal post incident reviews.
- Establish proactive monitoring, alerting, and interface health frameworks to reduce incident volume and improve response time across all client integrations.
- Partner closely with Implementation groups to ensure clean handoffs from build to production support, including operational readiness reviews and documentation standards.
- Identify recurring failure patterns across client environments, EHR upgrades, and product releases, and translate findings into systemic improvements.
- Mentor and grow a high performing remote team of Integration Support Engineers, fostering ownership, technical depth, and a strong customer service mindset.
- Act as a trusted partner to client IT and interface teams, reinforcing SmarterDx’s reputation as a reliable, enterprise grade integration partner.
What You Bring
- 8-12+ years of experience in healthcare technology, with deep hands-on expertise in HL7 integrations supporting enterprise inpatient and acute care hospital systems.
- 3+ years of experience leading technical support teams supporting complex, multi-client production environments.
- Strong command of troubleshooting techniques for supporting integrations across HL7v2, APIs, sFTP, and database extracts, including troubleshooting interface engines and common failure scenarios across integrations impacting inpatient EHR systems such as Epic or Cerner.
- Demonstrated ability to manage high severity incidents with composure, structure, and executive level communication.
- Passion for building high quality support organizations, with a track record of improving SLA performance, reducing incident recurrence, and strengthening customer trust.
- Experience defining and operationalizing runbooks, monitoring standards, escalation models, and post incident review frameworks.
- Ability to translate technical interface issues into clear business impact for both internal leadership and customer stakeholders.
- Comfort operating in high growth environments where processes must be built, refined, and scaled.
- Strong SQL skills and hands on technical troubleshooting capability across data feeds and downstream dependencies.
Nice To Haves
- Expertise across multiple inpatient EHR platforms, with certifications or extensive experience in Epic, Cerner, or Meditech.
- Experience with Rhapsody Integration Engine certification.
- Experience/certifications in AWS or Snowflake.
- Background in CDI, clinical documentation workflows, or hospital revenue cycle operations.
Our Tech Stack
- Rhapsody, Snowflake, Hex, Zapier, Figma, Salesforce, Google Suite, JIRA, Slack
- $160K to $180K base + benefits
#LI-Remote
- Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
- Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
- Remote-First Team – Work from anywhere in the U.S.
- Unlimited PTO & 10 Holidays – So you can relax and recharge.
- 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
- Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
- Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.
Top Skills
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