Senior Integration Engineer (US)

About the Role 

As a Senior Integration Engineer, you will own how clinical data and AI agents cross the boundary of Innovaccer's on-premise platform. On the clinical side, that means inbound HL7 v2 feeds over MLLP, outbound HL7 delivery through controlled egress, and FHIR R4 APIs that expose platform data through standard profiles. On the agent side, it means implementing the emerging interoperability protocols, Model Context Protocol (including healthcare-specific HMCP patterns) and Agent-to-Agent (A2A), that let AI agents interact with the platform safely inside a locked-down network. This role sits at the intersection of healthcare interoperability standards and agent-era infrastructure.

A Day in the Life

• Build and operate inbound clinical feeds: HL7 v2 message ingestion (ADT, ORU, and related event types) over MLLP, with acknowledgment handling, error queues, and replay.
• Design outbound clinical delivery paths through gateway-controlled egress in a default-deny network model.
• Implement FHIR R4 APIs and resource mappings against standard implementation guides, including terminology handling across code systems.
• Build agent interoperability surfaces: MCP servers exposing platform capabilities, HMCP patterns for healthcare-safe agent access, and A2A flows with proper authentication and authorization.
• Define integration patterns that hold under strict network isolatio