The Integration Engineer leads the design, governance, and maintenance of enterprise-level interoperability systems supporting imaging workflows, patient identity management, and cross-system data exchange. This role blends architectural vision with hands-on administration of interface platforms and health data standards that drive our connected radiology ecosystem. The ideal candidate combines deep technical expertise in HealthShare/IRIS (or similar integration engines) with strong familiarity in radiology information systems (e.g. Royal, eRAD) and data interoperability across DICOM and HL7/FHIR protocols. Build, configure, and maintain interfaces and data transformations using ObjectScript, HL7 v2.x, FHIR, CCD/CDA, JSON, and XML standards Oversee and optimize HealthShare/IRIS engines for scalability, uptime, and data fidelity Implement and manage automation pipelines for interface deployment, configuration management, and testing. Document technical specifications, workflow diagrams, and test plans to support knowledge transfer and operational continuity. Architect and administer the organization’s enterprise interoperability and interface framework supporting RIS, PACS, and EHR integrations Position Requirements: 5+ years of experience developing or administering integration platforms such as InterSystems HealthShare, IRIS Expertise in healthcare interoperability standards: HL7 v2, FHIR, CDA/CCD, JSON/XML mapping. Demonstrated experience with DICOM workflows and DICOM-to-HL7 data transformation in radiology environments. Familiarity with Radiology Information Systems (Royal, eRAD, or equivalent). Understanding of patient identity management, record matching, and Master Patient Index (MPI) administration. Strong grasp of integration protocols: MLLP, REST, SOAP, SFTP. Advanced knowledge of healthcare compliance (TEFCA, 21st Century Cures Act), privacy (HIPAA, and regulatory standards (NIST). Preferred: Bachelor's Degree. Experience supporting large, multisite imaging organizations with distributed RIS/PACS environments. Knowledge of API management, containerized interface deployment (Docker/Kubernetes), or message queuing infrastructure. Proven success in remote or hybrid collaboration and stakeholder communication. Experience architecting or migrating integration systems within cloud environments (AWS, GCP) Certification in InterSystems Healthshare, HL7, or integration architecture a plus AWS or GCP Health Interoperability Certifications a plus Physical Requirements: Standard office environment. More than 50% of the time: Sit, stand, and walk. Repetitive movement of hands, arms and legs. See, speak and hear to be able to communicate with patients. Less than 50% of the time: Stoop, kneel or crawl. Climb and balance. Carry and lift 10-20 pounds. Residents living in CA, NY, Jersey City, NJ, WA and CO click here to view pay range information. #LI-remote Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.