Senior Software Engineer - Mirth / Healthcare Interoperability

Join the team leading the next evolution of virtual care.

At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.

Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens.

Summary of Position

Teladoc Health is seeking a Senior/Mid Software Engineer – Mirth / Healthcare Interoperability to join our engineering organization and build, enhance, and support healthcare integrations that enable the secure and reliable exchange of clinical and operational data.

This is a hands-on engineering role focused on Mirth Connect, HL7v2, and healthcare interoperability. The engineer will design and implement complex integration workflows, troubleshoot production interfaces, collaborate with internal teams and external healthcare partners, and contribute to the evolution of our integration platform.

The ideal candidate brings strong expertise in Mirth Connect and HL7v2 , combined with solid software engineering, integration, debugging, and production support skills. Experience with FHIR, EHR/EMR integrations, and healthcare interoperability standards is highly valued.

Key Responsibilities

Healthcare Integration & Engineering

• Design, develop, configure, test, deploy, and maintain healthcare interfaces using Mirth Connect .

• Develop complex integration workflows for HL7v2 message parsing, transformation, validation, routing, and delivery .

• Develop reusable and maintainable JavaScript-based transformations and business logic within Mirth Connect.

• Integrate healthcare systems using TCP/MLLP, HTTP/HTTPS, SFTP , and other integration protocols.

• Translate business and technical requirements into robust, scalable, and production-ready integration solutions.

• Collaborate with internal engineering teams, healthcare organizations, and external vendors to design and implement interfaces.

• Contribute to the design and evolution of healthcare interoperability solutions and integration architecture.

• Identify opportunities to improve integration performance, reliability, maintainability, and operational efficiency.

Production Support & Reliability

• Monitor and support production healthcare interfaces and integration workflows.

• Diagnose and resolve issues involving message processing, transformation, routing, connectivity, certificates, and downstream systems.

• Troubleshoot network and protocol-level issues across MLLP, HTTP/HTTPS, and SFTP .

• Perform root-cause analysis for production incidents and implement sustainable corrective actions.

• Improve interface reliability through effective logging, monitoring, alerting, error handling, and operational automation.

• Participate in an on-call rotation supporting critical production integrations.

• Ensure integration solutions meet appropriate security, reliability, and operational standards.

Collaboration & Technical Leadership

• Partner with product managers, architects, engineers, analysts, and external vendors to deliver healthcare integration solutions.

• Communicate technical designs, issues, risks, and solutions clearly to technical and non-technical stakeholders.

• Participate in technical design and architecture reviews.

• Conduct code and configuration reviews and promote standards for secure, scalable, and maintainable integration development.

• Create and maintain technical documentation, including interface specifications, mapping documents, design documents, and operational runbooks.

• Mentor engineers and serve as a technical resource for Mirth Connect, HL7v2, and healthcare interoperability .

Contribute to engineering standards, reusable patterns, and continuous improvement across the integration platform.

Required Qualifications

• 5+ years of professional software engineering and/or healthcare integration experience , including 3+ years of hands-on experience developing and supporting Mirth Connect integrations .

• Strong, practical knowledge of HL7v2 , including message structure, segments, fields, components, repetitions, acknowledgments, and common message types.

• Demonstrated experience designing and implementing Mirth Connect channels , including connectors, filters, transformers, and JavaScript.

• Strong experience with TCP/MLLP, HTTP/HTTPS, and SFTP .

• Proven ability to troubleshoot connectivity, message delivery, transformation, routing, and downstream system issues in production environments.

• Working knowledge of JavaScript for Mirth transformations and integration logic.

• Understanding of SSL/TLS , certificates, keystores/truststores, and secure endpoint configuration.

• Working knowledge of SQL and relational databases .

• Experience with software development lifecycle practices, source control, testing, deployment, and production support.

• Strong debugging, analytical, and problem-solving skills.

Strong communication and collaboration skills, with the ability to work effectively across engineering teams, business stakeholders, and external partners.

Preferred Qualifications

• Hands-on experience with FHIR , including FHIR resources, APIs, and integration patterns.

• Experience with EHR/EMR integrations and healthcare information exchange.

• Experience with CCDA/C-CDA .

• Familiarity with XDS.b and XCA .

• Experience working with healthcare interoperability standards and architectures.

• Experience developing or integrating with REST APIs and web services .

• Experience with MongoDB or other NoSQL databases.

• Experience with other healthcare interface engines such as Rhapsody, Corepoint, Cloverleaf , or similar technologies.

• Experience with cloud platforms such as AWS, Azure, or GCP .

• Mirth Connect Certified Developer (MCCD) certification.

• Participation in Mirth Connect, healthcare interoperability, or open-source technical communities.

As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.

Why join Teladoc Health?

• Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission .
• Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
• Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day.
• Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
• Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
• Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn .

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link .