Application Systems Programming Specialist (Remote)

Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments.

Essential Functions

Mirth Connect (Primary Focus)

Develop, maintain, and monitor HL7 / FHIR interfaces using Mirth Connect.

Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.).

Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery / High Availability (DR / HA) documentation and validation.

Collaborate with platform specialists to ensure high availability and platform integrity.

Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors.

Coordinate with offshore / onshore teams for 24x7 support coverage.

InterSystems HealthShare (Strategic Focus)

Participate in the pilot deployment of HealthShare Health Connect.

Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble).

Support platform consolidation planning across fragmented integration engines.

Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment.

Interoperability & Standards

Work closely with the Technical Integration Manager and enterprise architecture team.

Implement and support workflows involving HL7 v2 / v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA).

Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases.

Documentation & Communication

Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans.

Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies.

Qualifications

Bachelor's degree in Computer Science or Information Technology.

8+ years of hands-on integration engine experience in a healthcare integration environment.

5+ years of hands-on Mirth Connect experience in a healthcare integration environment.

Strong working knowledge of HL7 v2.x, FHIR, CCD / CDA, and interfacing protocols.

At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble).

Experience supporting production interfaces in mission-critical hospital or HIE environments.

Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic.

Basic scripting experience (JavaScript, XSLT, or Python preferred).

Ability to contribute to a 24x7 on-call rotation.

Preferred Qualifications :

Experience with cloud-based integration (Google Cloud Platform preferred).

Familiarity with Carequality / CommonWell networks, immunization registries, and HIE frameworks.

Understanding of HIPAA, HITECH, and healthcare compliance.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to : hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.