Medical Systems Integration developer

We are seeking an experienced Principal Integration Engineer to lead the design, implementation, and optimisation of healthcare system integrations across clinical and diagnostic environments.

This is a senior, hands-on role requiring deep expertise in HL7 messaging, DICOM workflows, and healthcare interoperability, with a strong background in laboratory, radiology, and screening systems. You will act as a technical authority, working across vendors, clinical teams, and IT stakeholders to deliver robust, scalable integration solutions.

Key Responsibilities

Integration Architecture & Delivery

  • Design and implement HL7 interfaces, DICOM integrations, and workflow solutions
  • Lead integration development using platforms such as Mirth Connect
  • Architect end-to-end interoperability across LIMS, RIS/PACS, Order Communications, and clinical systems
  • Ensure high availability, scalability, and performance of integration pipelines

Technical Leadership

  • Act as Principal Engineer / SME for all integration-related initiatives
  • Define best practices, standards, and governance for integration design
  • Lead troubleshooting, root cause analysis, and proactive maintenance

Stakeholder & Vendor Engagement

  • Liaise with clinical stakeholders, NHS teams, and third-party vendors
  • Translate clinical workflows into technical integration solutions
  • Manage vendor relationships and support escalations

Delivery & Support

  • Lead integration projects including upgrades, migrations, and new deployments
  • Oversee UAT, validation, and go-live support
  • Provide 3rd level support for critical systems

Required Skills & Experience

Essential

  • Experience in Healthcare / Clinical IT systems
  • Strong expertise in:
    • HL7 (v2.x messaging, Order/Result workflows)
    • DICOM integrations and imaging workflows
    • Integration engines (e.g. Mirth Connect)
  • Experience with:
    • LIMS (e.g. TelePath or equivalent)
    • RIS/PACS systems
    • Order Communications / e-Results
  • Proven experience leading integration architecture and delivery
  • Strong troubleshooting and problem-solving capability
  • Experience with diagnostic platforms (e.g. screening systems, lab middleware)
  • Knowledge of NHS clinical workflows and standards
  • Familiarity with:
    • Middleware solutions (e.g. Abbott AlinIQ AMS)
    • Automation tracks and lab instrumentation
  • Experience in cloud or hybrid integration environments

*Rates depend on experience and client requirements

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Job Details

Company
Salt
Location
Slough, Berkshire, UK
Employment Type
Full-time
Posted