IT Consultant - Integrations Solutions

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health Technology Solutions

Pursue your passion for caring and innovation with Duke Heath Technology Solutions, which is dedicated to the transformation, development, and management of enterprise information technology solutions across Duke Health. By harnessing the power of innovative technologies like cloud computing and artificial intelligence — and pairing them with a forward-thinking approach — Duke Health Technology Solutions is revolutionizing the future of health care at Duke Health and beyond.

Occupational Summary

Duke Health is establishing a Digital Enablement Team to provide a durable throughline to rapidly move digital and AI-enabled solutions from idea to pilot to readiness for scale. The Integrations Solutions IT Consultant provides dedicated integration expertise, defining and developing reusable patterns across clinical, operational, and partner platforms and supporting their transition into durable platform service teams.

The consultant designs integration architecture using APIs, HL7/FHIR, messaging, and reusable interface patterns. The role partners with product, engineering, clinical, operational, vendor, and platform service teams to deliver interoperability solutions that are reliable, scalable, observable, and supportable.

Success in this role requires strong organization, technical documentation, and Agile delivery skills. The consultant translates clinical, operational, and partner needs into practical integration patterns, technical requirements, and implementation-ready solutions.

By applying healthcare interoperability expertise, the role helps Duke Health reduce one-off integrations, coordinate effectively with vendors and platform teams, and scale digital and AI-enabled solutions across the enterprise.

Reports To

Reports to Allen Coleman, Sr. Director, Integrations — CTO Strategy & Architecture, with a dotted-line relationship to Jennifer Maddocks, Director, Digital Strategy Office.  This role sits with the Integrations team and has no supervisory responsibility.

Essential Tasks/Responsibilities

• Design, develop, and document integration architecture using APIs, HL7/FHIR, messaging, and reusable interface patterns across clinical, operational, and partner platforms.
• Establish and govern reusable integration patterns that reduce one-off interfaces, limit vendor dependency, and support enterprise reuse.
• Design integrations for reliability, scalability, observability, supportability, and high availability, including monitoring and operational readiness needs.
• Collaborate with product, engineering, clinical, operational, Digital Enablement, application, and technical teams to translate workflow needs into practical integration solutions.
• Coordinate with vendors and platform service teams to troubleshoot integrations, support production transition, and enable durable operational support.
• Support Epic and non-Epic integration work, including Epic APIs, AI model integrations, SMART on FHIR flows, OAuth2, Basic Auth, SFTP and related vendor service integrations.
• Develop and maintain monitoring resources, technical documentation, Nova Notes, and integration artifacts needed to support APIs, AI models, and production operations.
• Perform other related duties incidental to the work described herein.

Knowledge/Skills

Required:

• Expertise in healthcare integration and interoperability, including API design, HL7/FHIR, messaging/interface patterns, SMART on FHIR, OAuth2, Basic Auth, SFTP and vendor service integrations.
• Ability to design reliable, scalable, observable, supportable, and highly available integration solutions for clinical, operational, partner, and AI-enabled workflows.
• Strong knowledge of Epic integration capabilities, Epic APIs, AI model integrations, Nova Notes, Chronicles data structures, and related Epic certification or proficiency requirements.
• Experience establishing reusable integration patterns, maintaining pattern governance, and documenting solutions for transition to platform service teams.
• Working knowledge of Agile and Scrum, with hands-on experience delivering integration work in sprints alongside product and engineering teams.
• Ability to translate clinical, operational, and business requirements into technical requirements, architecture diagrams, detailed design specifications, and implementation-ready solutions.
• Strong communication and presentation skills, including the ability to explain complex technical concepts to clinical, operational, technical, and senior leadership audiences.
• Demonstrated collaboration, meeting facilitation, vendor management, conflict resolution, and problem-solving skills across cross-functional teams.
• Strong organizational skills, with the ability to manage multiple work streams, prioritize effectively, and maintain composure when addressing complex or urgent technical issues.

Education/training

Required:

• Work requires technical knowledge generally acquired through completion of a bachelor’s degree program in a related field or equivalent experience, with five years of technical experience including development and knowledge of Chronicles programming.
• Epic certification or proficiency required.

Experience

Required:

• Related integration and interoperability architecture experience in a healthcare setting, including HL7/FHIR, API design, messaging/interface patterns, and participation in Agile or sprint-based delivery.
• Three years of experience with API development.

This job description outlines the general duties and responsibilities typically associated with this position and is not intended to be an exhaustive list of all tasks. It serves as a guide to the expected level of engagement and the variety of tasks that may be required. Employees may be asked to undertake tasks beyond those specifically listed here, as needed. This flexibility ensures that the evolving needs of the organization can be met.