Develop, customise, and support InterSystems TrakCare healthcare applications using Caché, MUMPS, and Cache ObjectScript. Configure Ensemble interfaces, integrate REST APIs, build SQL reports and automation, optimise queries, conduct code reviews, and resolve defects. Support UAT, go-lives, deployments, and post-implementation stabilisation across hospital units while collaborating with clinical, administrative, and technical stakeholders.
This is a remote position.
Role OverviewIntegrella is seeking a skilled Healthcare IT Engineer to design, develop, and support enterprise healthcare information systems built on the InterSystems technology stack. This role centres on InterSystems TrakCare HIS, Caché/MUMPS, and Caché ObjectScript development, with a focus on building reliable, well-integrated, and high-performing clinical and revenue-cycle solutions for hospital clients.
You will develop and maintain Caché ObjectScript solutions, configure and troubleshoot integration interfaces using the Ensemble integration engine, build SQL-based reporting and automation, and support end-to-end deployments and go-lives across multiple hospital units, working closely with both technical teams and clinical stakeholders.
- Develop, customise, and maintain healthcare applications on the InterSystems TrakCare platform using Caché/MUMPS and Caché ObjectScript
- Design Caché classes encapsulating business logic, data access layers, and reusable components to improve modularity and maintainability
- Configure, integrate, and troubleshoot interfaces using the Ensemble integration engine to ensure reliable data exchange between clinical and administrative systems
- Develop and integrate RESTful APIs, including payment gateway and third-party healthcare and insurance integrations
- Build and optimise SQL-based data extraction, reporting, and reconciliation scripts to support operational and MIS reporting
- Automate recurring reports and scheduled tasks using Caché ObjectScript and the MUMPS Task Manager (e.g. scheduled email and MIS delivery)
- Optimise SQL and Caché/MUMPS queries and stored procedures to improve data retrieval speed and overall system performance
- Perform code reviews and debugging to ensure adherence to coding standards, maintainability, and performance best practices
- Investigate and resolve integration issues, data-mapping discrepancies, and interface failures to improve data integrity and reduce downtime
- Support go-live, UAT, and post-implementation stabilisation across multiple hospital units, including configuration testing and end-user technical guidance
- Collaborate with clinical and administrative stakeholders to gather requirements and translate them into effective software solutions
- 2+ years of experience in healthcare IT / health information systems development and support
- Hands-on expertise with InterSystems Caché, Caché ObjectScript, and MUMPS development
- Proven experience developing and supporting the InterSystems TrakCare HIS platform
- Strong proficiency in SQL for data extraction, reporting, tuning, and validation
- Experience with the Ensemble integration engine for interface configuration and data exchange
- Experience designing and integrating RESTful APIs (e.g. payment gateway and third-party healthcare/insurance APIs)
- Experience automating reports and scheduled tasks using Caché ObjectScript and the MUMPS Task Manager
- Working knowledge of Core Java
- Experience with code review, debugging, and resolving software defects across release cycles
- Familiarity with hospital functional areas such as Billing, Registration, EMR, Laboratory, and reporting/MIS
- Experience supporting deployments, go-lives, and post-implementation support across multiple hospital units
Requirements
Technical Skills – Advantageous
- Experience with HL7 v2.x message types (ADT, ORM, ORU, SIU, MDM) – routing, transformation, and Ensemble integration
- Exposure to InterSystems HealthShare
- Experience with TrakCare reporting tools, CSP (Caché Server Pages), and LogiReport
- Familiarity with Revenue Cycle Management (RCM), billing, claims, and credit-control workflows
- Exposure to additional healthcare platforms such as Midas (Symplr)
- Experience with healthcare interoperability integrations such as ABHA, ClaimBook, and insurance/payer APIs
- Proven ability to develop, support, and troubleshoot healthcare applications on the InterSystems stack
- Strong understanding of Caché/MUMPS development, integration, and SQL reporting principles
- Experience working in Agile/Scrum environments and distributed delivery teams
- Ability to communicate effectively with both technical and non-technical stakeholders
- Strong ownership, problem-solving mindset, and attention to detail
- Ability to work independently and as part of a distributed team
- Strong stakeholder management skills with the ability to engage confidently at both technical and business levels
- Client-focused mindset with the ability to understand requirements and translate them into effective solutions
- Ability to lead discussions, provide recommendations, and influence decision-making
- High level of ownership and accountability for deliverables and outcomes
- Excellent problem-solving and decision-making skills in complex scenarios
- Ability to mentor junior team members and contribute to team development
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