Implementation Cloud Integration Engineer

Requisition Number: 2369273
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
This role supports the delivery of scalable, interoperable healthcare technology that enables timely access to critical clinical data and improves care coordination and patient outcomes. The role applies working knowledge of healthcare interoperability standards such as DICOM and HL7 alongside modern cloud native engineering practices-including microservices, RESTful APIs, and containerized platforms built with JavaScript frameworks and deployed on AWS, Azure, or GCP-to deliver secure, reliable, and scalable systems that healthcare organizations can depend on for high quality patient care.
You'll enjoy the flexibility to work remotely* from anywhere within Canada (except for the Saskatchewan province) as you take on some tough challenges.
Primary Responsibilities:

• Lead Cloud PACS implementations from design through go-live and production validation
• Design and support (hybrid) cloud imaging architectures integrating on-prem modalities/PACS with cloud platforms
• Implement and troubleshoot DICOM image workflows (storage, routing, query/retrieve, lifecycle management)
• Design and configure HL7 v2 interfaces (ADT, ORM, ORU) to support patient and order workflows
• Partner with PACS, RIS, EMR, and Imaging teams to optimize clinical and radiology workflows
• Deploy, configure, and support imaging software across cloud infrastructure, virtual machines, and Windows servers
• Monitor, test, and validate system performance, reliability, and interoperability
• Provide golive and L3 production support for missioncritical imaging systems
• Collaborate with engineering and product teams to improve platform reliability and integration quality

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

• Healthcare Integration experience: 3+ years in Technical Implementation Healthcare IT roles such as Integration Engineer, PACS Administrator, or Systems Analyst
• Skilled in technical problem-solving and comfortable in customer-facing work
• DICOM expertise: Deep mastery of DICOM standards, including image routing, metadata structures, and real world interoperability challenges
• Imaging Systems & Workflows: Solid understanding of PACS/VNA environments and end to end clinical imaging workflows
• Interoperability & Messaging: Hands-on experience with HL7, integration engines (Mirth Connect preferred), and solving complex hospital interface challenges
• Cloud Platforms: Hands on experience with AWS, Azure, or GCP (compute, storage, networking, security)
• DICOM Fundamentals: Solid knowledge of DICOM standards, SOP classes, metadata, modalities, and interoperability challenges
• HL7 Fundamentals: Practical experience with HL7 v2 messaging and integration engines (e.g., Mirth Connect)
• Imaging Systems: Solid understanding of PACS, VNA, RIS, and end to end imaging workflows
• Infrastructure: Windows Server, Active Directory, IdP credentialing, virtualization, and network basics

Preferred Qualifications:

• Experience with containerization and orchestration tools such as Docker and Kubernetes. Experience with containers (Docker), message queues, Pub/Sub patterns, microservices and CI/CD pipelines
• Experience supporting production healthcare systems under tight SLAs
• Familiarity with REST APIs and cloud native messaging patterns
• Automation & Scripting: Python, JavaScript, Powershell or similar for diagnostics and workflow automation
• Databases: Working knowledge of SQL databases (e.g., PostgreSQL/MySQL/NoSQL)
• Security & Compliance: Awareness of healthcare security and privacy requirements (HIPAA/GDPR)
• Customer Facing Delivery: Solid troubleshooting, documentation, and stakeholder communication skills
• Clinical-Technical Translation: Ability to communicate effectively with both developers and clinical stakeholders, translating requirements across domains
• Security & Compliance: Working knowledge of healthcare privacy and security regulations (HIPAA, GDPR, etc.)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.