Location: Remote – Boise, Idaho, USA
Job Type: Long-Term Contract
Work Preference: Remote
Interview Process: Video or In-PersonJob Summary
We are looking for an experienced Business Systems Analyst/Programmer to support and maintain existing Rhapsody and .NET-based applications and infrastructure. The candidate will be responsible for troubleshooting, automation, healthcare data integration, and supporting the modernization of legacy public health disease surveillance systems.
The ideal candidate should have strong hands-on experience with Rhapsody Integration Engine, HL7 messaging, C#, .NET Framework, and SQL. Experience with public health data exchange systems, particularly NBS/NEDSS, will be highly valuable.
Key ResponsibilitiesSupport, maintain, and troubleshoot existing .NET applications and Windows-based infrastructure.
Configure, monitor, and troubleshoot interfaces using the Rhapsody Integration Engine.
Develop and maintain HL7 message routing, transformations, and mappings.
Manage healthcare data exchange between external organizations, hospitals, laboratories, and the CDC.
Troubleshoot and maintain NEDSS Base System (NBS).
Develop and maintain PowerShell scripts and SQL tools for automation and system support.
Support system upgrades, new modules, and enhancements.
Maintain NBS Utilities and Electronic Laboratory Reporting (ELR) data stores.
Participate in legacy system modernization planning and architecture discussions.
Evaluate and recommend modern technologies and tools.
Prepare technical documentation and provide knowledge transfer to internal teams.
Strong hands-on experience with Rhapsody Integration Engine.
Experience in HL7 interface development, message routing, transformation, and troubleshooting.
Strong SQL development and troubleshooting skills.
Proficiency in C# and .NET Framework.
Experience with Windows Server administration.
Knowledge of IIS (Internet Information Services).
Experience with PowerShell scripting.
Windows operating system troubleshooting and support.
Experience with application integration and data exchange workflows.
Understanding of system modernization and technical documentation.
Oracle PL/SQL.
HL7 and FHIR standards.
NBS/NEDSS systems and workflows.
Electronic Case Reporting (eCR).
Electronic Laboratory Reporting (ELR).
TFS (Team Foundation Server) and Azure DevOps.
SMTP and SFTP protocols.
LOINC, SNOMED, and ICD-10-CM.
The ideal candidate will have a background in healthcare IT integration, public health systems, or interface development. Candidates with Rhapsody, HL7, SQL, and .NET experience who have supported healthcare data exchange between hospitals, laboratories, and public health agencies will be particularly suitable.
Key Skills to Prioritize: Rhapsody Integration Engine, HL7, Healthcare Integration, C#, .NET Framework, SQL, PowerShell, Windows Server, NBS/NEDSS, and ELR.
Similar Jobs
What you need to know about the NYC Tech Scene
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory


