Join our team

Location: Ireland / UK only (Hybrid or Remote)
Company: xWave Technologies
Reporting to: CTO

Salary £55,000-60,000

Please note: We are unable to offer visa sponsorship for this role, and applicants must have an existing right to work in the UK or Ireland, with prior healthcare integration experience within the UK or Irish healthcare systems.

We do not require the services of third-party recruiters at this stage.  

About xWave

xWave is a rapidly growing healthcare technology startup transforming how clinical systems connect across the NHS, HSE, private healthcare providers, and beyond. We build modern, cloud-based products that sit at the centre of diagnostic workflows from primary care ordering through to hospital reporting and AI-driven audits.

Our flagship platform, xWave Refer, powers primary care order communications and integrates deeply with RIS, LIMS, PAS, and EPR systems across ICS and Trust deployments.

We’re scaling fast, winning major NHS contracts, and building a team that thrives on solving hard interoperability problems in real-world clinical environments.

This is a startup environment with lots of ownership, high impact, and fast decisions.  We operate inside mission-critical healthcare infrastructure.

The Role

We are looking for an experienced Integrations Engineer with strong specialisation in HL7 (v2.x) and FHIR, ideally with hands-on NHS integration experience.

You will design, build, and support integrations between xWave Refer and hospital systems, including RIS, LIMS, PAS, and EPR platforms.

This role sits at the heart of our growth. Every new Trust deployment depends on clean, resilient, secure integrations - and you will be central to making that happen.

You’ll work directly with NHS Trust integration teams, interface engineers, and IT departments, representing xWave in live clinical environments.

Core Responsibilities

• Design and implement HL7 v2 and FHIR interfaces, including ADT, ORM, ORU, and SIU message types

• Build message transformations, routing logic, and validation

• Manage ACK/NACK workflows and reconciliation processes, helping define workflows in advance of project kickoff.

• Troubleshoot production interface issues at both the message and transport levels

• Develop and support FHIR-based integrations (R4 preferred)

• Integrate with NHS Spine services and PDS APIs where required

• Work within NHS network environments, including HSCN and site-to-site VPNs

• Configure and support secure connectivity, including IP whitelisting, certificate exchange, and TLS encryption

• Collaborate with Trust IT and integration teams during design, testing, and go-live

• Improve onboarding processes and develop repeatable integration deployment patterns

• Maintain clear technical documentation and interface specifications

Required Experience

• 4+ years working with HL7 v2.x

• Strong understanding of ADT, ORM, and ORU message structures

• Experience working in the NHS or UK healthcare environments

• Hands-on experience configuring or supporting VPN connections for healthcare system integrations

• Experience integrating with RIS, LIMS, PAS, or EPR systems

• Strong understanding of patient identity management, including NHS number usage and MRN mapping

• Ability to troubleshoot across the application, network, and transport layers

• A willingness to learn and get involved in other parts of the business, such as engineering, SRE, product, and growth

Highly Desirable

• Experience integrating with Epic Systems, MEDITECH, and Oracle Health.

• Experience using integration engines such as Mirth, Rhapsody, or Cloverleaf

• Experience with FHIR R4 APIs

• Exposure to NHS Spine or PDS services

• Experience in radiology or pathology workflows

• AWS infrastructure exposure

• Experience with Claude Code

• Experience in SRE environments