We are seeking an experienced Principal Integration Engineer to lead the design, implementation, and optimisation of healthcare system integrations across clinical and diagnostic environments. This is a senior, hands-on role requiring deep expertise in HL7 messaging, DICOM workflows, and healthcare interoperability, with a strong background in laboratory, radiology, and screening systems. You will act as a technical authority, working across vendors, clinical teams, and IT stakeholders to deliver robust, scalable integration solutions. Key Responsibilities Integration Architecture & Delivery Design and implement HL7 interfaces, DICOM integrations, and workflow solutions Lead integration development using platforms such as Mirth Connect Architect end-to-end interoperability across LIMS, RIS/PACS, Order Communications, and clinical systems Ensure high availability, scalability, and performance of integration pipelines Technical Leadership Act as Principal Engineer / SME for all integration-related initiatives Define best practices, standards, and governance for integration design Lead troubleshooting, root cause analysis, and proactive maintenance Stakeholder & Vendor Engagement Liaise with clinical stakeholders, NHS teams, and third-party vendors Translate clinical workflows into technical integration solutions Manage vendor relationships and support escalations Delivery & Support Lead integration projects including upgrades, migrations, and new deployments Oversee UAT, validation, and go-live support Provide 3rd level support for critical systems Required Skills & Experience Essential Experience in Healthcare / Clinical IT systems Strong expertise in: HL7 (v2.x messaging, Order/Result workflows) DICOM integrations and imaging workflows Integration engines (e.g. Mirth Connect) Experience with: LIMS (e.g. TelePath or equivalent) RIS/PACS systems Order Communications / e-Results Proven experience leading integration architecture and delivery Strong troubleshooting and problem-solving capability Experience with diagnostic platforms (e.g. screening systems, lab middleware) Knowledge of NHS clinical workflows and standards Familiarity with: Middleware solutions (e.g. Abbott AlinIQ AMS) Automation tracks and lab instrumentation Experience in cloud or hybrid integration environments *Rates depend on experience and client requirements