Senior payment gateway integration talent and rates in Healthcare
Senior payment gateway integration engineers serving healthcare run roughly $120–$175/hr. Stack realities for this combination: Epic / Cerner FHIR R4 + SMART-on-FHIR; HIPAA-eligible AWS/Azure/GCP; Twilio HIPAA-eligible comms; Datadog HIPAA-mode — common integrations: Epic (MyChart / FHIR R4 / App Orchard), Cerner / Oracle Health, Allscripts. Prior-auth, eligibility, claims-status, appointment-reminder workflows
What payment gateway integration actually requires in 2026
2026 stack: Stripe (default global), Adyen (enterprise multi-region), Braintree/PayPal (consumer), Klarna/Afterpay (BNPL), Plaid (US ACH), GoCardless (UK/EU SEPA). 3DS2 + SCA mandatory in EU. Multi-payment-provider routing via Spreedly or in-house. Payment engineers must reason about idempotency keys, webhook delivery guarantees, dispute/chargeback flows, and PCI-DSS scope minimization (tokenization, redirects). Naive integrations leak PAN data to backend logs and trigger expensive PCI audits.