Specialized InterSystems IRIS & Caché Support for Healthcare

InterSystems Caché is the high-performance database engine at the foundation of many of healthcare’s largest clinical platforms, including Epic. IRIS, its successor, extends those capabilities into interoperability, analytics, machine learning, and cloud-native deployment. Both platforms run mission-critical workloads across thousands of healthcare organizations, and both require highly specialized talent that is difficult to find through general IT staffing channels.

HealthTECH Resources has spent 25 years building a recruiting network focused exclusively on healthcare IT. Our existing depth in Epic consulting gives us a natural advantage in InterSystems staffing, because the technologies are deeply intertwined. When you need an ObjectScript developer who understands the clinical application layer, a Caché DBA who can optimize performance under Epic workloads, or an IRIS engineer who can architect a migration without disrupting production systems, we know where to find them. We also support the broader interoperability and FHIR ecosystem that IRIS and HealthShare connect into.


How We Support InterSystems Environments


Caché Database Administration

Your Caché infrastructure is the foundation everything else runs on, and it needs attention from people who understand healthcare-scale performance demands. We place Caché DBAs and Performance Analysts who handle monitoring, tuning, journaling, backup strategy, and capacity planning in clinical production environments where downtime is not an option.


IRIS Platform Engineering

IRIS introduces new capabilities around analytics, machine learning, and cloud deployment that require a different skill set than traditional Caché administration. We recruit IRIS Data Platform Engineers and System Administrators who can stand up, configure, and maintain IRIS environments, whether on-premises, in the cloud, or in hybrid architectures.


ObjectScript Development

ObjectScript is a proprietary language with a limited talent pool, and that scarcity becomes a real operational problem when you need custom development, integration builds, or application modifications. We source ObjectScript developers who have worked inside healthcare organizations and understand both the language and the clinical context their code supports.


Caché to IRIS Migration

Organizations moving from Caché to IRIS need specialists who can plan and execute the transition without disrupting clinical operations. We staff IRIS Migration Specialists and architects who have managed this process at scale, including the testing, validation, and cutover work that protects production stability. See our broader data migration services for related capabilities.


HealthShare & Interoperability

HealthShare, built on the IRIS platform, is a growing force in health information exchange and population health. We place HealthShare Integration Specialists and HIE Architects who can configure, deploy, and maintain HealthShare environments, including HL7 FHIR connectivity, data normalization, and exchange governance. This work connects directly into our interoperability and FHIR practice.


API & Integration Development

IRIS positions itself as a modern integration backbone, and healthcare organizations increasingly need developers who can build RESTful APIs, FHIR endpoints, and custom integration logic on the platform. We recruit InterSystems API Developers who work across HL7v2, FHIR, and REST protocols and understand the compliance and security requirements specific to healthcare data exchange.


Specialized InterSystems Talent

Database & Infrastructure

  • InterSystems Caché DBA
  • Caché Performance Analyst
  • InterSystems System Administrator
  • IRIS Data Platform Engineer

Development & Integration

  • ObjectScript Developer
  • InterSystems API Developer (FHIR/REST)
  • HealthShare Integration Specialist
  • Clinical Data Platform Analyst

Architecture & Migration

  • IRIS Migration Specialist
  • Health Information Exchange (HIE) Architect
  • InterSystems Solutions Architect
  • HealthShare Implementation Consultant

When Organizations Reach Out

Your Epic environment needs Caché expertise the application team cannot provide.

Your Epic analysts and application team are strong, but nobody on staff has deep Caché database administration skills. Performance tuning, journaling configuration, storage optimization, and capacity planning require a different knowledge set than Epic application support. When the database layer needs dedicated attention, we place Caché DBAs who understand how Epic workloads behave at the infrastructure level.

You are planning or actively executing a Caché to IRIS migration.

The move from Caché to IRIS touches database architecture, application dependencies, integration layers, and deployment models. It is not a simple upgrade, and it typically requires specialized talent your existing team does not carry. We staff migration architects and IRIS platform engineers who can plan, test, and execute the transition alongside your internal teams.

An ObjectScript development project is stalled because you cannot find the right developer.

ObjectScript is a niche language, and the pool of experienced developers is small. When a custom development project, integration build, or application modification stalls because the talent is not available through your usual channels, we can typically surface qualified ObjectScript developers within 48 hours through our healthcare IT network.

You are implementing or expanding HealthShare for HIE or population health.

HealthShare deployments require integration specialists who understand both the InterSystems platform and the broader health information exchange landscape (governance, data normalization, FHIR endpoints, consent management). We place HealthShare specialists and HIE architects who bring both the technical and the operational perspective.

Your integration team is stretched thin and InterSystems work is falling behind.

Your team is juggling HL7 feeds, FHIR endpoint builds, and API development across multiple platforms, and InterSystems work keeps getting deprioritized. Through our staff augmentation model, we can add targeted InterSystems capacity to your team without the overhead and timeline of a full-time hire.


Why HealthTECH for InterSystems Talent

Healthcare IT is all we do. We are not a general IT staffing firm that occasionally fills a healthcare role. Every recruiter, every account manager, and every placement we make is in healthcare IT. That focus means we understand the clinical context, the compliance environment, and the operational stakes that InterSystems talent works within.

The Epic connection is a real advantage. Caché is the database engine under Epic, and our 25 years of Epic staffing have given us deep relationships with the people who work at that infrastructure layer. When you need a Caché DBA or an ObjectScript developer who understands Epic workloads, our network is already there.

48-hour candidate delivery. We maintain an active network of pre-vetted InterSystems professionals. When a project timeline or an operational gap demands fast action, we typically deliver qualified candidate profiles within 48 hours of engagement.

25 years of healthcare IT relationships. Our network was built over two and a half decades of exclusive focus on healthcare IT placements. That depth means we are not starting a search from scratch; we are activating relationships with professionals who already know and trust HealthTECH Resources.


InterSystems IRIS & Caché Consulting FAQs


InterSystems Caché is the underlying database engine that powers Epic’s EHR platform. Every organization running Epic has Caché infrastructure that requires specialized database administration, performance tuning, and maintenance. This is separate from Epic application support and requires distinct technical expertise in the Caché environment.


IRIS is the next-generation data platform from InterSystems, building on Caché’s database foundation with expanded capabilities in interoperability, analytics, machine learning, and cloud-native deployment. Many healthcare organizations are evaluating or actively migrating from Caché to IRIS, which requires specialized migration planning and platform engineering talent.


Yes. We support both contract engagements (for migrations, project-based work, and temporary capacity) and permanent placements for roles like Caché DBAs, IRIS Platform Engineers, and ObjectScript Developers. We also support remote, onsite, and hybrid arrangements depending on the organization’s requirements and the nature of the work.


ObjectScript is a proprietary programming language specific to the InterSystems platform. It is not taught in most computer science programs and is not widely used outside of healthcare and a few other verticals. This creates a genuine talent bottleneck, particularly for healthcare organizations that need developers who understand both the language and the clinical application context. HealthTECH’s 25-year healthcare IT network gives us access to this specialized talent pool.


Yes. HealthShare is InterSystems’ interoperability suite built on the IRIS platform, and it is increasingly used for health information exchanges and population health initiatives. We place HealthShare Integration Specialists and HIE Architects who can handle deployment, configuration, FHIR connectivity, and data governance. This capability connects into our broader interoperability and FHIR staffing practice.


We typically deliver qualified candidate profiles within 48 hours of engagement. Our ability to move quickly comes from 25 years of building and maintaining an active network of healthcare IT professionals, including specialists in niche platforms like InterSystems IRIS and Caché.


Ready to Talk?

I have a role to fill.

Send us the job description, your timeline, and any platform or certification requirements. We’ll match against our vetted bench and have a shortlist of qualified InterSystems candidates in your inbox within 48 hours. No contract required to see profiles.

I’m not hiring yet, but I’d like to talk.

Schedule a no-cost consultation with one of our InterSystems and data platform subject matter experts. Whether you’re scoping a Caché to IRIS migration, evaluating HealthShare for your HIE strategy, or trying to understand what the current talent market looks like for ObjectScript developers, we’re happy to share what we’re seeing across the industry. No pitch, no obligation.

Already have a staffing partner?

Send us a current or recent InterSystems role and we’ll show you profiles to benchmark against your existing pipeline. It takes five minutes, costs nothing, and gives you a data point on whether your current partner is surfacing the best available talent.

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