Senior Engineer, FHIR

Accountabilities

• Contribute to the design, development, testing, and delivery of healthcare technology platforms while helping teams build secure, scalable, and high-quality solutions.
• Combine technical leadership, software engineering expertise, and healthcare domain knowledge.
• Design, develop, and maintain software solutions supporting healthcare interoperability, reporting, and quality measurement initiatives.
• Build and integrate RESTful APIs aligned with HL7 FHIR specifications and healthcare interoperability standards.
• Develop and work with FHIR resources, including Measure, MeasureReport, Patient, Encounter, and Observation.
• Apply strong software engineering practices across architecture, implementation, testing, deployment, and production support.
• Collaborate with cross-functional teams, external partners, and stakeholders to ensure technical solutions meet business and healthcare requirements.
• Establish and promote engineering standards, best practices, and quality metrics throughout the software development lifecycle.
• Identify and resolve technical issues, manage defects, and contribute to reducing technical debt.
• Support continuous integration and continuous deployment pipelines from code commit through production release.
• Contribute to solutions involving digital quality measurement concepts, including electronic Clinical Quality Measures (eCQM) and digital Quality Measures (dQM).
• Participate in Agile development processes and collaborate with engineering teams to continuously improve delivery practices.
• Support compliance with healthcare regulations, security requirements, and government program standards.

Requirements

• Experienced software engineer with strong healthcare technology knowledge and expertise in interoperability standards.
• Past experience building reliable applications, collaborating across teams, and solving complex technical challenges.
• Bachelor’s degree or equivalent experience with 8+ years of software development experience.
• Strong experience developing applications using Java and Spring Boot.
• Hands-on experience with HL7 FHIR standards, including resources, profiles, and implementation guides.
• Experience building or integrating RESTful APIs based on FHIR specifications.
• Knowledge of FHIR R4 and healthcare interoperability patterns.
• Experience working with FHIR servers such as HAPI FHIR or similar platforms.
• Experience designing, consuming, and validating healthcare data resources.
• Understanding of healthcare data quality, validation processes, and regulatory reporting requirements.
• Experience with cloud platforms, preferably AWS.
• Experience with Infrastructure as Code tools, preferably Terraform.
• Experience building and maintaining automated CI/CD pipelines.
• Strong relational database experience, particularly PostgreSQL or similar technologies.
• Experience working in Agile software development environments.
• Strong understanding of software architecture, system design, and engineering best practices.
• Excellent communication, collaboration, and problem-solving skills.
• Able to work effectively in a remote-first environment.
• Experience with healthcare reporting systems, CMS programs, or large-scale healthcare analytics platforms is preferred.
• AWS certifications and experience with AWS services such as ECS Fargate, RDS, and S3 are a plus.
• Experience with CI/CD tools such as Jenkins and modern data platforms such as Databricks is preferred.
• Able to meet government security requirements, including eligibility for Public Trust clearance.

Benefits

• Competitive annual salary range of $128,700-$153,400.
• Fully remote, remote-first work culture.
• Flexible work schedule designed to support work-life balance.
• Four weeks of paid time off annually, prorated during the first year.
• Ten paid floating company holidays.
• Home office setup support, including company-provided equipment.
• Collaborative and learning-focused engineering environment.
• Medical, dental, and company-paid vision insurance.
• Health Savings Account options with employer contributions on eligible plans.
• Company-paid life, AD&D, short-term disability, and long-term disability insurance.
• Optional critical illness and accident insurance coverage.
• 401(k) plan with a 3% safe harbor employer contribution.
• Wellness resources and virtual healthcare support.
• Employee discount programs and additional workplace perks.
• Opportunities to work on impactful healthcare technology initiatives.