Sr. Associate Software Engineer (Healthcare Data Integration)

What You'll Do

• Develop and maintain backend microservices using TypeScript (Node.js/NestJS) in an event-driven architecture
• Build and support integrations that ingest, enrich, and distribute patient data from external EHR systems (e.g., Epic, Cerner)
• Work with healthcare data standards such as FHIR R4 and platforms like Aidbox FHIR Server
• Design and implement APIs leveraging REST, SMART on FHIR, OAuth 2.0, and OpenID Connect
• Write and optimize PostgreSQL queries, schemas, and data models
• Contribute to CI/CD pipelines using GitHub Actions and ArgoCD on Azure Kubernetes Service (AKS)
• Participate in code reviews, testing, and agile ceremonies (Scrum / SAFe)
• Monitor system performance with tools like Datadog and support troubleshooting in production
• Collaborate with Product, QA, and Architecture teams to deliver features supporting clinical data workflows

Basic Requirements

• Degree or equivalent and typically requires 2+ years of relevant experience
• Foundational experience with JavaScript or TypeScript, particularly in backend or API development
• Understanding of REST APIs, relational databases (PostgreSQL preferred), and distributed/event-driven systems
• Experience working in a team-based, agile development environment
• Familiarity with Git version control and Linux/containerized environments
• Strong communication skills and willingness to learn in a collaborative setting

Preferred Skills & Experience

• Experience with NestJS, Kafka, or Kubernetes
• Exposure to healthcare interoperability standards (FHIR, HL7, X12, NCPDP)
• Familiarity with EHR integrations and healthcare data environments
• Exposure to frontend frameworks (React or Angular) for occasional UI contributions
• Experience working in corporate or large-scale development environments
• Basic familiarity with AI-assisted development tools or code generation tools
• Knowledge of HIPAA/PHI handling and compliance standards
• Experience with event-driven or CQRS architectures
• Experience in Agile or Scaled Agile Framework (SAFe) practices

Pay

$86,600 - $144,400