Senior Software Engineer- FHIR- Interop in United States at Jobgether
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Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Software Engineer- FHIR- Interop in United States.
In this role, you will help design and evolve a large-scale healthcare interoperability platform focused on securely retrieving, processing, and delivering patient records across complex healthcare ecosystems. You will work at the intersection of modern cloud engineering, healthcare integrations, and interoperability standards such as FHIR to build scalable and compliant backend systems. The position offers the opportunity to influence architecture decisions, modernize legacy integrations, and support critical Release of Information workflows impacting healthcare providers nationwide. Working within a highly collaborative remote engineering team, you will tackle real-world interoperability challenges involving EHR systems, distributed APIs, and healthcare data exchange. This opportunity is ideal for a senior engineer who enjoys solving ambiguous technical problems, building reliable distributed systems, and leveraging AI-assisted development workflows to accelerate innovation. You will contribute directly to shaping the future of healthcare data interoperability while driving operational reliability, scalability, and security across mission-critical services. The environment values ownership, technical leadership, and continuous improvement through modern engineering practices and AI-enhanced development.
- Design, develop, and maintain backend services and APIs supporting healthcare interoperability and patient record retrieval workflows.
- Build and optimize FHIR-based integrations and interoperability services for healthcare systems, EHR platforms, and external partners.
- Develop scalable workflows supporting patient identity matching, record discovery, data retrieval, normalization, and secure delivery processes.
- Modernize legacy integrations and contribute to the evolution of distributed interoperability architectures.
- Lead technical decision-making for interoperability services, balancing scalability, compliance, reliability, and operational efficiency.
- Integrate with third-party healthcare platforms using FHIR, REST APIs, event-driven architectures, and asynchronous workflows.
- Utilize AI-assisted development tools to improve coding efficiency, debugging, refactoring, and engineering productivity.
- Review AI-generated code with strong attention to quality, maintainability, security, and operational readiness.
- Conduct code reviews and mentor engineers on backend engineering best practices and healthcare integration design.
- Troubleshoot distributed system issues, external dependencies, and interoperability challenges across production environments.
- Collaborate with product, compliance, and operational teams to translate healthcare and ROI requirements into technical solutions.
- Improve observability, testing strategies, CI/CD processes, and system resilience across interoperability platforms.
- 6+ years of professional software engineering experience with increasing technical complexity and ownership.
- Strong expertise with Microsoft technologies including C#, .NET Framework/.NET 6+, ASP.NET Web API, ASP.NET MVC, Entity Framework, and SQL Server.
- Proven experience building and operating API-driven distributed systems in production environments.
- Hands-on experience with healthcare interoperability standards, particularly FHIR-based integrations and workflows.
- Strong understanding of relational databases, SQL performance optimization, and integration-heavy system architectures.
- Experience integrating with third-party healthcare systems where reliability, observability, and error handling are critical.
- Familiarity with SMART on FHIR, OAuth2, and healthcare authentication and authorization models preferred.
- Experience working with major EHR platforms such as Epic, Meditech, NextGen, or similar systems is highly desirable.
- Knowledge of HIPAA-compliant patient data handling and healthcare security best practices.
- Experience with AWS or Azure cloud services, CI/CD pipelines, DevOps practices, and automated testing methodologies.
- Strong experience using AI coding tools as part of daily software development workflows.
- Ability to critically evaluate AI-generated code for correctness, scalability, maintainability, and security.
- Strong communication, problem-solving, and collaboration skills within remote and cross-functional engineering teams.
- Bachelor’s degree in Computer Science or related field, or equivalent hands-on engineering experience.
- Fully remote work environment with strong flexibility and autonomy.
- Opportunity to work on high-impact healthcare interoperability and patient data exchange systems.
- Exposure to cutting-edge FHIR, API integration, and distributed systems engineering challenges.
- Collaborative engineering culture focused on innovation, ownership, and continuous improvement.
- Opportunity to influence architecture and technical direction across critical healthcare platforms.
- AI-enabled engineering workflows and modern software development practices.
- Career growth opportunities within a rapidly evolving health technology environment.
- Work on meaningful products that directly improve healthcare information accessibility and operational efficiency.
- Small-team environment where contributions are highly visible and impactful.