Engineer II, FHIR

Bellese

3d • Remote

About The Position

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes. Driven by service design, we strive to know the “Why†to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

The Team you will be joining: HQR Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

Requirements

• Bachelor’s degree or equivalent and 8+ years of development experience
• Experience with Java, Spring boot
• GoLang, Python, Angular or TypeScript (at least 2)
• Cloud experience, preferably AWS
• Experience in Agile development methodology
• Experience with Infrastructure as Code, preferably Terraform
• Experience with fully automated CI/CD pipelines from commit through production deployment
• Strong relational database experience such as PostgreSQL
• Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides
• Experience building or integrating RESTful APIs aligned to FHIR specifications
• Familiarity with FHIR R4 and healthcare interoperability patterns
• Experience working with healthcare data formats such as QRDA, C-CDA, or claims data
• Understanding of digital quality measurement concepts, including eCQM and dQM
• Experience with Clinical Quality Language (CQL) or exposure to measure logic execution
• Experience working with FHIR servers such as HAPI FHIR or similar platforms
• Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation
• Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems
• US Citizenship or Green Card only - we do not offer Sponsorship
• US Residency for at least the past 3 years
• Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation

Nice To Haves

• AWS Certifications
• Experience with AWS ECS Fargate, AWS RDS, AWS S3
• Experience with Jenkins or similar CI/CD tools
• Experience with Databricks or modern data platforms
• Experience implementing US-Core FHIR implementation guide within enterprise scale systems
• Experience working with large-scale healthcare reporting or analytics systems
• Familiarity with CMS environments, data pipelines, or regulatory programs

Responsibilities

• Test Automation and QA execution
• Design, develop, and maintain scalable and robust test automation frameworks and scripts.
• Write, execute, and evaluate test cases to target areas of most risk, and provide testing metrics.
• Implement automated testing of various features across multiple systems to improve the efficiency and effectiveness of the software testing process.
• Independently developing performance, functional, behavioral, API, and 508 (any as needed) test scripts using applicable tools, create test scenarios and execute tests
• Defect Management and Quality Strategy
• Collaborate closely with software developers to identify and fix software bugs and defects.
• Assist in defining and implementing strategies for integration and system testing.
• Collaboration and Stakeholder Engagement
• Collaborate with product managers, engineers, and other stakeholders to define, prioritize, and communicate QA/Testing requirements
• Agile Team Participation
• Actively participate in Agile ceremonies, such as stand-ups, sprint planning, and retrospectives, ensuring effective communication and collaboration across the team.
• CI/CD & DevOps Integration
• Contribute to the creation of a continuous integration/continuous delivery (CI/CD) environment.
• Code Quality & Architectural Alignment
• Participate in code reviews and ensure that all solutions are aligned to pre-defined architectural specifications.
• Planning & Delivery Support
• Assist in the estimation, prioritization, and planning of development tasks, ensuring projects are delivered on time and within budget.
• Documentation & Maintenance
• Document and maintain the functionality of test cases and automation scripts.
• Develop, deploy, and maintain backend applications using Java, GoLang, and Python,
• Design and implement FHIR-compliant APIs and services for healthcare data exchange
• Build and maintain integrations with FHIR servers and healthcare data platforms
• Support transition from legacy data formats toward FHIR-based architectures
• Implement and maintain CI/CD pipelines using tools such as Jenkins
• Develop frontend components using Angular, HTML, and TypeScript
• Manage database development using SQL, including performance tuning and optimization
• Work with AWS services to build scalable and secure cloud infrastructure
• Define and manage infrastructure using Terraform
• Ensure data accuracy, validation, and compliance across healthcare reporting workflows

Benefits

• Four weeks paid time off yearly (prorated based on start date for the first year)
• 10 paid floating company holidays
• Flexible schedule
• Work from home setup including a Macbook
• Collaborative, learning environment
• Medical, dental, and company-paid vision insurance
• Optional HSA account with some medical plans and a company contribution
• Company paid basic life and AD&D insurance coverages
• Company paid short and long term life insurance
• Optional critical illness and accident insurance
• 401K plan with 3% safe harbor contribution
• Wellness resources and virtual care
• Perks Plus employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree