FHIR/HL7 Integration Developer

Air InfoSec•Austin, TX

2d•Hybrid

About The Position

The FHIR/HL7 Integration Developer will support the Texas Health and Human Services Commission (HHSC) as a development resource responsible for designing, developing, and implementing healthcare interoperability solutions. The role builds secure healthcare interfaces, integrates electronic health data, and supports FHIR/HL7-based applications and services. Work includes analyzing user requirements and existing systems to automate processing or improve current computer systems. The position is based in Austin, Texas, with a hybrid arrangement: three days remote and two days onsite (Monday and Wednesday). HHSC may require remote work up to 100 percent of the time, and the arrangement may change at the hiring team's discretion. The schedule is Monday through Friday, 8:00 AM to 5:00 PM, excluding Texas state holidays when the agency is closed. The selected candidate may be required to work outside normal business hours, including weekends, evenings, and holidays, as requested. Services are expected to begin on or around December 14, 2026, and conclude by February 26, 2027.

Requirements

At least 8 years of experience designing, developing, testing, and supporting healthcare interfaces using HL7 v2, FHIR, REST APIs, JSON, XML, data mapping, transformation, validation, troubleshooting, error handling, and healthcare data exchange.
Candidates must be local to the Austin area, within a 50-mile radius.
Candidates may be required to submit to and satisfy criminal background checks as authorized by Texas law.

Nice To Haves

5 years of experience developing secure web portals or portal-integrated services that retrieve and display healthcare data, including API integration, authentication, authorization, role-based access control, secure coding, testing, and production support.
5 years of experience with TypeScript, JavaScript, and Python.
3 years of experience implementing FHIR solutions using US Core profiles, Electronic Case Reporting Implementation Guides, and other HL7 Implementation Guides; strongly preferred.
3 years of experience integrating with or implementing FHIR servers, FHIR APIs, and related healthcare interoperability solutions; strongly preferred.
3 years of experience mapping, transforming, and validating healthcare data across HL7 v2, FHIR, and analytical data models.
3 years of experience working with healthcare terminology standards, including SNOMED CT, LOINC, ICD-10, CVX, and RxNorm.
3 years of experience implementing FHIR solutions on AWS or a similar cloud platform and integrating healthcare data with cloud-based ingestion pipelines, storage services, analytics platforms, and enterprise data platforms.
3 years of experience with modern application delivery practices, including Git, automated builds, CI/CD pipelines, unit and integration testing, code reviews, defect tracking, logging, monitoring, and technical documentation.
1 year of experience with AWS HealthLake, Snowflake, eICR, public health reporting, disease surveillance, and React/FastAPI/Terraform.

Responsibilities

Design, develop, test, and maintain healthcare interfaces using HL7 v2, FHIR, REST APIs, JSON, and XML.
Perform healthcare data mapping, transformation, and validation across interfaces and data exchange services.
Troubleshoot interface issues and implement error handling for healthcare data exchange processes.
Develop and integrate secure healthcare applications, portals, APIs, and data exchange services.
Implement appropriate authentication, authorization, and protections for sensitive healthcare information.
Collaborate with technical teams and business stakeholders to implement healthcare interoperability solutions and improve data exchange workflows.
Confer with organizational units to analyze current operational procedures, identify problems, and determine input and output requirements.
Write detailed descriptions of user needs, program functions, and steps required to develop or modify computer programs.
Review computer system capabilities, specifications, and scheduling limitations to determine whether requested program changes are possible within the existing system.
Support testing, documentation, and production operations for healthcare integration solutions.