FHIR Solution Architect / Lead AI-Enabled Engineer - 0520

TeleSolv Consulting • Pierre, SD

4d • $95,000 - $115,000 • Hybrid

About The Position

TeleSolv Consulting is seeking a detail-oriented FHIR API Developer to support the implementation, integration, maintenance, and enhancement of healthcare interoperability solutions. This position supports the federal government, and all applicants must be able to support work performed partially on-site in Pierre, South Dakota. The FHIR API Developer plays a key role in supporting the Government’s ongoing mission by helping implement secure, compliant, and reliable health information exchange capabilities. This role supports cloud-hosted FHIR API services, data access workflows, SMART on FHIR application connectivity, and interoperability requirements tied to patient access, provider access, and payer-to-payer data exchange. This position supports a Government healthcare program responsible for implementing interoperability and patient access requirements. The FHIR API Developer contributes to technical workflows that enable authorized members, providers, payers, and approved third-party applications to access health information in a timely, secure, and standards-based manner.

Requirements

• Must be a U.S. Citizen.
• Bachelor’s degree or equivalent professional experience.
• Minimum five (5) years of experience in FHIR, HL7, API development, software engineering, or healthcare integration.
• Strong knowledge of FHIR R4+, HL7 standards, REST APIs, JSON, XML, and healthcare data exchange patterns.
• Experience with SMART on FHIR, OAuth 2+, OpenID Connect, and secure consent/authorization frameworks.
• Experience designing and supporting API gateways, developer portals, and sandbox environments.
• Ability to use AI/LLM tools for secure code generation, refactoring, testing, and documentation.
• Strong understanding of data privacy and security, including handling of PII and PHI.
• Excellent written and verbal communication skills with the ability to engage technical and non-technical stakeholders.
• Demonstrated ability to translate regulatory requirements into technical solutions.
• Strong attention to detail, system design quality, and maintainability.

Responsibilities

• Design and lead implementation of a cloud-hosted FHIR API server supporting FHIR R4 (4.0.1) or higher.
• Implement and support Patient Access, Provider Access, and Payer-to-Payer APIs.
• Develop and manage façade data models to deliver claims, encounters, clinical, and formulary data via FHIR standards.
• Apply industry implementation guides including CARIN Blue Button, US Core, Da Vinci, and SMART on FHIR frameworks.
• Design and implement secure authorization and identity workflows using OAuth 2+, OpenID Connect, and SMART on FHIR.
• Integrate API services with enterprise portals, data warehouses, and backend systems.
• Create, maintain, and publish comprehensive API documentation and technical resources.
• Support third-party developer onboarding, application registration, sandbox environments, and troubleshooting.
• Design administrative controls to manage, revoke, or restrict API access as needed.
• Ensure high system availability (target 99.9%), scalability, and secure cloud operations.
• Provide and maintain test environments for pre-production validation and enhancements.
• Continuously update systems in response to regulatory changes, CMS guidance, and evolving requirements.
• Leverage approved AI/LLM tools for coding, testing, documentation, and quality assurance with human oversight.
• Support incident response, root cause analysis, and resolution for production and testing issues.

Benefits

• medical, dental, and vision insurance
• 401(k) retirement savings plan with company match
• paid time off (vacation, sick leave, and paid holidays)
• short- and long-term disability coverage
• life insurance
• opportunities for professional development and training
• telework options (if applicable)
• flexible scheduling
• employee wellness programs
• performance-based incentives

What This Job Offers

• Job Type: Full-time
• Career Level: Senior