Full-Stack Developer EMR Integration & Clinical Engineering

Revelation Pharma LLC

3d•Remote

About The Position

Evergreen Telehealth is a vertically integrated direct-to-consumer telehealth platform. We own the full clinical lifecycle and are building our platform on FHIR R4-first cloud infrastructure with a programmable EMR at the center. The engineering team is small, senior, and moving fast. You will own the EMR integration layer — both the FHIR API and the EMR’s server-side plugin/SDK system — connecting our clinical platform to cloud infrastructure and pharmacy fulfillment systems. This is a greenfield build, not a maintenance role. You are writing the integration code that makes prescriptions flow, clinical data stay structured, and provider workflows stay fast.

Requirements

5+ years of production Python
Working knowledge of FHIR R4 (resource types, references, search parameters, bundles) or demonstrable ability to ramp quickly on healthcare interoperability standards
Experience with AWS: Lambda, EventBridge or equivalent event bus, IAM, KMS, and at least one managed data store
React proficiency
Comfort working with PHI under HIPAA: encrypted storage, audit logging, least-privilege access, BAA-covered services
Ability to operate in a small, fast-moving team with minimal process overhead and maximum ownership

Nice To Haves

Prior healthcare or health-tech experience
Experience integrating with EMR/EHR platforms
Django ORM experience
Event-driven architecture experience (EventBridge, SNS/SQS, Kafka)
Exposure to AI/ML agent frameworks
React Native or Expo
SOC 2 Type II or HITRUST audit experience

Responsibilities

Build and maintain bidirectional data flows between a programmable EMR’s FHIR R4 API and a cloud-hosted FHIR data store — across 30+ clinical resource types (Patient, MedicationRequest, Observation, Encounter, QuestionnaireResponse, etc.)
Develop server-side EMR plugins in Python (Django ORM data layer) for clinical workflow automation: event handlers, protocol enforcement, layout customization, scheduling logic, and custom commands
Configure provider-facing workflows for multiple clinical lines of business — each with distinct intake flows, lab requirements, formulary constraints, and prescribing protocols
Develop lambda functions for data movement
Wire webhook events into event-driven cloud pipelines
Own the EMR-to-FHIR data contract: ensure resource mappings are correct, normalize free-text clinical fields into coded values (LOINC, SNOMED, ICD-10, RxNorm), and validate end-to-end data integrity