Contractor: Healthcare Integration Engineer

Abacus Insights

5d

About The Position

This is a contract role. We are seeking a Healthcare Integration Engineer to design, build, and maintain our next-generation clinical data platform. In this role, you will be responsible for architecting scalable healthtech solutions, building FHIR-compliant APIs, and managing high-throughput clinical datasets. You will leverage Firefly server tooling and SDKs alongside MongoDB to transform, store, and serve interoperable patient data across enterprise electronic health record (EHR) systems.

Requirements

• 3+ years in healthcare software engineering, healthtech integration, or clinical informatics.
• Deep working knowledge of HL7 FHIR resources, profiles, extensions, and RESTful interactions.
• Hands-on experience with Firely Server, Firely .NET/C# SDKs, Performance tunning, architect and design
• 3+ years of experience with MongoDB (query optimization, indexing, aggregation frameworks, document modeling).
• Proficiency in C# / .NET Core or Node.js/TypeScript for building backend services and custom plugins.
• Familiarity with EHR integration (Epic, Cerner/Oracle Health, Athenahealth) and healthcare data specs (SMART on FHIR, OAuth2/OIDC).
• Bachelor's Degree in Computer Engineering or other relevant field.

Nice To Haves

• HL7 FHIR Certification (HL7 International).
• Experience with cloud platforms (AWS DocumentDB / Azure Cosmos DB for MongoDB API).
• Knowledge of containerization (Docker, Kubernetes) and CI/CD pipelines for deployment
• Dev-ops, SRE and cloud Ops is a huge plus

Responsibilities

• Design, implement, and maintain secure, scalable RESTful APIs adhering strictly to FHIR standards (US Core, R4/STU3).
• Deploy, configure, and optimize Firefly Server (formerly Vonk) and related Firely SDK tools to handle high-concurrency clinical data requests.
• Schema design, optimization, and administration of MongoDB collections engineered to store complex, nested FHIR JSON documents.
• Build ETL/ELT pipelines to ingest, map, and transform legacy clinical data formats (HL7 v2, C-CDA, X12) into standardized FHIR resources.
• Ensure all data persistence, transmission, and integration mechanisms strictly comply with HIPAA, GDPR, and SOC 2 security guidelines.
• Perform end-to-end integration testing, FHIR profile validation (using Firely Forge), and performance tuning for low-latency queries.

What This Job Offers

• Career Level: Mid Level