Senior Engineer, FHIR

Bellese

2d • $128,700 - $153,400 • 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 / Springboot
• Experience with GoLang, Python, Angular or TypeScript, and Java (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 working with large-scale healthcare reporting or analytics systems
• Familiarity with CMS environments, data pipelines, or regulatory programs

Responsibilities

• Contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes.
• Demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals.
• Accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products.
• Proactively support and collaborate with team members, fostering a positive and productive team environment.
• Adhere to established team processes, ensuring a steady and reliable delivery of features to production.
• Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC.
• Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities.
• Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution.
• Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC.
• Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines.
• Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices.
• Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes.
• Implement and conduct performance and security testing following best practices and business requirements.

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: Senior
• Education Level: Associate degree