Senior Front-End & FHIR Interoperability Engineer

Agadia Systems Inc • Parsippany-Troy Hills, NJ

6d • $135,000 - $180,000 • Hybrid

About The Position

We are building a new engineering team to develop and scale a modern, cloud-native healthcare technology platform. The work sits at the intersection of clinical software and healthcare interoperability. This is an early-stage opportunity to shape a high-impact product from the ground up, backed by an experienced leadership team with deep healthcare-technology expertise. You will help set the technical foundations the platform is built on and see your work reach real users in clinical settings.

Requirements

• 6+ years of software engineering experience with a strong track record building and shipping production front-end applications in React and TypeScript.
• Hands-on experience integrating with EHR / EMR systems.
• Has built and shipped at least one production SMART on FHIR application.
• Working knowledge of FHIR R4 and OAuth 2.0 / PKCE.
• Hands-on CDS Hooks implementation experience.
• A practical mapping instinct — comfort translating messy, real-world clinical data into clean models and clean UI.
• Familiarity working with PHI in a HIPAA environment.
• Excellent communication and the discipline to work precisely on a lean team.

Nice To Haves

• Experience with specific EHR vendors (e.g., Epic, Cerner / Oracle Health, athenahealth, or smaller ambulatory EHRs), including sandbox onboarding.
• USCDI v3 depth.
• Healthcare access, pharmacy, or payer-integration domain knowledge.
• Exposure to eligibility (270/271) and real-time benefit workflows.
• Working familiarity with Python/FastAPI and the Azure ecosystem.

Responsibilities

• Build and maintain the complete front-end application and every workflow screen — from first build through ongoing iteration and production support.
• Build and maintain SMART on FHIR application launch and consume FHIR R4 resources under a read-only constraint, aligned to USCDI v3.
• Implement CDS Hooks integrations and drug-in-context triggering.
• Design and own the data mapping between EHR/FHIR resources and the application model and UI.
• Build clean, fast front-end views that surface mapped clinical data and keep the coordinator work queue legible under load.
• Contribute production-quality code and participate in design and code reviews with the engineering team.
• Partner with Product, QA, and the engineering team to deliver secure, reliable, maintainable software.
• Build to the platform guardrails.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed