Senior Healthcare Interoperability Engineer

eStaffLLC•Huntsville, TX
•Hybrid

About The Position

The Senior Healthcare Interoperability Engineer will design, develop, test, deploy, and support healthcare interfaces and interoperability services for a client in Austin, Texas. The role focuses on HL7 v2 and FHIR integrations, including REST APIs and secure data exchange. The engineer will collaborate across teams to deliver reliable integrations, validate and transform clinical data, troubleshoot production issues, and contribute to modern delivery practices such as CI/CD, automated testing, monitoring, and documentation.

Requirements

  • 8 or more years of experience designing, developing, testing, and supporting healthcare interfaces using HL7 v2 and/or FHIR, REST APIs, JSON, and XML.
  • Experience with data mapping, transformation, validation, troubleshooting, and error handling in healthcare data exchange.

Nice To Haves

  • 5 or more years building secure web portals or portal-integrated services for healthcare data, including API integrations, authentication and authorization, RBAC, secure coding, testing, and production support.
  • 5 or more years of experience with TypeScript, JavaScript, and/or Python.
  • 3 or more years implementing FHIR solutions using US Core profiles, Electronic Case Reporting (eCR/eICR) Implementation Guides, and other HL7 Implementation Guides (strongly preferred).
  • 3 or more years integrating with or implementing FHIR servers/FHIR APIs and interoperability solutions (strongly preferred).
  • 3 or more years mapping, transforming, and validating data across HL7 v2, FHIR, and analytical data models.
  • 3 or more years working with terminology standards: SNOMED CT, LOINC, ICD-10, CVX, and RxNorm.
  • 3 or more years implementing FHIR solutions on AWS or a similar cloud platform and integrating with cloud ingestion pipelines, storage, analytics, and enterprise data platforms.
  • 3 or more years of experience with modern delivery practices, including Git, automated builds, CI/CD, unit and integration testing, code reviews, defect tracking, logging and monitoring, and technical documentation.
  • 1 or more years of experience with any of the following: AWS HealthLake, Snowflake, eICR, public health reporting, disease surveillance, React, FastAPI, or Terraform.

Responsibilities

  • Design, build, test, deploy, and support healthcare interfaces and integration services.
  • Implement and maintain integrations using HL7 v2, FHIR, REST APIs, JSON, XML, and related healthcare data exchange patterns.
  • Perform data mapping, transformation, validation, error handling, and troubleshooting across systems.
  • Build and support secure API-driven services and/or portal-integrated solutions that retrieve and display healthcare data.
  • Implement authentication and authorization patterns, including role-based access control (RBAC), and follow secure coding practices.
  • Support production operations by triaging incidents, analyzing logs, fixing defects, and improving monitoring and alerting.
  • Participate in code reviews, testing strategy, CI/CD adoption, and technical documentation to support high-quality delivery.
  • Collaborate with stakeholders to interpret requirements and align solutions to healthcare needs.
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