Senior Software Engineer- FHIR- Interop
About The Position
HealthMark Group is seeking a Senior Software Engineer to join their Interoperability platform team. This role is crucial for designing, building, and evolving systems that securely retrieve patient records from EHRs and external healthcare systems using FHIR-based APIs and related interoperability standards. The position supports HealthMark's Release of Information (ROI) services by working on services that locate, retrieve, normalize, and deliver patient data at scale, ensuring reliability, auditability, and compliance. The engineer will collaborate with a small, highly engaged team in a fully remote environment, working across modern services and legacy integrations. This role requires an individual who can tackle ambiguous interoperability problems, propose pragmatic solutions, and see them through to production. The engineer will have significant influence over architecture and technical direction, particularly in expanding the FHIR footprint and modernizing patient data flow. AI tools are an integral part of the engineering workflow, and the ideal candidate will have experience using them daily to accelerate development.
Requirements
- 6+ years of professional software development experience, with growth in the complexity and scope of problems tackled.
- Strong proficiency in the Microsoft stack (C#, .NET Framework / .NET 6+, ASP.NET Web API, ASP.NET MVC, Entity Framework, SQL Server)
- Experience building and operating API driven, distributed systems in production environments.
- Direct experience with healthcare interoperability, particularly FHIR based integrations.
- Solid understanding of relational data modeling, SQL performance, and data consistency in integration heavy systems.
- Experience integrating with third-party systems where reliability, error handling, and observability are critical.
- Demonstrated automated testing practices across units, integration, and end-to-end testing.
- Fluency with Git and collaborative development workflows.
- Experience deploying and operating services in AWS or Azure.
- Proficiency with CI/CD and DevOps practices.
- Bachelor’s degree in CS or related field, or equivalent hands-on experience.
- Active, daily use of AI coding tools integrated into your development workflow—not just asking a chatbot occasional questions but using AI as a core part of how you write, review, and ship code.
- Ability to critically evaluate AI generated code for correctness, security, and maintainability.
- Experience providing AI tools with meaningful context (codebase access, architecture constraints, project conventions) to get higher quality output.
- At ease in a workplace where AI-supported delivery is the standard rather than a choice.
Nice To Haves
- Deep experience with FHIR resources, profiles, and implementation guides, including real-world interoperability constraints.
- Familiarity with SMART on FHIR, OAuth2, and healthcare authentication/authorization models.
- Experience integrating with major EHR platforms (Epic, NextGen, Meditech, etc.).
- Healthcare domain experience, including HIPAA compliant patient data handling.
- Experience with asynchronous workflows, messaging, and retry semantics for external system integration.
- Hands on AWS experience (EC2, SQS, SNS, Lambda, RDS).
- History of leading technical projects or initiatives.
- Experience with agentic AI workflows—letting AI tools operate with more autonomy while you supervise, review, and direct.
Responsibilities
- Design, build, and maintain backend services and APIs that retrieve and process patient records from EHRs and health systems using FHIR (R4) and related interoperability standards.
- Build and evolve interoperability workflows that support Release of Information (ROI) use cases, including patient identity matching, record discovery, data retrieval, and downstream delivery.
- Integrate with external healthcare systems, EHR vendors, and health information networks using FHIR, RESTful APIs, and event-driven patterns.
- Work across modern .NET services and existing platforms, modernizing legacy integrations where appropriate.
- Own technical roadmaps for interoperability components—balancing reliability, scalability, compliance, and delivery speed.
- Use AI coding tools daily to accelerate development—generating code, debugging, refactoring, and navigating unfamiliar healthcare focused codebases.
- Review AI generated output with the same rigor applied to any production code—understanding what it produces, not just accepting it.
- Write clean, testable, well documented code with a strong emphasis on observability and operational readiness.
- Lead code reviews and help maintain engineering standards across backend services and integrations.
- Debug and resolve issues across distributed systems, including third party integrations and external dependencies.
- Collaborate with product, operations, and compliance teams to translate healthcare and ROI requirements into technical solutions.
- Identify risks related to data quality, external system dependencies, and interoperability constraints before they become incidents.
- Mentor other engineers, particularly around healthcare integrations and backend service design.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
