Software Engineer, Healthcare Integrations (HL7/FHIR)

Symmetrio

14h • $140,000 - $185,000 • Remote

About The Position

Symmetrio is recruiting a Software Engineer, Healthcare Integrations for its client, a rapidly growing international healthcare technology company building an AI-enabled platform for US and international radiation oncology and clinical care organizations. The role builds and operates integrations connecting the platform to healthcare systems used by customers, including Epic, Varian ARIA, Elekta MOSAIQ, and iKnowMed. This includes creating customer-specific channels and mappings and contributing to the in-house agentic integration engine.

The engineer owns customer integrations end to end, from understanding customer data models through go-live and production support. The role works with an international engineering team and with Product, Clinical, and Customer Success, as well as directly with hospital IT and vendor interface teams. The position is remote within the United States, but candidates must be located in the Pacific Time Zone and work Pacific Time business hours. Occasional customer-site travel of approximately 10–15% is expected.

Requirements

• At least 5 years of experience in healthcare integration, ideally in radiation oncology or imaging.
• At least 3 years building and operating backend services in Python or a comparable language, with automated tests, code review, and CI; experience owning a codebase rather than only configuring a product.
• Familiarity with FHIR R4 and HL7 v2.x, including ADT, ORU, and SIU.
• Comfort with REST APIs and SQL against vendor schemas.
• Production experience with at least one of Epic, Varian ARIA, or Elekta MOSAIQ, and with an interface engine such as Mirth Connect, Rhapsody, Cloverleaf, Corepoint, or similar.
• Experience mapping data across clinical systems, including coded values, units, and identifiers.
• Working knowledge of AWS and Docker.
• Ability to write clear specifications and runbooks that colleagues or customers can follow independently.
• Ability to work core US business hours, with occasional early or late calls to coordinate across time zones.
• Comfort handling protected health information in compliance with HIPAA and company data-handling policies.
• Willingness to travel occasionally, approximately 10–15%, to customer sites for onboarding and go-live support.

Nice To Haves

• Experience with iKnowMed, Cerner, or other oncology and EMR platforms beyond those listed as core experience.
• Experience with event-driven backends such as NATS, Kafka, or similar; Postgres; and observability tooling.
• Knowledge of DICOM and how imaging data flows alongside HL7/FHIR in oncology workflows.
• Experience with Kubernetes and Terraform.
• Knowledge of radiation oncology clinical workflows, including how treatment planning and delivery data is used by care teams.
• Fluency with AI coding agents such as Claude Code or Cursor as a daily tool, and curiosity about their capabilities.

Responsibilities

• Design and build HL7, FHIR, and SQL integrations with customer EMR and oncology systems, from data-model analysis and mapping specifications through testing and go-live.
• Extend and harden the integration engine, including adding source kinds, transforms, resilience, and observability; ship production Python through pull-request, review, and CI workflows.
• Use coding agents as part of development and extend the integration agent to support mapping authoring, run diagnosis, and customer onboarding.
• Operate integrations in AWS and Kubernetes; monitor, diagnose, and fix failures across the message path, including malformed messages and data-integrity issues.
• Work directly with hospital and clinic IT teams during onboarding, including configuration, joint testing, and go-live support.
• Maintain interface specifications, mapping documents, and runbooks for the team and customers.
• Create reusable templates, mapping standards, and tooling to make future integrations faster.
• Coordinate with colleagues in other time zones through occasional early or late calls.
• Handle protected health information in compliance with HIPAA and company data-handling policies.
• Travel occasionally to customer sites for onboarding and go-live support.

Benefits

• 160 hours of vacation each calendar year, prorated in the first year.
• Six holidays and four floating holidays each calendar year.
• Health and wellness plans, including medical, dental, vision, basic life, and disability coverage.
• Eligibility for benefits begins on the first of the month following the date of hire; family coverage may be elected for many plans subject to eligibility requirements.
• Retirement/401(k) plan.
• Other voluntary programs and opportunities for work/life support.

What This Job Offers

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