Sr. Software Engineer (EHR Integration Team)
About The Position
Natera is building applications and services that run within clinicians’ EHR systems. This hands-on role develops SMART on FHIR apps launched from Epic, Oracle Health (Cerner), and other EHRs, along with the supporting FHIR services, data model, and CDS Hooks services that bring Natera ordering and results into provider workflows. The engineer works with a small team, product, and the wider EHR integration group, and regularly handles patient data under HIPAA. The role includes taking applications through EHR vendor onboarding and go-live, beginning with Epic and then Oracle Health and other systems. It also involves working with health system IT on implementation and testing, handling PHI appropriately, writing design documents, reviewing code, mentoring engineers, and being on call for shipped work. The employee must complete HIPAA/PHI privacy, general policies and procedures compliance, and security training within the first 30 days of hire and maintain current status on Natera training requirements. Natera is a global leader in cell-free DNA testing focused on oncology, women’s health, and organ health. The company aims to make personalized genetic testing and diagnostics part of standard care to enable earlier, targeted interventions.
Requirements
- BS in computer science, a related field, or equivalent experience.
- At least 6 years of software development experience, including at least 3 years building EHR integrations in production.
- Hands-on SMART on FHIR experience, including building and shipping an app that launches inside an EHR.
- Strong FHIR R4 skills, including resource modeling, search, and terminology such as LOINC, SNOMED, and ICD-10.
- Production go-live experience with Epic.
- Backend services experience in Java and Spring Boot or similar, on AWS.
- Experience handling PHI under HIPAA in a production system.
- Clear communication with clinicians, health system IT, and product.
- Authorization to work in the US without current or future visa sponsorship.
- Knowledge of FHIR R4, SMART App Launch, OAuth 2.0 and OIDC, and CDS Hooks.
- Knowledge of Java and Spring Boot, REST and event-driven microservices.
- Knowledge of AWS services such as SQS, S3, SNS, and Lambda.
- Knowledge of relational databases and SQL.
- Knowledge of Docker, CI/CD, and Linux fundamentals.
- Quality assurance mindset.
Nice To Haves
- Production experience with Oracle Health (Cerner), athenahealth, MEDITECH, or other EHRs.
- CDS Hooks in production.
- An Epic Showroom listing or an app built in the Oracle Health code console.
- Experience with lab orders and results, including ServiceRequest, DiagnosticReport, Observation, and HL7 v2 ORM/ORU.
- FHIR Subscriptions and Bulk FHIR.
- Experience with interface engines such as Mirth, Rhapsody, or Cloverleaf.
- React and TypeScript experience for in-EHR user interfaces.
- USCDI, Da Vinci implementation guides, or ONC certification work.
- Experience with PostgreSQL or MySQL.
Responsibilities
- Build and ship SMART on FHIR apps, including EHR and standalone launch, OAuth 2.0 with PKCE, backend services authorization, scopes, and token handling.
- Design and build server-side FHIR R4 APIs, mappings to the internal data model, profiles, and extensions.
- Build CDS Hooks services with prefetch that respond within EHR time limits.
- Take apps through EHR vendor onboarding and go-live, starting with Epic Vendor Services and Showroom and then Oracle Health and other vendors.
- Work with health system IT on implementation and testing.
- Handle PHI correctly in storage, caching, logging, and tracing, using minimum necessary data, encryption, audit trails, and ensuring PHI is not included in logs.
- Work with HL7 v2 and interface engine flows where needed by the EHR.
- Write design documents, review code, and mentor engineers.
- Be on call for shipped work.
- Complete required HIPAA/PHI privacy, general policies and procedures compliance, and security training no later than the first 30 days of hire, and maintain current status on Natera training requirements.
Benefits
- Comprehensive medical, dental, vision, life, and disability plans for eligible employees and their dependents.
- Free testing for employees and their immediate families.
- Fertility care benefits.
- Pregnancy and baby bonding leave.
- 401k benefits.
- Commuter benefits.
- Employee referral program.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
