Senior Full Stack Engineer – EHR Integrations - US Remote
Skills
- Hands-on experience integrating with ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, etc.)
- Strong proficiency with HL7 FHIR (R4 or R5) and RESTful API development
- Familiarity with HL7 v2.x message formats (ADT, ORU, SIU, ORM)
- Experience implementing SMART on FHIR and OAuth 2.0 flows
- Solid full stack development skills across front-end and back-end technologies
- Experience with relational and NoSQL databases (PostgreSQL, MySQL, MongoDB)
- Understanding of HIPAA privacy and security requirements in a development context
- Strong debugging, troubleshooting, and production support skills
Responsibilities
- Design and implement integrations with ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, Modernizing Medicine, Nexgen, etc.)
- Build and maintain HL7 FHIR R4/R5 and HL7 v2.x interfaces for ADT, CCD/CCDA, results, orders, and scheduling
- Develop full stack features across front-end (React/Angular/Vue) and back-end (Node.js/Python/Java/.NET) layers
- Implement OAuth 2.0 / SMART on FHIR authentication flows for EHR app launches and patient-facing integrations
- Participate in EHR vendor developer programs (Epic App Orchard, Cerner Code, athenahealth Marketplace) to certify and publish integrations
- Collaborate with clinical informatics, product, and QA teams to translate healthcare workflows into technical requirements
- Ensure integrations comply with HIPAA, HL7, and ONC interoperability regulations
- Monitor integration pipelines, troubleshoot data mapping issues, and maintain uptime SLAs
- Contribute to code reviews, technical documentation, and sprint planning
Education
- Bachelor's degree in Computer Science, Engineering, Information Systems, or a related field, or equivalent practical experience
- Relevant continuing education or professional training in healthcare interoperability and standards is a plus
Benefits
- Remote-first work environment
- Health, dental, vision, life, and disability insurance options available day one
- 401(k) with company match and immediate vesting
- 17 company holidays plus 2 floating holidays and competitive paid time off
- Internal advancement opportunities
Average salary estimate
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