Senior Software Engineer – Interop

🕒 August 5

🇺🇸 United States – Remote

💵 $120k - $140k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

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Logo of HealthMark Group

HealthMark Group

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

📋 Compliance

Healthcare • Healthcare Insurance • Compliance

HealthMark Group is a company that specializes in managing medical records through streamlined digital solutions. They focus on optimizing the release of information for hospitals and physician practices, ensuring efficient, compassionate, and reliable service for patients requesting their medical records. By addressing the challenges of evolving regulatory requirements and staffing shortages, HealthMark aims to improve patient satisfaction and reduce the burden of audits and chart reviews for healthcare organizations.

📋 Description

• Design, build, and maintain backend services and APIs for retrieving and processing patient records from EHRs and health systems using FHIR (R4) and interoperability standards • Build and evolve interoperability workflows supporting Release of Information 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 while balancing reliability, scalability, compliance, and delivery speed • Use AI coding tools daily to generate code, debug, refactor, and navigate healthcare-focused codebases • Review AI-generated output for correctness, security, maintainability, and production readiness • Write clean, testable, well-documented code with strong observability and operational readiness • Lead code reviews and maintain engineering standards across backend services and integrations • Debug and resolve distributed-systems issues involving third-party integrations and external dependencies • Collaborate with product, operations, and compliance teams to translate healthcare and ROI requirements into technical solutions • Identify risks involving data quality, external dependencies, and interoperability constraints • Mentor other engineers in healthcare integrations and backend service design

🎯 Requirements

• 6+ years of professional software development experience • Strong proficiency in C#, .NET Framework / .NET 6+, ASP.NET Web API, ASP.NET MVC, Entity Framework, and SQL Server • Experience building and operating API-driven distributed systems in production • Direct experience with healthcare interoperability, particularly FHIR-based integrations • Understanding of relational data modeling, SQL performance, and data consistency in integration-heavy systems • Experience integrating third-party systems where reliability, error handling, and observability are critical • Automated testing experience across unit, 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 Computer Science or related field, or equivalent hands-on experience • Active, daily use of AI coding tools in the development workflow • Ability to critically evaluate AI-generated code for correctness, security, and maintainability • Experience providing AI tools with meaningful context, including codebase access, architecture constraints, and project conventions • Comfort working remotely and managing one's own time

🏖️ Benefits

• Fully remote work environment • Remote-first, results-focused culture • Meaningful influence over architecture and technical direction • Real ownership and influence over technical direction • Small team where contributions are visible and valued

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