Healthcare API Engineer, Ruby on Rails

November 13

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Mindoula

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Healthcare Insurance • Wellness

Mindoula is a healthcare company that offers proven solutions for managing complex behavioral health, medical, and social challenges across the continuum of care. The company provides services for payers, providers, and consumers, using care extension solutions and a full suite of programs, including StrongWell™ for high-risk Medicare seniors. Mindoula achieves significant ROI by reducing reAdmissions, pharmacy costs, and ED utilization through its proprietary platform, which supports risk stratification, service, and remote monitoring. The company has earned HITRUST certification, reflecting its commitment to security and privacy in its operations.

201 - 500 employees

Founded 2015

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• API Development & Healthcare Integrations: Design, develop, and maintain secure, scalable, and efficient APIs using Ruby on Rails to enable data sharing between healthcare systems and applications. • Build and optimize integrations with Athena Health EMR, Epic, and other major healthcare platforms. • Implement FHIR (Fast Healthcare Interoperability Resources) standards for modern healthcare data exchange. • Develop HL7 protocol implementations (v2.x and v3) for legacy system integration and interoperability. • Create RESTful API endpoints following industry best practices and Rails conventions. • Develop comprehensive API documentation using tools like Swagger/OpenAPI. • Write clean, maintainable, and well-tested code for all API components. • Security, Compliance & Performance: Implement robust security protocols including OAuth 2.0, JWT, and other authentication/authorization mechanisms using Doorkeeper, Devise, or similar Rails gems. • Ensure strict HIPAA compliance across all API endpoints and data exchanges. Develop and maintain security measures to safeguard Protected Health Information (PHI). • Optimize API performance through caching strategies (Redis, Memcached), rate limiting (Rack::Attack), and efficient database queries. • Monitor API performance metrics using tools like New Relic, Datadog, or similar platforms and implement continuous improvements. Conduct regular security audits and implement necessary updates and patches. Implement proper API versioning and deprecation strategies. • Database & Infrastructure Management: Design and optimize PostgreSQL or MySQL database schemas for healthcare data storage and API operations. Write efficient ActiveRecord queries and database migrations. Implement database indexing strategies to support high-performance API operations. • Work with cloud platforms (AWS, GCP, or Azure) for API deployment and infrastructure management. Utilize background job processing (Sidekiq, Delayed Job) for asynchronous API operations and data synchronization. • Collaboration & Technical Leadership: Partner with product managers, data engineers, clinical staff, and other stakeholders to align API solutions with clinical workflows and business needs. Participate in API design discussions, code reviews, and architectural planning sessions. Translate business requirements into technical specifications and API designs. Provide technical support for customer integrations and troubleshoot API-related issues promptly. Develop and maintain documentation for API architectures, integration procedures, and technical processes. • Quality Assurance & Continuous Improvement: Write comprehensive unit, integration, and API tests using RSpec, Minitest, or similar frameworks. Conduct performance evaluations and validation studies to assess API efficacy in real-world healthcare scenarios. Monitor and analyze the impact of deployed APIs, using feedback to iterate and improve continuously. Ensure rigorous evaluation of functionality, security, and compliance at each development stage. Stay current with Rails ecosystem updates, healthcare interoperability standards, and emerging technologies.

🎯 Requirements

• Bachelor's degree in Computer Science, Software Engineering, or related technical field. • 3-5+ years of relevant work experience in API development using Ruby on Rails, particularly in healthcare technology or related domains. • Proven experience with Athena Health EMR integrations. • Demonstrated experience implementing Epic system integrations. • Strong track record of delivering healthcare API solutions in production environments. • Passion for delivering software that impacts real lives, especially for vulnerable or underserved populations. • Experience integrating AI/ML models (e.g., GenAI, NLP, recommender systems) into web applications. • Understanding of data security, user permissions, and audit trails in a healthcare or regulated setting. • Strong git workflow, testing practices, and familiarity with CI/CD tools (e.g., GitHub Actions, CircleCI). • Curiosity, self-direction, and comfort with ambiguity in a fast-moving startup environment. • Excellent communication skills and a collaborative mindset.