Senior Full Stack Developer

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October 10

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Smile Digital Health

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Healthcare Insurance • SaaS • Enterprise

Smile Digital Health is a company specializing in healthcare data interoperability and health IT solutions. Their Smile Health Data Platform enables efficient data ingestion and transformation into FHIR resources, enhancing clinical decision-making and business intelligence. Focused on compliance and security, Smile Digital Health offers services such as prior authorization automation, standardizing data exchange, and supporting healthcare providers, payers, and health information exchanges with customizable and scalable solutions.

201 - 500 employees

Founded 2016

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 $30M Series B on 2023-01

📋 Description

• Develop backend services, adapters, and integrations using Java, Spring Boot, and Apache Camel for CMS mandates (Patient Access, Provider Access, P2P, Prior Auth). • Deliver FHIR R4+/SMART on FHIR APIs aligned with US Core and applicable Implementation Guides, ensuring full terminology compliance (LOINC, SNOMED CT, RxNorm, ValueSets). • Participate in customer meetings, office hours, demos, and escalations; explain technical concepts clearly and professionally. • Code & Test Excellence – Write clean, maintainable code with strong unit/integration testing (JUnit, Testcontainers, MockMVC) and participate in detailed peer reviews. • Automate & Deploy – Build CI/CD pipelines in GitLab, manage Helm deployments on Kubernetes, and troubleshoot services, pods, and performance issues. • Integrate & Scale – Work with Kafka or equivalent messaging queues and relational databases (PostgreSQL/MS SQL) to deliver scalable, event-driven data pipelines. • Mentor & Lead – Review code, guide junior developers, and promote best practices in design, automation, and maintainability. • Accountable for ensuring that all working hours are accurately reported in the time tracking system on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the integrated project management tool is properly and fully utilized. • Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.

🎯 Requirements

• 8+ years software development experience, including 5+ years in Java/Spring Boot. • Proven delivery of FHIR/SMART on FHIR integrations in production environments. • Strong knowledge of US Core, FHIR IGs, and healthcare terminologies (LOINC, SNOMED CT, RxNorm, ValueSets). • Prior experience in professional services or healthcare delivery teams. • Hands-on with GitLab CI/CD, Kubernetes/Helm, Kafka, and relational databases (PostgreSQL/MS SQL). • Excellent verbal and written communication and ability to work directly with customers. • Highly organized, accountable, and capable of managing multiple concurrent priorities. • Experience with Smile CDR or HAPI FHIR. • Exposure to HL7 v2, CDA, or legacy FHIR integrations. • Familiarity with CMS interoperability mandates (Patient Access, P2P, Provider Access, PA). • Experience authoring FHIR Implementation Guides or using Inferno for testing. • Familiarity with AWS/Azure cloud environments and infrastructure-as-code (Terraform).