Software Engineer, Healthcare Integrations – HL7/FHIR

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $140k - $185k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 59 days.
• 52 open roles for a team of 14.

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📋 Description

• Design and build HL7, FHIR, and SQL integrations with customer EMR and oncology systems • Analyze data models and create mapping specifications through testing and go-live • Extend and harden the integration engine with new source kinds, transforms, resilience, and observability • Ship production Python through pull request, review, and CI workflows • Extend the integration agent to support mapping authoring, run diagnosis, and customer onboarding • Operate integrations in AWS and Kubernetes environments • Monitor, diagnose, and fix failures across the full message path, including malformed messages and data-integrity issues • Own customer integrations end to end from data model through production support • Work directly with hospital and clinic IT teams during configuration, joint testing, and go-live support • Collaborate with international engineering, Product, Clinical, and Customer Success teams • Maintain interface specifications, mapping documents, and runbooks • Create reusable integration templates, mapping standards, and tooling

🎯 Requirements

• 5+ years in healthcare integration, ideally in radiation oncology or imaging • 3+ years building and operating backend services in Python or a comparable language, with automated tests, code review, and CI • Familiarity with FHIR R4 and HL7 v2.x, including ADT, ORU, and SIU • Comfort with REST APIs and SQL against vendor schemas • Production experience with at least one of Epic, Varian ARIA, or Elekta MOSAIQ • Experience with an interface engine such as Mirth Connect, Rhapsody, Cloverleaf, Corepoint, or similar • Experience mapping data across clinical systems, including coded values, units, and identifiers • Working knowledge of AWS and Docker • Ability to produce clear written documentation, specifications, and runbooks • Ability to work core US business hours, with occasional early or late calls across time zones • Ability to handle protected health information in compliance with HIPAA and company data-handling policies • Willingness to travel approximately 10–15% to customer sites • Nice to have: iKnowMed, Cerner, or other oncology and EMR platforms • Nice to have: event-driven backends such as NATS or Kafka, Postgres, and observability tooling • Nice to have: DICOM and oncology imaging data workflows • Nice to have: Kubernetes and Terraform • Nice to have: radiation oncology clinical workflows • Nice to have: fluency with AI coding agents such as Claude Code or Cursor

🏖️ Benefits

• 160 hours of vacation, six holidays, and four floating holidays each calendar year (prorated the first year) • Health and wellness plans, including medical, dental, vision, basic life, and disability coverage • Retirement/401(k) plan • Other voluntary programs and opportunities for work/life support • Family coverage may be elected on many health and wellness plans, subject to eligibility requirements • Benefits eligibility effective the first of the month following the date of hire

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