- Design and implement integrations with ambulatory EHR platforms athenahealth and eClinicalWorks required, and experience with Epic (MyChart/Cosmos), Oracle Health (Cerner), Modernizing Medicine, Nextech, and others considered a plus.
- Build and maintain HL7 FHIR R4/R5 and HL7 v2.x interfaces for clinical data exchange (ADT, CCD, CCDA, results, orders, scheduling)
- Develop full stack features across both front-end (React, Angular, or Vue) and back-end (Node.js, Python, Java, or .NET) layers
- Implement OAuth 2.0 / SMART on FHIR authentication flows for EHR app launch and patient-facing integrations
- Work within 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 all integrations comply with HIPAA, HL7, and ONC interoperability regulations
- Monitor integration pipelines, troubleshoot data mapping issues, and maintain uptime SLAs for production environments
- Participate in code reviews, technical documentation, and sprint planning