Senior Full Stack Engineer – EHR Integrations

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US RemoteFull-TimeSenior

Salary130,000 - 160,000 USD per year

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Job Details

3+ years of hands-on experience integrating with one or more leading ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, etc.)
Strong proficiency with HL7 FHIR (R4 or R5) and RESTful API development
Familiarity with HL7 v2.x message formats (ADT, ORU, SIU, ORM)
Experience with SMART on FHIR and OAuth 2.0 authorization flows
Solid full stack development skills, comfortable working across the entire application stack
Experience with relational and/or NoSQL databases (PostgreSQL, MySQL, MongoDB)
Understanding of HIPAA privacy and security requirements in a development context
Strong debugging and integration troubleshooting skills

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

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