Senior FHIR Backend Developer

New
T
Tria FederalHealthcare IT
100% Remote within the United StatesFull-TimeSenior
Salary not disclosed
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Job Details

Experience
8+ years of backend software engineering experience; 3+ years of hands-on experience implementing HL7 FHIR.
Required Skills
CI/CDRESTful APIs

Requirements

  • Bachelor's degree, preferably in computer science, software engineering, information systems, or a related field; equivalent experience is considered.
  • 8+ years of backend software engineering experience, including building and maintaining production REST APIs.
  • 3+ years of hands-on experience implementing HL7 FHIR resources, profiles, extensions, and RESTful FHIR APIs; FHIR R4 is preferred.
  • Experience building or extending a FHIR server, such as HAPI FHIR, or implementing FHIR client integrations in production.
  • Experience implementing API security patterns such as SMART on FHIR, SMART Backend Services, and OAuth 2.0.
  • Strong written and verbal communication skills, including the ability to document technical designs and decisions clearly.
  • HL7 FHIR Foundational Implementer certification is strongly preferred; candidates actively pursuing it will also be considered.
  • Experience implementing or consuming Da Vinci Digital Quality Measures (DEQM), the Quality Measure IG, CRMI, or QI-Core.
  • Familiarity with CQL (Clinical Quality Language) as used in digital quality measure logic.
  • Experience with FHIR Bulk Data export/import and large-scale healthcare data processing.
  • Experience with automated profile validation and conformance testing in a CI/CD pipeline.

Responsibilities

  • Design, build, and maintain backend services that implement the QPP FHIR API, focusing on conformance to the DEQM Summary MeasureReport profile.
  • Implement FHIR resource validation and profile conformance checks, and integrate them into the QPP CI/CD pipeline.
  • Build and maintain secure, scalable RESTful FHIR endpoints using SMART on FHIR, SMART Backend Services, and OAuth 2.0 patterns.
  • Partner with the Technical Lead on architecture decisions, including DEQM version targeting, canonical URLs, and package versioning.
  • Write and maintain automated unit and integration tests, and contribute to the conformance test suite.
  • Troubleshoot and resolve defects related to data modeling, resource mapping, and FHIR interoperability.
  • Participate in code reviews and contribute to FHIR architecture and technical documentation.
  • Stay current on relevant HL7 FHIR, Da Vinci, and CMS/ONC implementation guide updates that affect QPP.
  • Support Connectathon testing, internal demos, and knowledge-sharing sessions as needed.
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