Design and implement integrations with ambulatory EHR platforms including Epic (MyChart/Cosmos), Oracle Health (Cerner), athenahealth, eClinicalWorks, Modernizing Medicine, and Nexgen, among others
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

Requirements

3+ years of hands-on experience integrating with one or more leading ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, etc.), this is a hard requirement
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

Benefits

Remote first work environment
Health, Dental, Vision, Life and Disability Insurance options available day one.
401K - with match and immediately vested.
17 company holidays, 2 floating holidays plus competitive paid time off policy
Internal Advancement Opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

HL7 FHIR R4HL7 FHIR R5HL7 v2.xReactAngularVueNode.jsPythonJava.NET

Soft Skills

collaborationtroubleshootingdebuggingtechnical documentationsprint planning