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Contractor: Healthcare Integration Engineer
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About this role
Role overview A contract opportunity for a Healthcare Integration Engineer focused on building and maintaining a next-generation clinical data platform. The work centers on architecting scalable healthtech solutions, developing FHIR-compliant APIs, and managing high-throughput clinical datasets that bridge enterprise electronic health record systems.
Responsibilities - Design, implement, and maintain secure, scalable RESTful APIs that conform to FHIR standards (US Core, R4/STU3). - Deploy, configure, and optimize FHIR server tooling to handle high-concurrency clinical data requests. - Design, optimize, and administer MongoDB collections engineered for complex, nested FHIR JSON documents. - Build ETL/ELT pipelines to ingest, map, and transform legacy clinical data formats (HL7 v2, C-CDA, X12) into standardized FHIR resources. - Ensure all data persistence, transmission, and integration mechanisms comply with HIPAA, GDPR, and SOC 2 security guidelines. - Perform end-to-end integration testing, FHIR profile validation, and performance tuning for low-latency queries.
Requirements - 3+ years in healthcare software engineering, healthtech integration, or clinical informatics. - Deep working knowledge of HL7 FHIR resources, profiles, extensions, and RESTful interactions. - Hands-on experience with Firely Server, Firely .NET/C# SDKs, performance tuning, and architecture/design. - 3+ years of experience with MongoDB, including query optimization, indexing, aggregation frameworks, and document modeling. - Proficiency in C#/.NET Core or Node.js/TypeScript for backend services and custom plugins. - Familiarity with EHR integration (Epic, Cerner/Oracle Health, Athenahealth) and healthcare data specs such as SMART on FHIR and OAuth2/OIDC. - Bachelor's degree in Computer Engineering or a related field.
Nice to have - HL7 FHIR Certification from HL7 International. - Experience with cloud platforms such as AWS DocumentDB or Azure Cosmos DB for MongoDB API. - Knowledge of containerization (Docker, Kubernetes) and CI/CD pipelines. - DevOps, SRE, and cloud operations experience.