Senior Software Engineer - Interop

Accountabilities:

• Design, build, and maintain backend services and APIs for retrieving and processing patient data using FHIR (R4) and healthcare interoperability standards.

• Develop and enhance interoperability workflows supporting Release of Information (ROI), including identity matching, record discovery, and data delivery.

• Integrate with external EHR systems and healthcare networks using RESTful APIs, FHIR, and event-driven architectures.

• Modernize and maintain existing .NET-based services while supporting legacy system integrations where required.

• Own and contribute to technical roadmaps for interoperability components, balancing scalability, compliance, and delivery speed.

• Ensure systems are reliable, observable, and production-ready through strong engineering and testing practices.

• Collaborate with product, compliance, and operations teams to translate healthcare requirements into technical solutions.

• Identify and mitigate risks related to data integrity, external dependencies, and system reliability in distributed environments.

• Participate in code reviews, uphold engineering standards, and mentor other engineers on backend and healthcare integration topics.

Requirements:

• 6+ years of professional software engineering experience with increasing technical complexity and ownership.

• Strong proficiency in C#, .NET Framework / .NET 6+, ASP.NET Web API, MVC, Entity Framework, and SQL Server.

• Experience building and operating distributed, API-driven systems in production environments.

• Hands-on experience with healthcare interoperability, particularly FHIR-based integrations.

• Strong understanding of relational databases, data modeling, and SQL performance optimization.

• Experience integrating with third-party systems where reliability, error handling, and observability are critical.

• Strong testing practices including unit, integration, and end-to-end testing.

• Experience with CI/CD pipelines, DevOps practices, and cloud environments such as AWS or Azure.

• Bachelor’s degree in Computer Science or equivalent practical experience.

• Strong communication skills and ability to work effectively in remote, cross-functional teams.

• Preferred: experience with SMART on FHIR, OAuth2, major EHR systems (Epic, Meditech, NextGen), healthcare compliance (HIPAA), and AWS services (Lambda, SQS, SNS, RDS).

• Strong AI-assisted development mindset, including daily use of AI tools for coding, debugging, and development workflows while maintaining strong code review discipline.

Benefits:

• Competitive compensation aligned with experience and market standards.

• Fully remote-first work environment.

• Opportunity to work on meaningful healthcare systems that directly impact patient data access and care workflows.

• Exposure to modern FHIR-based interoperability platforms at scale.

• High ownership role with influence over architecture and technical direction.

• Collaborative, engineering-driven culture with a small and impactful team.

• Strong emphasis on AI-augmented development practices as part of daily workflow.

• Opportunity for professional growth in a complex, high-impact technical domain.

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
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