Senior Full Stack Engineer – EHR Integrations - US Remote

## About the role We are looking for an experienced Full Stack Developer with a proven track record integrating with leading ambulatory Electronic Health Record (EHR) systems. You will design, build, and maintain the APIs, workflows, and user interfaces that connect our platform to clinical environments, helping healthcare providers deliver better patient care through seamless data exchange. ## Key Responsibilities - 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 ## Required Qualifications - 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 ## What we offer We offer a salary range of $130,000-$160,000 USD per year, with compensation tailored to your background, strengths, and potential to grow within the team. The salary range listed for this role reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. compensation will be determined by a combination of factors, including the candidate's experience, skills, and the specific team or product area they support. We regularly review compensation across the company to ensure fairness and consistency. If you are a current employee and have questions about how your compensation aligns with our ranges, we encourage you to speak with your manager or People Operations.