Lead Engineer, Health Data Integrations

The role

You will build and operate integrations for a health data platform for personalized primary care. You will work across APIs, data pipelines, mobile integrations, and front-end features on an Azure platform.

What you will do

• Build and operate integrations with lab and diagnostics partners.
• Connect EMR and EHR systems using FHIR and legacy interfaces.
• Integrate payer data including eligibility, claims, and patient-access APIs.
• Integrate on-device mobile health data and cloud-based wearable APIs.
• Lead the work to bring data from in-clinic medical devices into the cloud platform.
• Map data from different sources into a common model.
• Build APIs, services, and front-end features.
• Work with labs, EHR vendors, payers, and device partners to scope, test, and launch integrations.
• Design for HIPAA requirements including encryption, access controls, and audit logging.
• Set standards for testing, observability, and CI/CD.

Required qualifications

• Bachelor’s degree in computer science or a related field
• 8+ years shipping software
• 3+ years building healthcare data integrations at a health-tech, digital health, or healthcare startup
• Hands-on production experience with FHIR R4 and SMART on FHIR
• Working knowledge of HL7 v2, C-CDA, and clinical terminologies such as LOINC and SNOMED CT
• Integration experience in at least two of these areas: hospital and EHR systems, payer data, or lab systems
• Experience integrating Apple HealthKit or Android Health Connect
• Experience working with wearable APIs such as WHOOP, Fitbit, Oura, or Garmin
• Experience leading a substantial platform build or integration program end to end
• Full-stack development experience with a modern back end such as Node.js, .NET, or Python and a front end such as React or Next.js
• Cloud-native experience on Azure, or equivalent experience on another cloud platform
• Practical experience applying HIPAA requirements and protecting PHI in production systems

Nice to have

• The ideal candidate can sit down with a clinician or vendor, work out what data is available and how it will be used, and carry that integration into production.

Before you apply

• Open to candidates based in the United States who are authorized to work in the U.S.

About the company

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