Senior Full Stack Engineer – EHR Integrations - US Remote

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

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.