Job Summary

Senior Engineer (FHIR Integration) (Client: ) [Location: Remote,]

Responsibilities

- Design, develop, and implement Da Vinci FHIR solutions supporting CMS-0057-F compliance, including Coverage Requirements Discovery (CRD), Documentation Templates Rules (DTR), and Prior Authorization Support (PAS) APIs.
- Build and deploy production-ready APIs leveraging FHIR R4 standards and best practices for healthcare interoperability.
- Design and implement integrations between payer systems, utilization management platforms, provider portals, and enterprise healthcare applications.
- Develop and maintain RESTful APIs and integration services connecting claims, benefits, authorization, and provider-facing systems.
- Architect scalable, highly available backend services capable of supporting real-time point-of-care authorization and eligibility workflows.
- Define service boundaries, API contracts, and integration patterns across enterprise healthcare platforms.
- Collaborate with architects, product owners, business stakeholders, and engineering teams to deliver secure, compliant, and scalable healthcare solutions.
- Ensure solutions meet regulatory, performance, security, and reliability requirements for production healthcare environments.
- Participate in architecture reviews, code reviews, and technical leadership activities while mentoring development teams.

Qualifications

Required:

- Extensive experience implementing Da Vinci FHIR implementation guides, including CRD, DTR, and PAS.
- Own the technical design of a multi-API build (CRD, DTR, PAS)



sharing a common decision engine and pre-screener: defining service boundaries, integration patterns across claims/advantages, real-time point-of-order requests route into shared backend logic.
- Proven hands-on experience developing against FHIR R4 standards in production environments.
- Strong experience integrating payer platforms with claims, benefits, utilization management (UM), and provider-facing systems.
- Experience supporting CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) initiatives.
- Knowledge of healthcare authorization, claims processing, utilization management, and payer workflows.
- Able to own REST wrapper and endpoint integration work end-to-end.
- Experience integrating with platforms such as Facets, Zyter TruCare, Availity, ProAuth, or comparable healthcare payer technologies.
- Expertise designing and developing RESTful APIs, microservices, and enterprise integration solutions.
- Strong background in API architecture, distributed systems, and service-oriented design.
- Experience designing high-availability, scalable systems supporting mission-critical healthcare applications.
- Strong understanding of healthcare interoperability standards, API security, OAuth 2.0, SMART on FHIR, and HIPAA compliance.

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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