Sr. Software Engineer (EHR Integration Team) (Healthcare)

Location: US Remote; applicants must be authorized to work in the US without current or future visa sponsorship

Salary: USD 125,000–156,300 annually

Company

hirify.global develops cell-free DNA testing and genetic diagnostics for oncology, women’s health, and organ health.

What you will do

• Build and ship SMART on FHIR applications with EHR and standalone launch, OAuth 2.0 with PKCE, backend authorization, scopes, and token handling.
• Design FHIR R4 APIs, resource mappings, profiles, extensions, and the server-side data model.
• Build CDS Hooks services with prefetch that meet EHR response-time requirements.
• Take integrations through Epic, Oracle Health, and other EHR vendor onboarding and go-live processes; collaborate with health system IT on build and testing.
• Handle PHI in storage, caching, logging, and tracing using minimum-necessary access, encryption, audit trails, and no PHI in logs.
• Write design documentation, review code, mentor engineers, support HL7 v2 and interface-engine flows, and participate in on-call support.

Requirements

• BS in computer science, a related field, or equivalent experience.
• 6+ years of software development experience, including at least 3 years building EHR integrations in production.
• Hands-on experience building and shipping SMART on FHIR applications launched inside an EHR.
• Strong FHIR R4 knowledge, including resource modeling, search, and terminology such as LOINC, SNOMED, and ICD-10.
• Production go-live experience with Epic.
• Backend development with Java and Spring Boot or similar technologies on AWS.
• Production experience handling PHI under HIPAA.
• Clear communication with clinicians, health system IT, and product teams.
• Knowledge of OAuth 2.0, OIDC, CDS Hooks, REST, event-driven microservices, relational databases and SQL, Docker, CI/CD, Linux, React, TypeScript, and quality assurance practices.
• Must be authorized to work in the US without current or future visa sponsorship.

Nice to have

• Production experience with CDS Hooks.
• Epic Showroom listing or an application built in the Oracle Health code console.
• Experience with lab orders and results, including ServiceRequest, DiagnosticReport, Observation, and HL7 v2 ORM/ORU.
• FHIR Subscriptions, Bulk FHIR, or interface engines such as Mirth, Rhapsody, or Cloverleaf.
• React and TypeScript for in-EHR user interfaces.
• USCDI, Da Vinci implementation guides, or ONC certification experience.
• Experience with AWS services such as SQS, S3, SNS, and Lambda, and PostgreSQL or MySQL.

Culture & Benefits

• Full-time employee benefits include medical, dental, vision, life, and disability plans for eligible employees and dependents.
• Additional benefits include free testing for employees and immediate families, fertility care, pregnancy and baby bonding leave, 401(k), commuter benefits, and an employee referral program.
• Regular HIPAA/PHI privacy, general compliance, and security training is required within the first 30 days and must remain current.
• Work involves regular access to PHI in paper and electronic form.