FHIR Solution Architect / Lead AI-Enabled Engineer - 0520

TeleSolv Consulting

$95K — $115K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • U.S. Citizenship is required.
  • Bachelor's degree or equivalent experience is necessary.
  • Five years minimum experience in FHIR, HL7, API development, or related areas.
  • Strong knowledge of FHIR R4+, HL7 standards, REST APIs, JSON, and XML.
  • Experience with security frameworks such as OAuth 2+ and OpenID Connect is required.
  • Experience designing API gateways and developer portals is essential.
  • Ability to utilize AI/LLM tools for coding and documentation is necessary.
  • Excellent communication skills to engage both technical and non-technical audiences.

Responsibilities

  • Lead the design and implementation of a cloud-hosted FHIR API server.
  • Support Patient Access, Provider Access, and Payer-to-Payer APIs.
  • Develop façade data models for claims, encounters, and clinical data via FHIR.
  • Apply industry standards and implementation guides for enhanced interoperability.
  • Implement secure authorization workflows using modern frameworks.
  • Integrate APIs with various enterprise systems and data warehouses.
  • Create and maintain comprehensive API documentation and resources.
  • Ensure high availability and security for cloud operations,

Benefits

  • Medical, dental, and vision insurance coverage.
  • 401(k) retirement plan with company match.
  • Paid time off including vacation and holidays.
  • Disability coverage and life insurance options.
  • Opportunities for professional development and training.
Full Job Description
FHIR Solution Architect / Lead AI-Enabled Engineer - 0520

Application Deadline: 12 June 2026

Department: Federal Services

Employment Type: Full Time

Location: Pierre, SD

Compensation: $95,000 - $115,000 / year

Description

This position supports the federal government, and all applicants must be able to support work performed partially on-site in Pierre, South Dakota.

The FHIR API Developer plays a key role in supporting the Government's ongoing mission by helping implement secure, compliant, and reliable health information exchange capabilities. This role supports cloud-hosted FHIR API services, data access workflows, SMART on FHIR application connectivity, and interoperability requirements tied to patient access, provider access, and payer-to-payer data exchange.

This position supports a Government healthcare program responsible for implementing interoperability and patient access requirements. The FHIR API Developer contributes to technical workflows that enable authorized members, providers, payers, and approved third-party applications to access health information in a timely, secure, and standards-based manner.

Responsibilities:
  • Design and lead implementation of a cloud-hosted FHIR API server supporting FHIR R4 (4.0.1) or higher.
  • Implement and support Patient Access, Provider Access, and Payer-to-Payer APIs.
  • Develop and manage façade data models to deliver claims, encounters, clinical, and formulary data via FHIR standards.
  • Apply industry implementation guides including CARIN Blue Button, US Core, Da Vinci, and SMART on FHIR frameworks.
  • Design and implement secure authorization and identity workflows using OAuth 2+, OpenID Connect, and SMART on FHIR.
  • Integrate API services with enterprise portals, data warehouses, and backend systems.
  • Create, maintain, and publish comprehensive API documentation and technical resources.
  • Support third-party developer onboarding, application registration, sandbox environments, and troubleshooting.
  • Design administrative controls to manage, revoke, or restrict API access as needed.
  • Ensure high system availability (target 99.9%), scalability, and secure cloud operations.
  • Provide and maintain test environments for pre-production validation and enhancements.
  • Continuously update systems in response to regulatory changes, CMS guidance, and evolving requirements.
  • Leverage approved AI/LLM tools for coding, testing, documentation, and quality assurance with human oversight.
  • Support incident response, root cause analysis, and resolution for production and testing issues.


Qualifications:
  • Must be a U.S. Citizen.
  • Bachelor's degree or equivalent professional experience.
  • Minimum five (5) years of experience in FHIR, HL7, API development, software engineering, or healthcare integration.
  • Strong knowledge of FHIR R4+, HL7 standards, REST APIs, JSON, XML, and healthcare data exchange patterns.
  • Experience with SMART on FHIR, OAuth 2+, OpenID Connect, and secure consent/authorization frameworks.
  • Experience designing and supporting API gateways, developer portals, and sandbox environments.
  • Ability to use AI/LLM tools for secure code generation, refactoring, testing, and documentation.
  • Strong understanding of data privacy and security, including handling of PII and PHI.
  • Excellent written and verbal communication skills with the ability to engage technical and non-technical stakeholders.
  • Demonstrated ability to translate regulatory requirements into technical solutions.
  • Strong attention to detail, system design quality, and maintainability.


Benefits:

TeleSolv Consulting offers a competitive compensation package including medical, dental, and vision insurance; 401(k) retirement savings plan with company match; paid time off (vacation, sick leave, and paid holidays); short- and long-term disability coverage; life insurance; and opportunities for professional development and training. Additional benefits may include telework options (if applicable), flexible scheduling, employee wellness programs, and performance-based incentives.

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