Senior Engineer, FHIR

Bellese

$128K — $153K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent with 8+ years in development.
  • Proficient in Java/Springboot and at least two other languages (GoLang, Python, Angular, or TypeScript).
  • Experience with AWS and Infrastructure as Code, preferably Terraform.
  • Strong understanding of relational databases, especially PostgreSQL.
  • Familiarity with HL7 FHIR standards and healthcare data formats.

Responsibilities

  • Contribute to projects/products, driving positive outcomes.
  • Scope, estimate, design, and deliver medium-to-large features.
  • Collaborate with team members to foster a productive environment.
  • Develop test plans and documentation aligned with specifications.
  • Utilize bug-tracking tools for defect management and resolution.
  • Establish quality metrics and enforce best practices throughout SDLC.
  • Evaluate and recommend new QA tools and techniques for continuous improvement.

Benefits

  • Remote first, remote only work culture.
  • Four weeks paid time off yearly.
  • Flexible scheduling options.
  • Work from home setup including Macbook.
  • Comprehensive medical, dental, and vision insurance options.
  • 401K plan with company contribution.
  • Wellness resources and employee discounts.
Full Job Description
The Team you will be joining:
HQR

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we're relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

As a Senior Engineer:
  • You contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes.
  • >
  • You demonstrate proficiency and specialized skill in one or more key technologies relevant to the team's goals.
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  • You accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products.
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  • You proactively support and collaborate with team members, fostering a positive and productive team environment.
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  • You adhere to established team processes, ensuring a steady and reliable delivery of features to production.
  • >

These are the types of things you'll be working on
  • Cross-functional Collaboration: Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC.
  • >
  • Test Planning and Design: Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities.
  • >
  • Bug Tracking and Resolution: Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution.
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  • Quality Metrics and Standards: Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC.
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  • Automate Testing Processes: Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines.
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  • Continuous Improvement: Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices
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  • Compliance and Regulatory Adherence: Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes.
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  • Performance and Security Testing: Implement and conduct performance and security testing following best practices and business requirements.
  • >


Security Clearance Requirements

  • US Citizenship or Green Card only - we do not offer Sponsorship
  • US Residency for at least the past 3 years
  • Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
  • Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article


Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better

  • Remote First, Remote Only Culture
  • Four weeks paid time off yearly (prorated based on start date for the first year)
  • 10 paid floatingcompany holidays
  • Flexible schedule
  • Work from home setup including a Macbook
  • Collaborative, learning environment
  • Medical, dental, and company-paid vision insurance
  • Optional HSA account with some medical plans and a company contribution
  • Company paid basic life and AD&D insurance coverages
  • Company paid short and long term life insurance
  • Optional critical illness and accident insurance
  • 401K plan with 3% safe harbor contribution
  • Wellness resources and virtual care
  • Perks Plus employee discounts


You will like it here if

  • You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You're an out of the box thinker, always striving to know the "why" when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.


Required Skills / Qualifications

  • Bachelor's degree or equivalent and 8+ years of development experience
  • >
  • Experience with Java / Springboot
  • >
  • Experience with GoLang, Python, Angular or TypeScript, and Java (at least 2)
  • Cloud experience, preferably AWS
  • >
  • Experience in Agile development methodology
  • >
  • Experience with Infrastructure as Code, preferably Terraform
  • >
  • Experience with fully automated CI/CD pipelines from commit through production deployment
  • >
  • Strong relational database experience such as PostgreSQL
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  • Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides
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  • Experience building or integrating RESTful APIs aligned to FHIR specifications
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  • Familiarity with FHIR R4 and healthcare interoperability patterns
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  • Experience working with healthcare data formats such as QRDA, C-CDA, or claims data
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  • Understanding of digital quality measurement concepts, including eCQM and dQM
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  • Experience with Clinical Quality Language (CQL) or exposure to measure logic execution
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  • Experience working with FHIR servers such as HAPI FHIR or similar platforms
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  • Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation
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  • Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems
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Desired Skills / Qualifications

  • AWS Certifications
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  • Experience with AWS ECS Fargate, AWS RDS, AWS S3
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  • Experience with Jenkins or similar CI/CD tools
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  • Experience with Databricks or modern data platforms
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  • Experience working with large-scale healthcare reporting or analytics systems
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  • Familiarity with CMS environments, data pipelines, or regulatory programs
  • >


$128,700 - $153,400 a year

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