Sr Engineer (FHIR Integration)

• 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

• 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/benefits, 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.

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