Principal CDS Hooks & API Platform Architect

Vytalize; United States; Remote; USD 150,000 - 230,000; Full time

Benefits offered by this job

Competitive base compensation

Annual bonus potential

Health benefits effective on startdate

Health & Wellness Program; up to $300/

401K plan effective on start date; 4%

Vytal Time; paid time off

STD/LTD

Technology setup

Job summary

Vytalize is seeking a Principal Engineer to design, build, and operate our CDS Hooks platform and API-driven data delivery system. You will own the technical foundation, including CDS Hooks, REST APIs, and EHR integrations, enabling real-time clinical decision support within provider workflows.

You will collaborate with Data Engineering, Product, Clinical Operations, and EMR partners to ensure data trust, low latency, and scalable delivery, while mentoring engineers and upholding HIPAA and

Qualifications

• 8+ years of experience designing, building, and operating API platforms, service-oriented systems, or backend infrastructure at scale.
• 3+ years of healthcare data integrations, EMR workflows, or interoperability standards (FHIR, HL7).
• Experience with CDS Hooks, SMART on FHIR, or similar clinical decision support APIs.

Responsibilities

• Lead design and implementation of the CDS Hooks platform and integration with downstream data services.
• Own CDS Hook API contracts and evolution, ensuring SMART CDS Hooks compliance and optimizations.
• Lead EMR integration for CDS Hook discovery, execution, and card rendering across systems (Epic, NextGen, Athena, ECW).
• Design, build, and maintain REST and event-driven APIs exposing clinical data, metrics, and decision support content.
• Establish API contracts, versioning, and deprecation policies for external consumers.
• Implement API security patterns including OAuth 2.0, scope-based authorization, rate limiting, and audit logging.
• Design real-time data pipelines feeding CDS Hooks and APIs with low latency and high freshness.
• Implement QA frameworks for CDS Hooks and APIs, including workflow validation across EMR systems.
• Establish SLAs for CDS Hook delivery and API performance; measure clinical impact metrics.
• Collaborate across product, analytics, clinical operations, and business teams to translate workflows into platform features.

Skills

API design

REST APIs

Distributed systems

Cloud platforms

Kubernetes

Security & compliance

Communication

Healthcare interoperability

Tools

OAuth 2.0/OIDC

Job description

Vytalize is seeking a Principal Engineer to design, build, and operate our CDS Hooks platform and API-driven data delivery system. You will own the technical foundation, including CDS Hooks, REST APIs, and EHR integrations, enabling real-time clinical decision support within provider workflows.

You will collaborate with Data Engineering, Product, Clinical Operations, and EMR partners to ensure data trust, low latency, and scalable delivery, while mentoring engineers and upholding HIPAA and