Senior Health Data Engineer - Interoperability & AI Access

Italic; United States; Remote; USD 200,000 - 250,000; Full time

Benefits offered by this job

Equity

Job summary

Italic is building the identity and consent layer for healthcare in the US. As our second engineer, you’ll own the data pipeline from health information exchange networks, normalize and deduplicate records, and enable secure, patient-authorized access for AI agents across provider systems.

You’ll work directly with the CEO and founding engineer to ship PHI-safe architecture, define data models (FHIR R4), and design APIs and security controls that scale with nationwide data exchange initiatives

Qualifications

• Extensive production experience with TypeScript, Next.js, React and PostgreSQL.
• Several years in health tech, ideally at a digital health company or health data platform.
• Shipped software that handles PHI under HIPAA.
• A security background: threat modeling, secure design review, and hands-on application security.
• Hands-on FHIR R4 work with real clinical data, including the duplicates and messy coding.
• Owned a data model that other teams or companies relied on.

Responsibilities

• Build how we retrieve clinical records from health information exchange networks.
• Own the FHIR R4 data model: normalization, deduplication across sources and provenance.
• Turn clinical records into structured data that AI models and agents can use, with every fact cited to its source.
• Build the APIs that partner developers use to read that data.
• Build the authorization that lets AI agents access records on a patient’s behalf, and own its attack surface.
• Own the security of what you build: threat models, access control, encryption and key management, audit trails and consent.
• Help run our security program, including security reviews, SOC 2 controls and incident response.

Skills

TypeScript

Next.js

React

PostgreSQL

FHIR R4

PHI security

OAuth

Tools

Hono

OpenID Connect

Job description

Italic is building the identity and consent layer for healthcare in the US. As our second engineer, you’ll own the data pipeline from health information exchange networks, normalize and deduplicate records, and enable secure, patient-authorized access for AI agents across provider systems.

You’ll work directly with the CEO and founding engineer to ship PHI-safe architecture, define data models (FHIR R4), and design APIs and security controls that scale with nationwide data exchange initiatives