Senior Software Engineer

Elios Talent; Houston (TX); On-site; USD 135,000 - 160,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Tuition assistance

Disability insurance

Student loan assistance

Job summary

A healthcare technology company based in Houston is seeking a Tech Lead or Senior Software Engineer experienced in FHIR and EHR integrations. You will lead the development of advanced integration solutions for real-time clinical insights and ensure interoperability with Epic and iKnowMed. This role demands strong technical skills and a hands-on approach to solving complex challenges in the health tech sector. Join us for a rewarding opportunity in a growing field.

Qualifications

• Deep expertise in FHIR and EHR interoperability.
• Experience leading integration projects in healthcare.
• Strong skills in secure authentication workflows.

Responsibilities

• Lead development of SMART on FHIR apps.
• Build secure write-back flows into EHR systems.
• Drive technical discussions with internal and external teams.

Skills

Experience with SMART on FHIR

Understanding of FHIR R4+ resource modeling

Familiarity with Epic APIs

Expertise in OAuth2 and OpenID

Solid experience in Node.js, Python, or Java

Experience with Kafka or event-streaming

Clear understanding of healthcare data privacy”,

Tools

Node.js

Python

Java

Kafka

Job description

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Tech Lead / Senior Software Engineer – EHR Integrations (Epic & IKM)

Why You’ll Love This Role:

Own the Integration Stack – Lead SMART on FHIR development across Epic and iKnowMed

???? Code That Impacts Care – Build embedded apps that connect providers with real-time clinical insights

About the Role:

We're looking for a Tech Lead or Senior Software Engineer with deep expertise in FHIR, EHR interoperability, and event-driven architecture to build next-gen integrations with Epic and iKnowMed (IKM). You’ll be responsible for developing clinical data exchange features, embedding apps in real-world provider workflows, and ensuring seamless bidirectional data flow between systems.

This is a high-impact, hands-on leadership role ideal for an engineer who thrives on solving complex integration problems in healthcare and scaling infrastructure that supports direct patient care.

Key Responsibilities:

• Develop SMART on FHIR apps embedded in Epic and IKM to support provider and patient workflows
• Extract clinical data via FHIR APIs, normalize it, persist it to a backend store (e.g., AidBox), and emit real-time events via Kafka
• Build secure write-back flows for patient updates, documentation, and care coordination directly into the EHR
• Lead registration, approval, and certification processes with Epic App Orchard and other EHR vendor platforms
• Partner with product and QA teams to ensure usability, performance, and compliance with health IT standards
• Translate clinical requirements into scalable backend logic and reusable integration components
• Drive technical conversations with both internal teams and external vendor engineers to keep delivery on track

What We’re Looking For:

• Hands-on experience with SMART on FHIR and strong understanding of FHIR R4+ resource modeling
• Deep familiarity with Epic APIs, App Orchard, Interconnect, and integration best practices
• Experience building apps for Epic Hyperspace/Hyperdrive and iKnowMed
• Expertise in OAuth2, OpenID, and secure authentication workflows for EHR integrations
• Solid experience developing in Node.js, Python, or Java, with familiarity in Kafka or event-streaming tools
• Clear understanding of healthcare data privacy, HIPAA, and interoperability standards

Bonus Points:

• Experience with multiple EHR systems or FHIR-first platforms like AidBox
• Familiarity with clinical terminology standards (e.g., LOINC, SNOMED)
• Contributions to open source health IT or FHIR projects

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering, Information Technology, and Product Management

• Industries

  IT Services and IT Consulting, Software Development, and Information Services

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Tuition assistance

Disability insurance

Student loan assistance

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