Onsite

We are sharing a specialised full-time contingent engineering opportunity for U.S.

-based software engineers with experience in Type Script, Node.js, clinical data integrations, EHR systems, FHIR, HL7, healthcare APIs, microservices, and cloud-native backend development.

This role supports current and upcoming clinical data engineering work focused on building backend integration services that move healthcare data between electronic health record systems. Selected professionals will design and implement production-grade integration services, support clinical workflow data exchange, and contribute engineering expertise across healthcare interoperability, secure data movement, API architecture, and AI-assisted development workflows.

• Build robust backend services in Type Script and Node.js to support clinical data movement between electronic health record systems
• Architect integration services using HL7 v2, FHIR, EHR APIs, and healthcare interoperability standards
• Develop reliable data exchange workflows involving clinical records, patient data structures, healthcare APIs, and integration pipelines
• Support engineering work across clinical data modeling, patient identity management, healthcare workflow integrations, and EHR connectivity depending on project needs

• Deploy and maintain microservices using AWS, containerization, and cloud-native engineering practices
• Implement data validation, monitoring, observability, error handling, and secure backend service patterns
• Support HIPAA-aligned security practices for healthcare data workflows and integration services
• Contribute to scalable system design involving distributed services, RESTful APIs, event-driven architectures, concurrency, and production infrastructure

• Participate in code reviews, architecture discussions, and technical design decisions
• Collaborate with product managers and cross-functional stakeholders on clinical workflow solutions
• Use AI-assisted coding tools where appropriate to accelerate development while maintaining engineering quality
• Translate healthcare integration requirements into clear implementation plans, reliable services, and maintainable backend systems

• 3+ years of experience building production systems with Node.js and Type Script
• Prior experience at a healthcare startup, digital health company, health-data integration platform, or similar clinical technology environment
• Working knowledge of FHIR, HL7, patient identity management, clinical data modeling, EHR APIs, or healthcare interoperability workflows
• Strong computer science fundamentals, including algorithms, data structures, object-oriented programming, concurrency, and distributed systems
• Experience designing and implementing RESTful APIs, event-driven systems, backend services, or integration platforms
• Experience scaling microservices or cloud-native applications using AWS, Kubernetes, containers, or related infrastructure
• Strong attention to detail and ability to build secure, reliable, production-ready healthcare data systems
• Excellent written and verbal communication skills
• Ability to work effectively in an on-site, engineering-team environment
• U.S. citizenship or permanent residency and current location in the United States

• Experience implementing OAuth 2.0 or SMART on FHIR authentication flows
• Experience with HIPAA-aligned engineering practices, healthcare security requirements, or regulated clinical data environments
• Familiarity with EHR vendor APIs, clinical workflow tooling, interoperability platforms, or patient-data exchange infrastructure
• Experience with monitoring, observability, automated testing, CI/CD, container orchestration, or production incident response
• Ability to work closely with product and clinical stakeholders to translate healthcare workflow needs into technical solutions

• Apply clinical data engineering expertise to high-impact healthcare technology work
• Build integration services that support secure movement of clinical data between EHR systems
• Work with modern backend technologies including Type Script, Node.js, cloud services, APIs, and healthcare interoperability standards
• Contribute to clinical workflow solutions in a focused engineering environment
• Full-time W2 contingent structure with competitive compensation

• W2 contingent role
• Full-time engineering opportunity
• On-site role based in Seattle, WA or Madison, WI
• Candidates must be U.S. citizens or permanent residents located in the United States
• Work may be structured around backend engineering, clinical data integration, EHR interoperability, microservices development, system design, and product collaboration
• Competitive rates of $50–$70 per hour depending on engineering experience, healthcare data expertise, technical quality, and project scope
• Screening may include resume or experience…