Senior Engineer, FHIR at Bellese

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes.    Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden. Security Clearance Requirements • US Citizenship or Green Card only - we do not offer Sponsorship • US Residency for at least the past 3 years • Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation • Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better • Remote First, Remote Only Culture • Four weeks paid time off yearly (prorated based on start date for the first year) • 10 paid floating company holidays • Flexible schedule • Work from home setup including a Macbook • Collaborative, learning environment • Medical, dental, and company-paid vision insurance • Optional HSA account with some medical plans and a company contribution • Company paid basic life and AD&D insurance coverages • Company paid short and long term life insurance • Optional critical illness and accident insurance • 401K plan with 3% safe harbor contribution • Wellness resources and virtual care • Perks Plus employee discounts You will like it here if • You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation. Required Skills / Qualifications • Bachelor’s degree or equivalent and 8+ years of development experience • Experience with GoLang, Python, Angular or TypeScript, and Java (at least 3) • Cloud experience, preferably AWS • Experience in Agile development methodology • Experience with Infrastructure as Code, preferably Terraform • Experience with fully automated CI/CD pipelines from commit through production deployment • Strong relational database experience such as PostgreSQL • Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides • Experience building or integrating RESTful APIs aligned to FHIR specifications • Familiarity with FHIR R4 and healthcare interoperability patterns • Experience working with healthcare data formats such as QRDA, C-CDA, or claims data • Understanding of digital quality measurement concepts, including eCQM and dQM • Experience with Clinical Quality Language (CQL) or exposure to measure logic execution • Experience working with FHIR servers such as HAPI FHIR or similar platforms • Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation • Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems Desired Skills / Qualifications • AWS Certifications • Experience with AWS ECS Fargate, AWS RDS, AWS S3 • Experience with Jenkins or similar CI/CD tools • Experience with Databricks or modern data platforms • Experience working with large-scale healthcare reporting or analytics systems • Familiarity with CMS environments, data pipelines, or regulatory programs