[Apply in 3 Minutes] Senior FHIR Engineer

3 weeks ago


India Mysore Abacus Insights Full time

Job Description Abacus is seeking a FHIR Engineer with strong expertise in healthcare interoperability standards, particularly the FHIR (Fast Healthcare Interoperability Resources) framework. The ideal candidate will have hands-on experience with the technical aspects of FHIR, including authorization, consent management, and secure API implementation. This role requires both a solid understanding of healthcare data exchange standards and the ability to design, implement, and maintain scalable FHIR-based solutions. Key Responsibilities - Design, implement, and maintain FHIR APIs in compliance with HL7, CMS, and ONC regulations. - Configure and manage FHIR servers (e.g., Firely, HAPI, HealthLake) for ingestion, normalization, and access of healthcare data. - Implement OAuth 2.0 / OpenID Connect / SMART on FHIR for authorization and authentication. - Support consent management workflows, ensuring that data access is fully aligned with regulatory requirements. - Collaborate with product teams to map payer and provider data to FHIR resources. - Troubleshoot and resolve issues with FHIR API integrations, ensuring data integrity and security. - Work with DevOps teams to deploy FHIR services in cloud environments (AWS, Azure, or GCP). - Document implementation details, technical designs, and workflows for internal and client-facing use. Required Skills & Qualifications - Strong knowledge of FHIR R4 resources (Patient, Coverage, EOB, Clinical, Formulary, Provider Directory, etc.). - Experience with FHIR Implementation Guides (IGs) such as CMS-0057, CMS- 9115, US Core, CARIN Blue Button, PDex. - Hands-on experience with authorization frameworks (OAuth2.0, JWTs, PKCE, SMART scopes). - Familiarity with consent management standards (FHIR Consent resource, ONC/CMS guidelines). - Solid programming background in languages such as Python, Java, or Node.js. - Understanding of API security and compliance (HIPAA, PHI/PII data handling). - Strong knowledge of cloud-based architectures (AWS HealthLake, Azure API Management, etc.). - Excellent problem-solving, communication, and collaboration skills. Preferred Qualifications - Experience with FHIR bulk data APIs and NDJSON pipelines. - Knowledge of legacy healthcare data formats (HL7 v2, X12 278/837) and mapping to FHIR. - Prior experience working with payer or provider organizations.



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