[Remote] Lead Backend Engineer - Data Interoperability

Note: The job is a remote job and is open to candidates in USA. b.well Connected Health is transforming how healthcare consumers find and receive care in a personalized, convenient, and affordable manner. They are seeking a Lead Backend Engineer to spearhead healthcare data interoperability initiatives, overseeing the design and implementation of large-scale health data solutions and leading a team of data engineers to enhance interoperability across diverse healthcare ecosystems.ResponsibilitiesLead the design, development, and implementation of large-scale, real-time health data interoperability solutions supporting millions of patient recordsArchitect and oversee Patient Access APIs, Provider Directory APIs, and Bulk FHIR APIs in compliance with CMS Interoperability and Patient Access Final Rule and lead the connections to national networks (Carequality, CommonWell, eHealth Exchange, TEFCA)Drive technical strategy for FHIR and US Core Implementation Guide adoption across all integration pointsDesign scalable data pipelines for ingesting, transforming, and exchanging health data from multiple sources including EMRs, HIE/HINs, wearables, IoT devices, and remote patient monitoring systemsEstablish technical standards, best practices, and architectural patterns for interoperability solutionsLead evaluation and selection of interoperability platforms, tools, and vendor solutionsDesign, Architect, build, and maintain b.well’s data real-time pipeline infrastructure using Python, Spark, Prefect, Kubernetes and applied LLMs / modern technologiesLead a team of data engineers to build data pipelines and infrastructure that connects to thousands of data sources around the country including health providers, insurance companies, pharmacies and labsHelp lead other developers to coach and improve their career development and amplify their impactYou will safeguard sensitive data by following policies and training concerning your security and privacy responsibilitiesCollaborate with product, clinical, engineering, and business teams to define interoperability requirementsSkills8+ years of hands-on experience in healthcare interoperability and health IT5+ years of direct experience with FHIR standards and implementations (FHIR R4 required)3+ years in a technical leadership role managing interoperability or data engineering teamsProven track record of leading large-scale, real-time health data exchange implementations serving 100K+ patientsExtensive experience integrating with multiple EMR systems (minimum 5+ different EMR platforms)Direct experience implementing Patient Access APIs and Bulk FHIR APIs in compliance with CMS regulations and with HIE/HIN integrations and national networks (Carequality, CommonWell, or similar)Expert-level knowledge of HL7 FHIR R4 specification and resource modelsDeep understanding of US Core Implementation Guide, USCDI, and ONC certification requirementsProficiency with SMART on FHIR authorization framework (OAuth 2.0, OpenID Connect, SMART scopes)Strong knowledge of HL7 v2.x messaging standards (ADT, ORM, ORU, etc.)Experience with CDA (Clinical Document Architecture) and C-CDA documentsStrong knowledge of API security: OAuth 2.0, JWT, mTLS, API keys, rate limitingProficiency with message queuing systems (Kafka, RabbitMQ, AWS SQS, Azure Service Bus)Strong programming skills in at least two of: Python, Java, JavaScript/TypeScript, Go, C#Experience with modern frameworks: Node.js, Spring Boot, .NET Core, Django/FlaskProficiency with SQL and NoSQL databases (PostgreSQL, MySQL, MongoDB, DynamoDB)Experience with data formats: JSON, XML, FHIR JSON/XML, HL7 v2.x, CSVKnowledge of data validation, schema validation (JSON Schema, FHIR Validator)BenefitsStock optionsBenefitsIncentive pay for eligible rolesCompany OverviewB.well Connected Health is a digital health platform that provides individuals with a comprehensive view of their health data. It was founded in 2015, and is headquartered in Baltimore, Maryland, USA, with a workforce of 51-200 employees. Its website is http://icanbwell.com.