Senior Software Engineer, EHR Integration

Natera

. Build and ship SMART on FHIR apps with EHR and standalone launch, OAuth 2.0 with PKCE, backend services authorization, scopes and token handling .

Posted 11/4/2026full-timeRemote • United StatesSenior💰 $125,000 - $156,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building and shipping SMART on FHIR applications, with a strong focus on EHR integrations, backend services, and handling PHI in compliance with HIPAA regulations. Proficient in FHIR R4, OAuth 2.0, and various AWS services, while effectively collaborating with health system IT and product teams.

Highest-signal resume keywords

SMART On FHIR ExperienceFHIR R4 KnowledgeEHR Integration Production ExperienceJava And Spring BootHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

SMART On FHIRFHIR R4EHR IntegrationJavaSpring BootRESTSQLPostgreSQLMicroservicesCDS Hooks

Soft Skills

Clear CommunicationMentoring

Tools & Technologies

AWSDockerCI/CDLinuxSQSS3SNSLambdaReactTypeScript

Certifications & Qualifications

HIPAA/PHI Privacy TrainingGeneral Policies And Procedure Compliance Training

Industry Keywords

PHI HandlingEHR Vendor OnboardingHealth System ITAudit TrailsResource Modeling

Tech Stack

Tools & technologies

AWSDockerJavaLinuxMicroservicesMySQLOraclePostgresReactSpringSpring BootSpringBootSQLTypeScript

About the role

Key responsibilities & impact

Build and ship SMART on FHIR apps with EHR and standalone launch, OAuth 2.0 with PKCE, backend services authorization, scopes and token handling
Design and build server-side FHIR R4 APIs, mappings to the internal data model, profiles and extensions
Build CDS Hooks services with prefetch that respond within EHR time limits
Take apps through EHR vendor onboarding and go-live, starting with Epic, then Oracle Health and other vendors
Work with health system IT on build and testing
Handle PHI correctly in storage, caching, logging and tracing, including minimum necessary data, encryption, audit trails and no PHI in logs
Work with HL7 v2 and interface engine flows where needed
Write design documents, review code and mentor engineers
Be on call for shipped work
Handle PHI regularly in paper and electronic form
Work in a small team with product and the wider EHR integration group

Requirements

What you’ll need

BS in computer science, a related field, or equivalent experience
6+ years of software development, with at least 3 building EHR integrations in production
Hands-on SMART on FHIR experience; built and shipped an app that launches inside an EHR
Strong FHIR R4 knowledge, including resource modeling, search, and terminology (LOINC, SNOMED, ICD-10)
Production go-live with Epic
Backend services in Java and Spring Boot or similar, on AWS
Experience handling PHI under HIPAA in a production system
Applicants must be authorized to work in the US without current or future visa sponsorship
Must complete HIPAA/PHI privacy, General Policies and Procedure Compliance, and security training within the first 30 days of hire
Must maintain current status on Natera training requirements
Clear communication with clinicians, health system IT and product
FHIR R4, SMART App Launch, OAuth 2.0 and OIDC, CDS Hooks
Java and Spring Boot; REST and event-driven microservices
AWS services such as SQS, S3, SNS and Lambda
Relational databases and SQL, preferably PostgreSQL or MySQL
Docker, CI/CD, Linux fundamentals
React and TypeScript
Quality assurance mindset

Benefits

Comp & perks

Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
Free testing for employees and their immediate families
Fertility care benefits
Pregnancy and baby bonding leave
401k benefits
Commuter benefits
Employee referral program
Equal Opportunity Employer and inclusive workplace