Senior FHIR / HL7 Integration Developer

Job Title: Senior FHIR / HL7 Integration Developer
Client: State of Texas
Location: Austin, Texas (Hybrid)
Experience: Minimum 12+ Years Required
Work Arrangement: 3 Days Remote + 2 Days Onsite (Monday & Wednesday)
Local Candidates Only: Must be within a 50-mile radius of Austin, TX.

Note: This is a strict Austin-local requirement. Out-of-state candidates and candidates requiring relocation will not be considered.

Interview Process – Strictly Mandatory

Round 1: Microsoft Teams Interview
Final Round: In-person interview at Austin, Texas.
Both interview stages are mandatory. No exceptions or changes to the interview format.

Position Overview

We are seeking an experienced FHIR / HL7 Integration Developer to support healthcare interoperability and public health data integration initiatives for the State of Texas.
The ideal candidate must have strong hands-on experience in HL7 v2, FHIR standards, healthcare data exchange, REST APIs, healthcare interface development, and cloud-based healthcare integration solutions.

Required Technical Skills & Experience

12+ years of overall IT experience.
Strong hands-on experience designing, developing, testing, and supporting healthcare interfaces using HL7 v2 and FHIR.
Expertise in REST APIs, JSON, XML, data mapping, transformation, validation, troubleshooting, and error handling.
Experience developing secure healthcare web portals and portal-integrated services.
Strong knowledge of API integration, authentication, authorization, role-based access control, and secure coding practices.
Hands-on experience with TypeScript, JavaScript, and Python.
Experience implementing FHIR solutions using US Core Profiles, Electronic Case Reporting (eICR) Implementation Guides, and other HL7 Implementation Guides.
Experience integrating and implementing FHIR servers, FHIR APIs, and healthcare interoperability solutions.
Ability to map, transform, and validate healthcare data across HL7 v2, FHIR, and analytical data models.
Knowledge of healthcare terminology standards, including SNOMED CT, LOINC, ICD-10, CVX, and RxNorm.
Experience implementing FHIR solutions on AWS or similar cloud platforms.
Experience integrating healthcare data with cloud-based ingestion pipelines, storage services, analytics platforms, and enterprise data platforms.
Familiarity with Git, automated builds, CI/CD pipelines, unit and integration testing, code reviews, defect tracking, logging, monitoring, and technical documentation.

Preferred / Additional Skills

AWS HealthLake
Snowflake
Electronic Case Reporting (eICR)
Public Health Reporting
Disease Surveillance
React
FastAPI
Terraform

Important Candidate Requirements

Candidates must currently reside within a 50-mile radius of Austin, Texas.
Minimum 12+ years of overall IT experience is mandatory.
Strong hands-on FHIR / HL7 healthcare integration experience is required.
Candidates must be available to work onsite every Monday and Wednesday in Austin, TX.
Candidates must be willing to attend the final interview in person in Austin, TX.
Please submit only technically qualified and locally available candidates.