Engineering Lead (Healthcare)

We're looking for an Engineering Lead to join a large-scale Digital Health initiative focused on building a FHIR-based healthcare platform that connects providers, payers, clinical systems, and external healthcare networks.

This is a hands-on leadership role where you'll combine technical excellence with team leadership. You'll drive architecture decisions, mentor engineers, and ensure the delivery of secure, scalable, and HIPAA-compliant healthcare solutions.

You'll be working on a platform that aggregates and standardizes medical data from multiple clinical and administrative sources, including:

• Lab results

• Diagnoses

• Medications

• Patient visits

• Claims and insurance data

The platform transforms healthcare data into FHIR standards and exposes it through secure APIs consumed by internal products and external partners.

Our technology stack includes:

• Python and/or Node.js / TypeScript

• Kafka and event-driven architecture

• AWS / Azure

• Docker & Kubernetes

• AI-assisted engineering practices

What you'll do

• Lead engineering efforts across healthcare interoperability and data platform initiatives

• Define technical direction and architecture decisions

• Build and evolve secure, scalable, high-availability systems

• Mentor engineers through code reviews, design reviews, and technical coaching

• Collaborate directly with US-based stakeholders

• Drive engineering excellence, reliability, security, and observability practices

• Promote responsible use of AI-assisted development in regulated healthcare environments

Must have

• 8+ years of software engineering experience

• 2+ years as a Tech Lead / Engineering Lead

• Experience in Healthcare, HealthTech, or Digital Health

• Strong knowledge of FHIR R4

• Experience with HL7 / US Core / USCDI

• Hands-on work with HIPAA and PHI-safe engineering practices

• Strong expertise in Python and/or Node.js / TypeScript

• Experience designing distributed, high-scale systems

• APIs, data platforms, and event-driven architectures (Kafka or similar)

• Experience with OAuth 2.0, OIDC, and JWT

• Strong SQL and NoSQL skills

• AWS or Azure experience

• Docker, Kubernetes, CI/CD, and automated testing

• Proven track record of leading engineers and driving technical decisions

• Practical experience with AI coding tools such as Claude Code, Copilot, Cursor, or similar

• English level B2+

Nice to have

• FHIR Server (R4/R4B), Bulk FHIR, SMART on FHIR

• HL7 v2, C-CDA, C-CDA-to-FHIR transformations

• Knowledge of SNOMED CT, LOINC, RxNorm, ICD-10, and CPT

• Databricks, Spark, Delta Lake, or other lakehouse platforms

• Master Patient Index (MPI), patient matching, or record linkage

• EHR/EMR integrations

• Experience with HIE, pharmacy, laboratory, or payer integrations

• CARIN Blue Button and Da Vinci standards

• Knowledge of 21st Century Cures Act, ONC Certification, and CMS Interoperability Rule

• Experience building LLM-based solutions for clinical data processing or data quality

• Contributions to open-source healthcare or FHIR/HL7 communities

Why join us?

You'll lead engineering for a platform that directly impacts how healthcare data is integrated, standardized, and delivered to patients, providers, and healthcare organizations.

This role offers a unique combination of:

• Technical leadership

• Modern cloud-native architecture

• Healthcare interoperability standards

• AI-native engineering

• Real business impact in a highly regulated domain

If you're passionate about engineering excellence and ready to solve complex healthcare challenges at scale, we'd love to hear from you.