Systems Engineer

Robert Half is seeking an Interoperability Engineer to support a healthcare client based in Seattle, WA. This is a senior, hands-on role on a small team. You will design and validate the data flows, write the specifications partners build against, and work directly with partner engineers to get them live. Apply today!

Location: 100% Remote Duration: Through September 2027 – possible for extension/conversion Schedule: Monday – Friday (40 hours, must align with the team and overlap hours during 9-3PM PST)

Job Responsibilities:

Standards and data design

• Own the mapping and conversion of inbound C-CDA/CCD documents into FHIR R4 resources in Azure Health Data Services, including conversion templates and handling of data that does not map cleanly.
• Define the FHIR profiles, validation rules, and implementation guidance for trading partners posting FHIR bundles to us.
• Ensure the data we ingest and expose conforms to USCDI v3 and US Core, and maintain the testing and evidence needed to demonstrate conformance Washington state IT security standards.
• Guide terminology handling across LOINC, SNOMED CT, RxNorm, ICD-10-CM, and CVX. Patient identity and data quality
• Own the data flow for how incoming records are matched and linked through our master patient index before landing in the FHIR service.
• Partner with our data engineer to monitor data quality, identify partner-specific issues, and drive fixes at the source. APIs for participants and payers
• Own the design for the FHIR APIs we expose to participants and payers, including search behavior, authorization scopes, and documentation. Partner onboarding and migration
• Lead technical onboarding for trading partners: specifications, connectivity and conformance testing, troubleshooting, and go-live. Building and operating with the team
• Work with our developers on Azure-based ingestion pipelines, giving them precise requirements for what correct output looks like.
• Work with our operations engineering team on monitoring, alerting, runbooks, and incident response for clinical data flows.
• Apply strong privacy and security practices to every flow that touches protected health information.
• 10+ years of healthcare integration or interoperability work at an HIE, health system, payer, EHR vendor, or health IT company.
• Deep, hands-on knowledge of C-CDA: document templates, sections, entries, and the real-world variation between EHR implementations.
• Hands-on FHIR R4 experience, including US Core profiles, implementation guides, bundle structure, and validation.
• Working knowledge of USCDI and how its data classes map to C-CDA and FHIR.
• Experience with clinical terminologies (LOINC, SNOMED CT, RxNorm, ICD-10-CM).
• A track record of onboarding external trading partners: writing specifications, testing with partner engineers, and resolving data issues across organizations.
• Clear, persuasive communication with both engineers and non-technical stakeholders, including making the case for change to partners who are comfortable with the status quo.
• Comfort reading and writing code in at least one language (such as C#, Java, or Python), and fluency with JSON and XML.
• Understanding of patient matching and master patient index concepts.
• Experience handling PHI under HIPAA and a security-minded approach to data flows.