Senior FHIR Data Platform Engineer (Remote Opportunity)
VetsEZ · Atlanta, GA
About this role
**Senior FHIR Data Platform Engineer (Remote Opportunity)** We are currently looking for a **Senior FHIR Data Platform Engineer** for a **100% remote** position supporting a large federal government healthcare modernization project. You will optimize and maintain the **HAPI FHIR data platform**, with a strong focus on **PostgreSQL performance**, **FHIR resource indexing**, **data quality**, **Master Data Management (MDM)**, and **healthcare data reporting**. You will also develop **FHIR-based quality measurement services**, support **HEDIS reporting**, and work with large-scale healthcare datasets to ensure reliable, accurate, and performant data exchange. --- ## Responsibilities - Optimize the **HAPI FHIR JPA persistence layer** within **PostgreSQL** (search parameters, custom indexes, partitioning strategies, reindexing, resource expunge/history policies, Bulk Data export performance, and asynchronous MDM link tables) - Design and execute **FHIR data quality checks** (US Core STU 9 conformance, duplicate/orphaned reference detection, source-event precedence validation) - Develop and maintain **measure-reporting services** for digital quality measurement engines and **HEDIS baselines** (FHIR-based measure evaluation, facility/state reporting, administrative-effort baselines, DHHS monthly service report exports) - Query **OMOP Common Data Model** and **Apache Iceberg** data marts for reporting; collaborate on transformations when FHIR-side changes impact downstream datasets - Produce **capacity planning and performance evidence** supporting **99.9% availability**, **15-minute RPO**, and **4-hour RTO** - Support cloud platform engineers with **Aurora PostgreSQL** sizing, read replicas, backup verification, and performance optimization; deliver migration scripts, runbooks, dashboards, and test suites - Take on additional tasks as needed to support team objectives --- ## Requirements - **Bachelor’s degree** in Computer Science, IT, Data Engineering, or related field - **7+ years** of professional **PostgreSQL** experience in production environments - Strong hands-on experience with **PostgreSQL query planning**, **index design**, **partitioning**, and performance troubleshooting across multi-terabyte databases - **3+ years** hands-on experience with **HAPI FHIR JPA server internals** (resource tables, search-parameter indexing, Bulk Data, MDM, FHIR R4, US Core) - Working knowledge of **OMOP CDM v5.4** (concept/vocabulary/clinical-event tables) and experience writing analytical SQL - Experience developing **healthcare quality reporting** solutions using **FHIR-based measures** (CQL, FHIR Measure/MeasureReport, dQM, HEDIS, or equivalent standards) - Proficiency in **Java 21**, **Spring Boot**, **Flyway**, and **Git**; ability to extend HAPI FHIR interceptors and measure-reporting services with secure development practices in **HIPAA-regulated** environments --- ## Additional Qualifications (Preferred) - Experience with **Amazon Aurora PostgreSQL**, **Apache Iceberg**, **Apache Spark**, **Kafka Streams**, **OpenSearch**, **Grafana** - Experience supporting **Medicaid**, **state HIEs**, or **VA/federal healthcare modernization** initiatives - Experience working with healthcare data extracts from **Epic**, **Meditech**, **Oracle Health**, or **athenahealth** - Experience with **OHDSI** tools such as **Achilles** or **Data Quality Dashboard (DQD)** - Experience with **high-availability** database architectures, **disaster recovery**, bac
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