Titan Intake
Senior Software Engineer, EMR Integrations (FHIR)
This is a remote role with location options listed as Remote/Austin. Compensation details and recruiter notes are provided by Titan Intake and may vary by experience.
Overview At Titan Intake, we are united by a mission to simplify referral and intake workflows in healthcare. We’ve built a full-stack AI platform to streamline patient access across health systems of all sizes, helping access teams move faster, reduce delays, and deliver better care.
We are hiring a foundational
Senior FHIR Integrations Developer
to architect, build, implement, and support our library of reusable integrations.
What You’ll Do
Work with the Head of Integrations to design and implement a reusable library of FHIR-first, real-time, API-driven EMR integrations
Translate JSON, HL7 v2/v3 messages into FHIR resources and back
Develop, test, and deploy APIs to support real-time, secure exchange of clinical and patient data
Collaborate with internal product, engineering, and client teams to understand integration needs and translate them into scalable technical solutions
Create and maintain Interface Design Documents and data mapping specifications
Implement security and authentication protocols (e.g., OAuth2, SMART on FHIR)
Monitor integration performance and troubleshoot issues to ensure reliability and uptime
Contribute to the development of best practices and internal tooling for integrations and integration reliability
Support Customer Success and Support in integrations delivery and support
Support sales in scoping and designing integrations
Must-Haves
Experience working in a startup, especially a digital health, health tech, or SaaS startup
A 4-year degree in computer science, software engineering, or a related field
4+ years of professional software development experience across frontend and backend
Some experience with TypeScript, React, and Node.js
Writes clean code with good unit tests and integration tests
Comfortable in LLM-first and LLM-assisted coding environments
Experience integrating with major EHR platforms (e.g., Epic, Cerner, Athenahealth, Allscripts)
3+ years of experience with HL7 FHIR standards and FHIR resources
Proficiency with HL7 v2 message structures (ADT, MDM, ORU) and transformation into FHIR formats
Experience developing or configuring APIs with RESTful architecture
Familiarity with OAuth2 authentication flows
Strong communication skills and ability to work cross-functionally with clinical and technical stakeholders
Nice-to-Haves
Experience building out a library of EMR integrations at another healthcare startup
Experience building SMART on FHIR Apps with FHIR Write Back
Experience leading a team
Experience with Robotic Process Automation integrations
Experience with cloud platforms and cloud-native serverless architectures (AWS, Azure, or GCP)
Hands-on experience with an integration engine (e.g., Mirth Connect)
Knowledge of healthcare data exchange protocols and formats (CDA/C-CDA)
Familiarity with FHIR server implementations (HAPI-FHIR, AWS HealthLake, Azure FHIR Service, Medplum, etc.)
Background in building integrations for scheduling, patient engagement, and registration
Exposure to SQL, scripting languages, or ETL pipelines
Certifications in HL7 FHIR, Mirth Connect, or related technologies
Experience with EMR integrations with Enterprise Content Management Systems
About the Team You’ll get to work with: CEO/CTO, Head of Infrastructure and DevOps, Head of Application Development, Head of AI, and Head of Integrations. We’re a globally remote team that values empathy, transparency, and action.
Hiring Process
Initial Interview with a Recruiter
Interview with the Hiring Manager
A take-home coding challenge
Review challenge with Head of Integrations
Final Interview with the Founders
Why Titan?
Competitive salary and benefits
Remote-friendly team
Culture of learning, collaboration, ownership, and growth
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Software Development
Hospitals and Health Care
Note: This job description reflects the responsibilities and qualifications for the role and may be subject to change. Referrals increase your chances of interviewing at Titan Intake.
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Overview At Titan Intake, we are united by a mission to simplify referral and intake workflows in healthcare. We’ve built a full-stack AI platform to streamline patient access across health systems of all sizes, helping access teams move faster, reduce delays, and deliver better care.
We are hiring a foundational
Senior FHIR Integrations Developer
to architect, build, implement, and support our library of reusable integrations.
What You’ll Do
Work with the Head of Integrations to design and implement a reusable library of FHIR-first, real-time, API-driven EMR integrations
Translate JSON, HL7 v2/v3 messages into FHIR resources and back
Develop, test, and deploy APIs to support real-time, secure exchange of clinical and patient data
Collaborate with internal product, engineering, and client teams to understand integration needs and translate them into scalable technical solutions
Create and maintain Interface Design Documents and data mapping specifications
Implement security and authentication protocols (e.g., OAuth2, SMART on FHIR)
Monitor integration performance and troubleshoot issues to ensure reliability and uptime
Contribute to the development of best practices and internal tooling for integrations and integration reliability
Support Customer Success and Support in integrations delivery and support
Support sales in scoping and designing integrations
Must-Haves
Experience working in a startup, especially a digital health, health tech, or SaaS startup
A 4-year degree in computer science, software engineering, or a related field
4+ years of professional software development experience across frontend and backend
Some experience with TypeScript, React, and Node.js
Writes clean code with good unit tests and integration tests
Comfortable in LLM-first and LLM-assisted coding environments
Experience integrating with major EHR platforms (e.g., Epic, Cerner, Athenahealth, Allscripts)
3+ years of experience with HL7 FHIR standards and FHIR resources
Proficiency with HL7 v2 message structures (ADT, MDM, ORU) and transformation into FHIR formats
Experience developing or configuring APIs with RESTful architecture
Familiarity with OAuth2 authentication flows
Strong communication skills and ability to work cross-functionally with clinical and technical stakeholders
Nice-to-Haves
Experience building out a library of EMR integrations at another healthcare startup
Experience building SMART on FHIR Apps with FHIR Write Back
Experience leading a team
Experience with Robotic Process Automation integrations
Experience with cloud platforms and cloud-native serverless architectures (AWS, Azure, or GCP)
Hands-on experience with an integration engine (e.g., Mirth Connect)
Knowledge of healthcare data exchange protocols and formats (CDA/C-CDA)
Familiarity with FHIR server implementations (HAPI-FHIR, AWS HealthLake, Azure FHIR Service, Medplum, etc.)
Background in building integrations for scheduling, patient engagement, and registration
Exposure to SQL, scripting languages, or ETL pipelines
Certifications in HL7 FHIR, Mirth Connect, or related technologies
Experience with EMR integrations with Enterprise Content Management Systems
About the Team You’ll get to work with: CEO/CTO, Head of Infrastructure and DevOps, Head of Application Development, Head of AI, and Head of Integrations. We’re a globally remote team that values empathy, transparency, and action.
Hiring Process
Initial Interview with a Recruiter
Interview with the Hiring Manager
A take-home coding challenge
Review challenge with Head of Integrations
Final Interview with the Founders
Why Titan?
Competitive salary and benefits
Remote-friendly team
Culture of learning, collaboration, ownership, and growth
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Software Development
Hospitals and Health Care
Note: This job description reflects the responsibilities and qualifications for the role and may be subject to change. Referrals increase your chances of interviewing at Titan Intake.
#J-18808-Ljbffr