Note: The job is a remote job and is open to candidates in USA. BigRio is seeking an Epic / FHIR Integration Engineer to support a clinical measurement platform used by health systems. The role owns the Epic integration end to end, including SMART on FHIR development, clinical data write paths, multi-tenant configuration, and rollout across health system partners.
Responsibilities
- Build a standard SMART on FHIR launch (OAuth 2.0 authorization code with PKCE, US Core R4), designed to be portable to any Epic organization rather than tied to a single customer
- Implement expanded read context — authorizing order, prior observations, active medications, department, and rendering provider — to ensure clinical measurements carry full clinical meaning
- Build the write path: discrete observations, a results report, and supporting data playback, with confirmed persistence and structurally enforced idempotency (not handled in application logic alone)
- Develop a backend service client for filing verification and utilization reporting, separate from the point-of-care application
- Design multi-tenant configuration — a single integration and code system, configurable per organization and per department, with no forked builds per customer
- Lead Vendor Services registration and site onboarding, including scope activation, security review, and informatics conversations at each new health system
- Deliver a standard, non-production Epic environment SMART launch within the first 60 days, including a validated end-to-end path for filing observations and a defined test strategy
- Navigate real-world non-production environment constraints as a core part of the role
Skills
- Production Epic FHIR write-path delivery — discrete observations/results filing, persistence validation, and structurally enforced idempotency
- SMART on FHIR engineering — OAuth 2.0 authorization code with PKCE, US Core R4, and portable Epic app design
- Epic implementation and onboarding — client ID registration, Vendor Services coordination, security/informatics review, and activation across multiple health systems
- Proven experience shipping a FHIR write path into Epic in a live production environment at a real health system (read-only integrations or work done entirely behind a middleware abstraction do not qualify)
- Experience building a SMART on FHIR EHR launch from scratch, including OAuth 2.0 authorization code with PKCE and US Core R4 conformance
- Experience with Epic client ID registration and per-customer activation at more than one organization
- Experience carrying an integration through a health system's security and informatics governance review process
- Backend ownership experience, including production services on AWS, with a strong instinct for enforcing correctness guarantees at the schema level rather than in bypassable application code
- Strong communication skills for representing technical work during health system security and informatics discussions
- Ability to work independently in a remote, US-hours-overlap role
- Ex-Epic employee, or Epic certification
- Terminology work experience — LOINC or SNOMED mapping, publishing a FHIR CodeSystem with a canonical URI
- Experience with Mayo Clinic Platform or another EHR vendor platform program
- Experience helping secure a Connection Hub or Showroom listing
- Native iOS experience, or experience handing off an integration into a mobile app
- Hands-on experience using AI coding tools as part of the development workflow
Benefits
- Remote work arrangement
Company Overview
Company H1B Sponsorship