Note: The job is a remote job and is open to candidates in USA. Vytalize Health is a healthcare technology company focused on improving clinical decision support through innovative data solutions. As a Platform Engineer on Data Services, you will design and build a platform that integrates clinical insights directly into provider workflows, ensuring reliable access to clinical data through APIs and interoperability standards.
Responsibilities
- Lead design and implementation of the CDS Hooks platform, including card orchestration, hook context handling, EHR-side logic orchestration, and integration with downstream data services
- Own CDS Hook API contracts and evolution, ensuring compliance with SMART CDS Hooks specification while adding performance, reliability, and healthcare-specific optimizations
- Lead technical integration with EMR systems (Epic, NextGen, Athena, ECW) for CDS Hook discovery, execution, card rendering, and user action handling
- Design, build, and maintain public-facing REST and event-driven APIs exposing clinical data, quality metrics, care gaps, attribution data, and decision support content to partners and provider-facing applications
- Establish API contracts, versioning strategies, and deprecation policies that balance innovation with stability for external consumers
- Implement and maintain API security patterns including OAuth 2.0, scope-based authorization, rate limiting, and audit logging for compliant clinical data access
- Design and optimize real-time or near-real-time data pipelines feeding CDS Hooks and APIs—ensuring low latency, high freshness, and graceful failure modes
- Design and implement comprehensive testing and QA frameworks for CDS Hooks and APIs — including hook context validation, card rendering verification, and clinical workflow testing across EMR systems
- Establish reliability metrics and SLAs (latency, availability, freshness) for CDS Hook delivery and API performance; measure and track against clinical requirements
- Define and measure clinical impact metrics — adoption of CDS Hooks, clinician interaction rates, workflow integration success, and patient outcome influence
- Exercise architectural judgment across tradeoffs in correctness, latency, scalability, maintainability, and operational risk in clinical data systems
- Design and implement reliability patterns for CDS and API services including monitoring, alerting, failure detection, graceful degradation, and incident recovery
- Partner with Data Reliability Engineer to define and operate SLAs for CDS Hook delivery, API response times, and data freshness aligned to clinical needs
- Establish and uphold engineering standards for API design, data schemas, integration patterns, and interoperability; maintain high-quality technical documentation and OpenAPI specifications
- Partner with Data Engineering to align upstream data models, gold-layer datasets, and platform capabilities with clinical decision support and API requirements
- Serve as the technical authority on clinical interoperability standards (SMART CDS Hooks, FHIR, HL7, CDS Hooks, EHR integration patterns)
- Collaborate with Product, Clinical Operations, and Business stakeholders to clarify requirements, translate clinical workflows into platform features, and shape product direction
- Act as trusted technical advisor to EMR partners, healthcare systems, and external API consumers; ensure expectations and delivery are well-defined and predictable
- Ensure all CDS and API services comply with healthcare security, privacy, and regulatory requirements (HIPAA, state regulations, payer mandates)
- Partner with IT Security and Compliance teams to implement secure access controls, audit logging, encryption, and data protection measures across delivery mechanisms
- Design and implement audit trails for all clinical data access; support compliance audits and regulatory reporting
- Mentor team members through design reviews, pairing, and architectural guidance on clinical data integration and API design
- Document new and existing systems, designs, processes, and procedures
Skills
- 8+ years of experience designing, building, and operating API platforms, service-oriented systems, or backend infrastructure at scale
- Demonstrated experience operating at a senior or staff-level individual contributor scope, owning complex systems end-to-end
- 3+ years of direct experience with healthcare data integrations, EMR workflows, clinical data exchange, or healthcare interoperability standards (FHIR, HL7, CDA, claims data)
- 2+ years of hands-on experience with CDS Hooks, SMART on FHIR, or similar clinical decision support APIs
- Strong experience designing and operating REST APIs, including contract design, versioning, error handling, and authentication/authorization patterns
- Deep understanding of healthcare data integrations, EMR workflows, and interoperability patterns (FHIR, HL7, CDS Hooks, SMART on FHIR)
- Expertise in designing for reliability, SLAs, and operational metrics; ability to translate clinical requirements into technical SLOs
- Experience defining and measuring API performance metrics (latency, availability, error rates); familiarity with SLA monitoring and enforcement
- Strong systems thinking with ability to design for scale, reliability, maintainability, and resilience
- Proficiency in modern backend languages (Python, Java, Go, or similar); comfort reading and reviewing code across languages
- Experience with cloud platforms (AWS, Databricks, GCP) and containerized services (Docker, Kubernetes, or managed services)
- Proven ability to partner effectively across engineering, product, analytics, clinical operations, and business teams
- Clear written and verbal communication skills, particularly for explaining technical concepts and tradeoffs to clinicians and non-specialists
- Comfortable working in a fast-moving, ambiguous environment with healthcare compliance and regulatory constraints
- Hands-on experience with CDS Hooks specification and SMART on FHIR implementations in production healthcare environments
- Experience implementing and testing CDS Hooks across multiple EMR systems (Epic, NextGen, Athena, ECW) including clinical workflow validation
- Familiarity with healthcare data formats and standards: FHIR resources (Patient, Condition, Medication, etc.), CCD/C-CDA, claims data (837s, 835s), HL7 v2 or v3
- Experience designing and operating real-time or near-real-time data pipelines feeding clinical applications and decision support systems
- Knowledge of value-based care metrics, care gaps, quality measures (NQF, HEDIS), and HCC/RAF risk stratification
- Experience with API management platforms, developer portals, or partner ecosystem / API monetization patterns
- Familiarity with OAuth 2.0, OIDC, SAML, and federated identity patterns in healthcare systems
- Experience with CI/CD pipelines, infrastructure-as-code, and safe deployment practices
- Background supporting provider-facing platforms or external clinical partners; deep understanding of provider workflows and constraints
- Experience in a healthcare startup or high-growth healthcare technology environment
- Familiarity with healthcare data governance, interoperability regulations (21st Century Cures, ONC rules), and clinical data quality frameworks
- Experience with API testing frameworks and quality assurance for distributed systems
Company Overview
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