Note: The job is a remote job and is open to candidates in USA. Italic is building a health identity and consent layer for healthcare. The Senior Software Engineer will build clinical-record retrieval, normalization, and APIs, and design patient-authorized access for AI agents while owning security and supporting the security program.
Responsibilities
- Build how we retrieve clinical records from health information exchange networks
- Own the FHIR R4 data model: normalization, deduplication across sources and provenance
- Turn clinical records into structured data that AI models and agents can use, with every fact cited to its source
- Build the APIs that partner developers use to read that data
- Build the authorization that lets AI agents access records on a patient’s behalf, and own its attack surface
- Own the security of what you build: threat models, access control, encryption and key management, audit trails and consent
- Help run our security program, including security reviews, SOC 2 controls and incident response
Skills
- Extensive production experience with our core stack: TypeScript, Next.js, React and PostgreSQL
- Several years in health tech, ideally at a digital health company or a health data platform
- Shipped software that handles PHI under HIPAA
- A security background: threat modeling, secure design review, and hands-on application security covering authentication, authorization, secrets and key management, and the OWASP Top 10
- Hands-on FHIR R4 work with real clinical data, including the duplicates and messy coding
- Owned a data model that other teams or companies relied on
- Hono in production
- Working knowledge of LOINC, RxNorm, SNOMED CT and ICD-10-CM
- SMART on FHIR, OAuth and OpenID Connect, including their attack surface
- SOC 2 or HITRUST audits, penetration testing or incident response
- Vercel or Google Cloud in production
- HIE, TEFCA, Carequality or CommonWell experience
- C-CDA to FHIR conversion
- MCP servers, tool calling, or retrieval over clinical data
- OAuth 2.1 delegation for AI agents
Benefits
- Equity
- Remote in the US
- After product-market fit, relocation to Miami or New York will be covered.
Company Overview