Senior Backend – Infrastructure Engineer

Role Overview

• Own the FHIR R4 data model design
• Architect and implement the HealthLake data layer including ingest pipelines
• Lead the Supabase-to-HealthLake migration
• Design and enforce encryption patterns and PHI access controls
• Review and approve KMS infrastructure code
• Build the data access layer consumed by agents
• Implement audit logging infrastructure that satisfies HIPAA requirements
• Design Clean Rooms configurations for analytics use cases

Requirements

• 7+ years in backend engineering with 3+ years focused on healthcare data infrastructure or interoperability
• Deep FHIR R4 expertise
• Strong AWS experience
• Production experience with data migration from non-FHIR systems to FHIR
• Deep understanding of HIPAA technical safeguards
• Strong SQL and API design skills
• Experience working with outsourced development teams in a review/oversight capacity

Tech Stack

• AWS
• SQL

Benefits

• Health care insurance (medical, dental, vision)
• Life Insurance
• Supplemental Insurance
• PTO
• 401K matching
• Sick leave
• Phone/internet reimbursement
• Remote work
• Top of the line machines