Senior Engineer, FHIR

Bellese is a mission-driven Digital Services Company focused on innovative technology solutions in civic healthcare. The Senior Engineer will contribute to projects aimed at improving healthcare quality reporting systems, collaborating with cross-functional teams to ensure quality and compliance in software development.

Responsibilities:

• Contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes
• Demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals
• Accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products
• Proactively support and collaborate with team members, fostering a positive and productive team environment
• Adhere to established team processes, ensuring a steady and reliable delivery of features to production
• Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC
• Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities
• Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution
• Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC
• Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines
• Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices
• Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes
• Implement and conduct performance and security testing following best practices and business requirements

Requirements:

• Bachelor's degree or equivalent and 8+ years of development experience
• Experience with GoLang, Python, Angular or TypeScript, and Java (at least 3)
• Cloud experience, preferably AWS
• Experience in Agile development methodology
• Experience with Infrastructure as Code, preferably Terraform
• Experience with fully automated CI/CD pipelines from commit through production deployment
• Strong relational database experience such as PostgreSQL
• Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides
• Experience building or integrating RESTful APIs aligned to FHIR specifications
• Familiarity with FHIR R4 and healthcare interoperability patterns
• Experience working with healthcare data formats such as QRDA, C-CDA, or claims data
• Understanding of digital quality measurement concepts, including eCQM and dQM
• Experience with Clinical Quality Language (CQL) or exposure to measure logic execution
• Experience working with FHIR servers such as HAPI FHIR or similar platforms
• Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation
• Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems
• AWS Certifications
• Experience with AWS ECS Fargate, AWS RDS, AWS S3
• Experience with Jenkins or similar CI/CD tools
• Experience with Databricks or modern data platforms
• Experience working with large-scale healthcare reporting or analytics systems
• Familiarity with CMS environments, data pipelines, or regulatory programs