Senior Front-End & FHIR Interoperability Engineer

Agadia is building a new engineering team to develop a cloud-native healthcare technology platform, focusing on clinical software and healthcare interoperability. They are seeking a Senior Front-End & FHIR Interoperability Engineer to build and maintain a healthcare application end-to-end, integrating with EHR systems and ensuring a seamless user interface.

Responsibilities:

• Build and maintain the complete front-end application and every workflow screen — from first build through ongoing iteration and production support
• Build and maintain SMART on FHIR application launch and consume FHIR R4 resources under a read-only constraint, aligned to USCDI v3
• Implement CDS Hooks integrations and drug-in-context triggering
• Design and own the data mapping between EHR/FHIR resources and the application model and UI
• Build clean, fast front-end views that surface mapped clinical data and keep the coordinator work queue legible under load
• Contribute production-quality code and participate in design and code reviews with the engineering team
• Partner with Product, QA, and the engineering team to deliver secure, reliable, maintainable software
• Build to the platform guardrails

Requirements:

• 6+ years of software engineering experience with a strong track record building and shipping production front-end applications in React and TypeScript
• Hands-on experience integrating with EHR / EMR systems
• Has built and shipped at least one production SMART on FHIR application
• Working knowledge of FHIR R4 and OAuth 2.0 / PKCE
• Hands-on CDS Hooks implementation experience
• A practical mapping instinct — comfort translating messy, real-world clinical data into clean models and clean UI
• Familiarity working with PHI in a HIPAA environment
• Excellent communication and the discipline to work precisely on a lean team
• Experience with specific EHR vendors (e.g., Epic, Cerner / Oracle Health, athenahealth, or smaller ambulatory EHRs), including sandbox onboarding
• USCDI v3 depth
• Healthcare access, pharmacy, or payer-integration domain knowledge
• Exposure to eligibility (270/271) and real-time benefit workflows
• Working familiarity with Python/FastAPI and the Azure ecosystem