HQR
Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.
Please note: This position requires meaningful experience with FHIR (Fast Healthcare Interoperability Resources)
Security Clearance Requirements
- US Citizenship or Green Card only - we do not offer Sponsorship
- US Residency for at least the past 3 years
- Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
- Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article
Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better
- Remote First, Remote Only Culture
- Four weeks paid time off yearly (prorated based on start date for the first year)
- 10 paid floating company holidays
- Flexible schedule
- Work from home setup including a Macbook
- Collaborative, learning environment
- Medical, dental, and company-paid vision insurance
- Optional HSA account with some medical plans and a company contribution
- Company paid basic life and AD&D insurance coverages
- Company paid short and long term life insurance
- Optional critical illness and accident insurance
- 401K plan with 3% safe harbor contribution
- Wellness resources and virtual care
- Perks Plus employee discounts
You will like it here if
- You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.
Responsibilities
Develop, deploy, and maintain backend applications using Java, GoLang, and Python,
Design and implement FHIR-compliant APIs and services for healthcare data exchange
Build and maintain integrations with FHIR servers and healthcare data platforms
Support transition from legacy data formats toward FHIR-based architectures
Implement and maintain CI/CD pipelines using tools such as Jenkins
Develop frontend components using Angular, HTML, and TypeScript
Manage database development using SQL, including performance tuning and optimization
Work with AWS services to build scalable and secure cloud infrastructure
Define and manage infrastructure using Terraform
Ensure data accuracy, validation, and compliance across healthcare reporting workflows
Required Skills / Qualifications
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
Desired Skills / Qualifications
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 implementing US-Core FHIR implementation guide within enterprise scale systems
Experience working with large-scale healthcare reporting or analytics systems
Familiarity with CMS environments, data pipelines, or regulatory programs
Skills Required
- Develop, deploy, and maintain backend applications using Java, GoLang, and Python
- Design and implement FHIR-compliant APIs and services
- Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides
- Familiarity with FHIR R4 and healthcare interoperability patterns
- Experience building or integrating RESTful APIs aligned to FHIR specifications
- 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
- Experience with fully automated CI/CD pipelines from commit through production deployment
- Implement and maintain CI/CD pipelines using tools such as Jenkins
- Strong relational database experience such as PostgreSQL and SQL performance tuning
- 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
- Develop frontend components using Angular, HTML, and TypeScript
- Work with AWS services to build scalable and secure cloud infrastructure
- Define and manage infrastructure using Terraform
- Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems
- US Citizenship or Green Card (no sponsorship)
- US residency for at least the past 3 years
- Able to meet requirements to hold a position of Public Trust (successful US government background investigation)
- AWS Certifications
- Experience with AWS ECS Fargate, AWS RDS, AWS S3
- Experience with Databricks or modern data platforms
- Experience implementing US-Core FHIR implementation guide at enterprise scale
- Experience working with large-scale healthcare reporting or analytics systems
- Familiarity with CMS environments, data pipelines, or regulatory programs
What We Do
Bellese is a lean and agile software development and consulting firm that has helped government and commercial organizations overcome their greatest product development challenges incredibly fast — with exceptional efficiency. Our clients choose us because we’ve proven that agile methods can be a catalyst for better government and a stronger society. We’ve served as a trusted partner and hands-on guide to help our clients transition to or enhance their agility — regardless of size. And we’ve developed powerful technology that provides more than just transparency into an organization — it provides insight.
