FHIR Informatics Specialist

| US +80 more | Remote
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We're looking for a FHIR Informatics Specialist with expertise in HL7, the Fast Healthcare Interoperability Resources (FHIR) standard, JSON, and promoting interoperability. As a Health Informatics specialist, you'll play a vital role in connecting healthcare data standards with product and technology. You should have practical experience in designing, implementing, and maintaining FHIR-based solutions that enhance data exchange and interoperability in healthcare. You'll work independently and have a strong background in data management, including creating policies, and FHIR mappings, maintaining documentation, and establishing classification standards. You'll help define the standards for all data use cases the company pursues. Collaboration will be key, working closely with teams in Product, Engineering, Product Support, Implementation, and Customer Success. This role reports directly to the VP of Product.

What will you do:

  • FHIR Implementation:
    • Review Existing Extract Guides: Review and align current extract guides to industry Implementation Guides (IG)
    • Define Ideal Data Guides: Create clear data guides and FHIR output based on the findings from the previous step.
    • Define Data Contracts: Specify required fields in data extracts to ensure compliance with IGs.
    • Create Mapping Templates: Develop templates for mapping extract guide files to FHIR for each guide. These templates should represent complete resources if each data element is received in the expected data format.
    • Document Guidelines: Prepare documentation explaining any nuances or considerations when using the guide.
    • Design Data Model: Collaborate with engineering teams to define data models, schemas, and formats for internal data representation and storage.
  • Data Integration:
    • Develop Integration Strategies: Create and maintain strategies for using FHIR to exchange claims and clinical data between different healthcare entities.
    • Mapping and Transformation: Build data mappings, transformations, and data exchange protocols to support interoperability initiatives.
  • Standards Compliance:
    • Stay Informed: Keep up-to-date with the latest developments in FHIR and other relevant healthcare interoperability standards to ensure that data exchange follows the latest practices.
    • Provide Guidance: Serve as a subject matter expert and offer guidance to internal teams to ensure they adhere to FHIR standards when developing systems.
  • Quality Assurance: 
    • Thorough Testing: Conduct rigorous testing and validation of FHIR implementations to guarantee data accuracy, security, and compliance with regulatory requirements.
  • Education and Training: 
    • Training and Support: Provide training and support to internal teams and stakeholders on FHIR standards, best practices, and the use of FHIR-based tools.
  • Documentation and Reporting: 
    • Comprehensive Documentation: Maintain detailed documentation of FHIR implementations, including data models, data dictionaries, and interface specifications.

What are our must haves:

  • Depth of knowledge and practical experience with Health Data exchange standards (e.g., HL7, CCDA, FHIR, X12, BCDA, USCDI).
    • Proficiency in interpreting Implementation Guides (IGs)
    • Ability to convert source system data (e.g., HL7, CCDA) to FHIR standards
    • Skill in using IGs to validate data transformation
  • Practical experience with healthcare data, including data and terminology standards such as SNOMED CT, ICD, CPT, LOINC, UCUM, and RXNorm.
  • Hands-on experience with both clinical and claims data sets (e.g., proficiency with 834, 837, X12, CCDA, and HL7 messages).
  • Hands-on experience with SQL syntax is necessary for developing SQL queries for data retrieval and analytics, including knowledge of database structures for working with large datasets.
  • Capability to perform gap analysis on IG versions and make recommendations for updates to the data transformation process
  • Experience in creating and maintaining documentation related to data standards
  • Experience with translating technical data requirements to internal and external stakeholders for implementation
  • Practical knowledge of healthcare data transformation best practices
  • Good understanding of the provider and payer healthcare space
  • Strong execution skills, valuing iteration and rapid delivery, with an obsession for detail even when managing multiple projects concurrently
  • Effective project management skills to oversee multiple initiatives running simultaneously
  • Hands-on and self-starting approach, enjoying taking initiative and driving projects with minimal oversight
  • Excellent communication and relationship-building skills, enabling effective communication both internally and externally, and the ability to navigate complex relationships to achieve project goals

What are our nice-to-haves:

  • HL7 FHIR and/or Clinical Informatics Certification
  • Understanding of CMS interoperability requirements for compliance. 
  • Previous participation in industry groups (e.g., DaVinci HL7 FHIR, CARIN Alliance, FAST)
  • Experience in identifying and assessing downstream use cases of healthcare data, with a focus on quality measures, risk adjustments, and utilization management.

Security Alert:
1upHealth only uses email domains of First Name. Last [email protected] or [email protected] to communicate with prospects. You will never receive an email from a third-party email service such as gmail. In addition, we will never ask a candidate for employment to share personal information (such as banking information, social security numbers, passport, etc), purchase their own equipment, or pay to apply to an open position.

About 1upHealth

At 1upHealth, our mission is to unlock health data and improve industry outcomes. As leaders in FHIR® interoperability, our platform makes it easier for partners to access, integrate, aggregate, and share data across a variety of systems. 1upHealth is building a data ecosystem to promote the digital transformation of the industry and encourage insight-driven healthcare.


We are proud to announce that we have been named 2022 Best Places to Work in the Small Company and Best Paying Company categories by Built In Boston.



100% Paid BCBS Medical and Dental Insurance for Employees

Vision Insurance

Unlimited PTO



Home Office Stipend

Commuter Stipend

Wellness Reimbursement

Parental Leave (16 weeks for birthing parents, 6 weeks for non-birthing parents)

Company Meetings with Free Lunch

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Candidate Location Eligibility:
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Technology we use

  • Engineering
  • Product
    • JavaLanguages
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    • SqlLanguages
    • TypeScriptLanguages
    • jQueryLibraries
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An Insider's view of 1upHealth

How would you describe the company’s work-life balance?

1upHealth recognizes the delicate balance between work and home life. Supportive managers combined with leadership that talk about wellbeing sets a tone of acceptance company wide. Employees are encouraged to block time for focused work, efficiently manage meetings and utilize flexible hours/ time off to manage home life while working full time.


Customer Success Manager

What's the biggest problem your team is solving?

My team is working on providing secure access to health data. It’s a huge technical challenge to deliver highly secure, distributed, and performant access control. I am motivated by the opportunity to enable safe transfer of healthcare data so doctors and insurers can get the data they need to provide the best care for patients.


Software Engineer II

How does the company support your career growth?

1up has given me the opportunity to follow my interests and align my role with the projects and markets that I find most exciting. Not only was I exposed to both inbound and outbound sales in my first year at 1up but I was also given the flexibility to be creative with my outreach. 1up managers have supported my growth by encouraging me to take on


Sales Lead, Midwest

What is your vision for the company?

Healthcare is a human right that is often hindered by ancient technology systems speaking different languages. We are fixing America's broken healthcare system by building the healthcare data cloud that will allow anyone involved in your care to get the medical information they need, when they need it, thus enabling patients to get better care.


Director of Engineering

What are 1upHealth Perks + Benefits

1upHealth Benefits Overview

1upHealth recognizes the importance that healthcare plays in all of our lives. For that reason we offer 100% covered health and dental insurance to our employees. We also offer a 401k, in addition to partial or fully remote work opportunities. We have company Friday lunches where we collaborate, share company updates and enjoy some grub!

Open door policy
Team based strategic planning
Open office floor plan
Flexible work schedule
We understand life happens and schedules outside of work are different for everyone. For some people it makes more sense to work 7-3, while for others 9-5 might be better.
Remote work program
1upHealth allows for partial or fully remote work opportunities, depending upon the role and employees location.
Health Insurance & Wellness Benefits
Disability insurance
Dental insurance
Vision insurance
Health insurance
Wellness programs
Mental health benefits
We offer every other Friday off in the summer!
Financial & Retirement
Company equity
Child Care & Parental Leave Benefits
Generous parental leave
16 weeks maternity leave with 1 month return to work part time transition
Family medical leave
Return-to-work program post parental leave
Vacation & Time Off Benefits
Unlimited vacation policy
Generous PTO
Paid holidays
Paid sick days
Office Perks
Commuter benefits
Company-sponsored outings
Company outings vary from individual team outings, to whole company retreats, as well as amazing holiday parties.
Free snacks and drinks
In our brand new beautiful Boston office we offer a wide range of yummy snacks and of course coffee!
Some meals provided
Every other Friday Lunches! We also provide weekly Wednesday lunches for folks who come in the office.
Company-sponsored happy hours
Once a month we have in office happy hours with varying themes!
Fitness stipend
$350 dollars a quarter to use towards your choice of health and wellness activities
Home-office stipend for remote employees
$400 home office stipend for remote employees
Professional Development Benefits
Job training & conferences
Tuition reimbursement
Lunch and learns
Promote from within
Continuing education available during work hours
Online course subscriptions available
Customized development tracks

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