Abacus is seeking a FHIR Engineer with strong expertise in healthcare interoperability standards, particularly the FHIR (Fast Healthcare Interoperability Resources) framework. The ideal candidate will have hands-on experience with the technical aspects of FHIR, including authorization, consent management, and secure API implementation. This role requires both a solid understanding of healthcare data exchange standards and the ability to design, implement, and maintain scalable FHIR-based solutions.
Key Responsibilities
• Design, implement, and maintain FHIR APIs in compliance with HL7, CMS, and ONC regulations.
• Configure and manage FHIR servers (e.g., Firely, HAPI, HealthLake) for ingestion, normalization, and access of healthcare data.
• Implement OAuth 2.0 / OpenID Connect / SMART on FHIR for authorization and authentication.
• Support consent management workflows, ensuring that data access is fully aligned with regulatory requirements.
• Collaborate with product teams to map payer and provider data to FHIR resources.
• Troubleshoot and resolve issues with FHIR API integrations, ensuring data integrity and security.
• Work with DevOps teams to deploy FHIR services in cloud environments (AWS, Azure, or GCP).
• Document implementation details, technical designs, and workflows for internal and client-facing use.
Required Skills & Qualifications
• Strong knowledge of FHIR R4 resources (Patient, Coverage, EOB, Clinical, Formulary, Provider Directory, etc.).
• Experience with FHIR Implementation Guides (IGs) such as CMS-0057, CMS- 9115, US Core, CARIN Blue Button, PDex.
• Hands-on experience with authorization frameworks (OAuth2.0, JWTs, PKCE, SMART scopes).
• Familiarity with consent management standards (FHIR Consent resource, ONC/CMS guidelines).
• Solid programming background in languages such as Python, Java, or Node.js.
• Understanding of API security and compliance (HIPAA, PHI/PII data handling).
• Strong knowledge of cloud-based architectures (AWS HealthLake, Azure API Management, etc.).
• Excellent problem-solving, communication, and collaboration skills.
Preferred Qualifications
• Experience with FHIR bulk data APIs and NDJSON pipelines.
• Knowledge of legacy healthcare data formats (HL7 v2, X12 278/837) and mapping to FHIR.
• Prior experience working with payer or provider organizations.
Top Skills
What We Do
Abacus Insights allows healthcare companies to unlock the value of their data by removing the burden of maintaining and updating an enterprise data management platform. Abacus provides a flexible, efficient, and secure platform that organizes and exchanges data from various sources and formats, allowing healthcare companies to uncover differentiated insights.
Why Work With Us
We are a team of mission-driven individuals that share a passion for improving the healthcare system through innovative technology. We've built a business with true market demand and we are growing fast. As a 'Bead' at Abacus, you'll be solving complex problems, driving real impact in an industry that needs it, alongside a supportive team.
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