Natera is building apps and services that run inside the clinician's EHR. This is a hands-on role.
You will build SMART on FHIR apps that launch from Epic, Oracle Health (Cerner) and other
EHRs, the FHIR services and data model behind them, and CDS Hooks services that bring
Natera ordering and results into the provider's workflow. You will work in a small team with
product and our wider EHR integration group, and you will handle patient data under HIPAA
every day.
• Build and ship SMART on FHIR apps: EHR launch and standalone launch, OAuth 2.0 with
PKCE, backend services authorization, scopes and token handling.
• Design and build the server side: FHIR R4 APIs, mapping to our internal data model,
profiles and extensions.
• Build CDS Hooks services with prefetch that respond within EHR time limits.
• Take apps through EHR vendor onboarding and go-live, starting with Epic (Vendor
Services and Showroom), then Oracle Health and others. Work with health system IT on
build and testing.
• Handle PHI correctly in storage, caching, logging and tracing: minimum necessary data,
encryption, audit trails, no PHI in logs.
• Work with HL7 v2 and interface engine flows where the EHR needs them.
• Write design docs, review code and mentor engineers.
• Be on call for what you ship.
• This role works with PHI on a regular basis both in paper and electronic form and have
access to various technologies to access PHI (paper and electronic) in order to perform
the job.
• Must complete training relating to HIPAA/PHI privacy, General Policies and Procedure
Compliance training and security training as soon as possible but not later than the first 30
days of hire.
• Must maintain a current status on Natera training requirements.
• BS in computer science, a related field, or equivalent experience.
• 6+ years of software development, with at least 3 building EHR integrations in production.
• Hands-on SMART on FHIR: you have built and shipped an app that launches inside an
EHR, not only consumed FHIR data.
• Strong FHIR R4: resource modeling, search, and terminology (LOINC, SNOMED, ICD-10).
• Production go-live with Epic. Oracle Health (Cerner), athenahealth, MEDITECH or others
a plus.
• Backend services in Java and Spring Boot or similar, on AWS.
• Experience handling PHI under HIPAA in a production system.
• Clear communication with clinicians, health system IT and product.
NICE TO HAVE
• CDS Hooks in production.
• An Epic Showroom listing, or an app built in the Oracle Health code console.
• Lab orders and results: ServiceRequest, DiagnosticReport, Observation, and HL7 v2
ORM/ORU.
• FHIR Subscriptions and Bulk FHIR.
• Interface engines such as Mirth, Rhapsody or Cloverleaf.
• React and TypeScript for in-EHR user interfaces.
• USCDI, Da Vinci implementation guides, or ONC certification work.
• FHIR R4, SMART App Launch, OAuth 2.0 and OIDC, CDS Hooks
• Java and Spring Boot; REST and event-driven microservices
• AWS services such as SQS, S3, SNS and Lambda
• Relational databases and SQL, preferably PostgreSQL or MySQL
• Docker, CI/CD, Linux fundamentals
• React and TypeScript
• Quality assurance mindset
Applicants must be authorized to work in the US without current or future visa sponsorship.
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
Skills Required
- Bachelor’s degree in computer science, a related field, or equivalent experience
- 6+ years of software development experience
- At least 3 years building EHR integrations in production
- Hands-on experience building and shipping SMART on FHIR applications that launch inside an EHR
- Strong FHIR R4 experience, including resource modeling, search, and terminology such as LOINC, SNOMED, and ICD-10
- Production go-live experience with Epic
- Backend services experience with Java and Spring Boot or similar technologies on AWS
- Experience handling PHI under HIPAA in a production system
- Clear communication with clinicians, health system IT, and product teams
- CDS Hooks production experience
- Epic Showroom listing or Oracle Health code console application experience
- Experience with lab orders and results, including ServiceRequest, DiagnosticReport, Observation, HL7 v2 ORM, and ORU
- Experience with FHIR Subscriptions and Bulk FHIR
- Experience with Mirth, Rhapsody, or Cloverleaf interface engines
- React and TypeScript experience for in-EHR user interfaces
- Experience with USCDI, Da Vinci implementation guides, or ONC certification work
- US work authorization without current or future visa sponsorship
Natera Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Natera and has not been reviewed or approved by Natera.
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Healthcare Strength — Medical plan choice, fertility support, and free Natera tests for employees and families are emphasized alongside dental, vision, and life/disability coverage. These elements indicate robust core health coverage.
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Equity Value & Accessibility — An Employee Stock Purchase Plan is available, and equity is described as a significant part of compensation in some roles. This accessibility to ownership can meaningfully augment overall pay.
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Leave & Time Off Breadth — A flexible, no‑accrual PTO policy and parental leave are positioned as part of the package. This breadth suggests meaningful time‑off provisions are included.
Natera Insights
What We Do
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives. Where some set out to build a test, we set out to achieve a mission: change the management of disease worldwide by using DNA testing to proactively inform treatment. Through a cfDNA technology platform approach, we've pioneered noninvasive testing in unlimited applications—each with their own potential to revolutionize care for patients. #TeamNatera includes clinicians, scientists, biostatisticians, researchers, and laboratory professionals from around the world. Our diverse teams blend a passion for patients with deep clinical, scientific, and technological roots. Natera’s tests are validated by more than 100 peer-reviewed publications that demonstrate high accuracy.
