FHIR API Architect and Engineer - Google Cloud Platform

FHIR API Architect and Engineer - Google Cloud Platform

Nashville, TN

Contract

We are seeking a Google Cloud Platform FHIR API Architect and Engineer to design, develop, maintain, and support custom-built HL7 FHIR APIs on Google Cloud Platform. This role will focus on reading large-scale clinical data from Google Cloud Bigtable, transforming it into FHIR-compliant resources, and exposing it through high-performance, secure REST APIs for downstream consumers. This role requires working closely with data teams, frequently in a matrixed environment as part of a broader project team.

This is a hands-on engineering role requiring deep experience in custom API development, healthcare data standards, and Google Cloud Platform-native services, with responsibility across the full API lifecycle from design through production support. This role requires self-starters who are proficient in API problem solving and capable of bringing clarity to complex situations.

Due to the emerging and fast-evolving nature of Google Cloud Platform technology and practice, the position requires that one stay well-informed of technological advancements and be proficient at putting new innovations into effective practice. As an API Architect and Engineer, you will collaborate closely with all team members to create a modular, scalable solution that addresses current needs, but will also serve as a foundation for future success.

Responsibilities

This role will provide API development for specific business environments.

• Adheres to and supports data engineering API best practices, processes, and standards.

• Produce high quality, modular, reusable code that incorporates best practices and serves as an example for less experienced engineers.

• Build productive and healthy relationships within the department and other teams to foster growth of our culture, our people, and our platforms.

• Works in an environment with rapidly changing business requirements and priorities

• Shares knowledge and experience to contribute to growth of overall team capabilities.

• Actively participate in technical group discussions and adopt any modern technologies to improve the development and operations.

• Self-directed, hands-on engineer

• Comfortable working in regulated healthcare environments

• Strong communicator with both technical and business stakeholders

Architecture & Design

• Design custom FHIR API solutions on Google Cloud Platform.

• Define scalable data access patterns for Cloud Bigtable API workloads.

• Design FHIR resource mappings, profiles, and response structures.

• Partner with platform, security, and data teams to align with enterprise standards.

API & Application Development

• Build custom RESTful FHIR APIs

• Implement resource-level endpoints (e.g., Patient, Encounter, Observation)

• Develop business logic for filtering, pagination, search parameters, and versioning.

• Deploy APIs using Cloud Run, GKE, or App Engine

• Implement caching and performance optimization strategies.

Data Engineering

• Read and optimize data retrieval from Google Cloud Bigtable

• Transform source data into FHIR-compliant JSON responses.

• Handle large volumes of clinical data with low latency.

• Implement validation and error handling for FHIR payloads.

Security & Compliance

• Implement OAuth 2.0, IAM, and service-to-service authentication.

• Ensure secure handling of PHI and HIPAA-regulated data.

• Implement audit logging, encryption in transit and at rest.

• Enforce API throttling, quotas, and access controls.

DevOps, Maintenance & Support

• Support CI/CD pipelines for API deployment and releases.

• Monitor APIs using Cloud Monitoring and Cloud Logging

• Troubleshoot production issues and perform root-cause analysis.

• Optimize cost, performance, and reliability of API services.

Required Skills & Experience

• 10+ years of IT experience

• 5+ years of hands-on experience in API development or data engineering

• Strong experience building custom HL7 FHIR APIs

• Proven experience working with Google Cloud Bigtable, Cloud Run, GKE, Cloud Functions

• Strong understanding of FHIR resources and search semantics

• Proficiency in Java, Python, or Scala

• Experience with RESTful API design, pagination, filtering, and versioning

• Experience with OAuth 2.0, API gateways, and IAM

• Strong debugging and production support experience

Qualifications

• Bachelor s degree in computer science or related discipline.

Preferred / Nice-to-have

• Experience in healthcare, payer, or provider environments

• Experience with Docker and Kubernetes (GKE)

• Experience defining custom FHIR profiles and extensions.

• Prior experience supporting high-volume, consumer-facing APIs.

• Hands-on experience with Google Cloud Platform platform and experience with many of the following components:

  • Spark Streaming, Kafka, Pub/Sub, BigQuery, Dataflow

  • Cloud Composer, DataProc, GitHub, CI/CD, Cloud Logging

  • RDBMS - MS SQL Server/Oracle/Teradata/Oracle

  • NoSQL, HBase, Cassandra, MongoDB, In-memory, Columnar, other emerging technologies

• Google Cloud Platform Cloud Professional Data Engineer