Remote FHIR Developer (Strong API development)

Software Guidance & Assistance, Inc., (SGA), is searching for a Remote FHIR Developer for a Contract assignment with one of our premier Healthcare clients for a Remote position.

Project: New Medicare services project based on HL7/FHIR

Responsibilities :
In this role, you will work with clients to understand business requirements, gather information about various source systems, and build the actual integrations which connects their data sources together. As an integration's developer, you will need to be able to work in a fast-paced environment to manage competing priorities, meet agreed upon deadlines, and deliver high quality work. This position is responsible for analysis, design, development, and implementation of Enterprise Service Bus (ESB) applications for internal company use and for clients. In addition, this position will take on the responsibility for:

• Advise on architectural strategies and best practice approaches.
• Provide regular updates of project progress and outstanding issues.
• Participate in the design and planning of projects in conjunction with the external partners, other IT, and business users.
• Personal and Team Development
• Contribute to team development through support and collaboration with remote team members. System and data analysis, architecture, and design
• Data integration and workflow design
• Software development, configuration and customization
• On-Site and Post implementation support

Required Skills:

• In-depth understanding of FHIR R4 (and upcoming R5) standards, particularly around RESTful APIs.
• Expertise in FHIR resources (e.g., Coverage, Claim, ClaimResponse, PriorAuthorization, Patient, Encounter, Practitioner, Organization, Bundle, Document Reference) and creating profiles using Structure Definition.
• Understanding of CMS Prior Authorization API Implementation Guides (e.g., Da Vinci Prior Authorization Support (PAS), Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR), Payer Data Exchange (PDex)) for automating prior authorization processes.
• Proficiency in programming languages (like Java) for building and customizing FHIR-based solution
• Proficiency in FHIR Path and search parameters for data querying and manipulation.
• Experience designing and deploying FHIR servers and RESTful APIs.
• Skills in integrating FHIR APIs with payer systems and EMRs (like, Epic, Cerner).
• Expertise in SMART on FHIR and OAuth 2.0 for secure data access.
• Ability to map clinical data to FHIR resources and align with US Core profiles.
• Familiarity with terminologies (e.g., SNOMED CT, LOINC, ICD-10, CPT) for accurate data validation.
• Design RESTful FHIR APIs, manage endpoints, versioning, throttling, etc
• Knowledge of X12/EDI 278 standards for compatibility with payer systems.
• Understanding of healthcare workflows, particularly prior authorization processes, payer-provider interactions, and regulatory requirements.
• Familiarity with CMS-0057-F, HIPAA, and other healthcare regulations impacting interoperability and prior authorization
• Ability to address complex integration challenges and optimize prior authorization workflows
• Strong communication skills to work with cross-functional teams and vendors.
• Ability to document technical specifications and compliance details clearly

Preferred Skills:

• Various Domain experience; Health Care, Financial, etc
• Experience using Agile, Waterfall, or hybrid methodology
• Specific tools, languages and specialty skills may vary

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.