Overview
Skills
Job Details
Senior Cloud Engineer (.NET/C#)
Boston, MA
Hybrid (2 days onsite, 3 days remote)
1 yr contract assignment
Some key healthcare items they want/need: All a must
- Healthcare Interoperability
- FHIR - Fast HealthCare Interoperability Resources
- The Centers for Medicare & Medicaid Services (CMS) released the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
About the Role
We are seeking an experienced and motivated Senior Cloud Engineer to join our team and play a pivotal role in a mission-critical project. You will be a key developer in building the next generation of our healthcare data platform to achieve compliance with new federal interoperability regulations (CMS-0057-F).
You will be responsible for designing, developing, and deploying the central security and orchestration hub of our new architecture, a Proxy FHIR Service, as well as a suite of critical, asynchronous background jobs that power our data exchange capabilities. This is a unique opportunity to work with modern cloud technologies on a project that will directly impact how patient data is shared and managed across the healthcare ecosystem.
What You'll Do
- Develop the Core Proxy Service: You will build and own the central Proxy FHIR Service, a C# serverless function that acts as the secure gateway for all our interoperability APIs.
- Implement Robust Security: You'll engineer the security core of the service, responsible for validating external Okta JWTs, enforcing OAuth 2.0 scope-based authorization, and managing a secure internal token exchange to protect backend systems.
- Build Complex Workflows: You will design and implement intelligent routing logic to handle the multi-stage workflows required by the Prior Authorization API, differentiating between CRD, DTR, and PAS requests.
- Engineer Resilient Background Jobs: You will develop a series of robust, scheduled, and event-driven background processes, including:
- A job to synchronize member consent choices (opt-in/opt-out) from Salesforce to a central repository.
- A complex, long-running job to orchestrate the Payer-to-Payer data consumption process, which includes calling external APIs, parsing FHIR bundles, and transforming data for our claims system.
- A job to establish provider-patient attribution by processing historical claims data.
- Ensure Data Conformance and Quality: You'll work closely with data teams to ensure all processes align with the HL7 FHIR US Core Implementation Guide (v7.0.0) standards mandated by the project.
- Collaborate and Innovate: You will work with solution architects, business analysts, and QA engineers to translate detailed functional requirements into elegant, scalable, and production-ready code.
What We're Looking For
Required Skills & Experience:
- 5+ years of professional software development experience in C# and the .NET Framework.
- Strong, hands-on experience building solutions on major cloud platforms (Azure, AWS, or similar), particularly with serverless computing technologies (e.g., Azure Functions, AWS Lambda).
- Deep understanding of RESTful API design, security principles, and standards like OAuth 2.0 and JWT.
- Proven ability to design and build reliable, scalable, and maintainable backend services and asynchronous processes.
- Experience reading and interpreting detailed technical specifications and functional requirements documents.
Preferred Qualifications (Bonus Points):
- Experience in the healthcare technology domain, especially with interoperability standards like HL7 FHIR.
- Familiarity with the Da Vinci Implementation Guides (CRD, DTR, PAS) for prior authorization is a significant plus.
- Practical experience integrating applications with identity providers like Okta.
- Experience working with data from Salesforce, particularly via its APIs.
- Knowledge of cloud API Gateway technologies and patterns for securing and managing API traffic at scale.
- Experience with cloud-native healthcare data solutions (e.g., AWS Health Lake, Azure Health Data Services).
Ayush Sharma Sr. US Technical Recruiter
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