Senior Engineer, FHIR

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes.

Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

The Team you will be joining:

HQR

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

As a Senior Engineer:

You contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes.

You demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals.

You accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products.

You proactively support and collaborate with team members, fostering a positive and productive team environment.

You adhere to established team processes, ensuring a steady and reliable delivery of features to production.

These are the types of things you’ll be working on

Cross-functional Collaboration: Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC.

Test Planning and Design: Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities.

Bug Tracking and Resolution: Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution.

Quality Metrics and Standards: Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC.

Automate Testing Processes: Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines.

Continuous Improvement: Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices

Compliance and Regulatory Adherence: Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes.

Performance and Security Testing: Implement and conduct performance and security testing following best practices and business requirements.

Required Skills / Qualifications:

Bachelor’s degree or equivalent and 8+ years of development experience

Experience with Java / Springboot

Experience with GoLang, Python, Angular or TypeScript, and Java (at least 2)

Cloud experience, preferably AWS

Experience in Agile development methodology

Experience with Infrastructure as Code, preferably Terraform

Experience with fully automated CI/CD pipelines from commit through production deployment

Strong relational database experience such as PostgreSQL

Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides

Experience building or integrating RESTful APIs aligned to FHIR specifications

Familiarity with FHIR R4 and healthcare interoperability patterns

Experience working with healthcare data formats such as QRDA, C-CDA, or claims data

Understanding of digital quality measurement concepts, including eCQM and dQM

Experience with Clinical Quality Language (CQL) or exposure to measure logic execution

Experience working with FHIR servers such as HAPI FHIR or similar platforms

Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation

Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems

Preferred Skills / Qualifications:

AWS Certifications

Experience with AWS ECS Fargate, AWS RDS, AWS S3

Experience with Jenkins or similar CI/CD tools

Experience with Databricks or modern data platforms

Experience working with large-scale healthcare reporting or analytics systems

Familiarity with CMS environments, data pipelines, or regulatory programs