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Contractual Fhir Developer Jobs (NOW HIRING)

Doist

Clinical Informatics Director, MD/DO

Washington, DC · On-site

$180 - $230/hr

Guide data quality initiatives, interoperability (HL7, FHIR, APIs, registries, HIE), and analytics ... contractual, and regulatory standards (e.g., CMS, The Joint Commission, ONC, HIPAA). * Lead ...

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InterSystems

Engagement Manager

Boston, MA

... between contractual commitments and real-world healthcare outcomes. This is not a project ... Partner with Product/Engineering teams on escalations, upgrades, patches, and roadmap alignment

InterSystems

Engagement Manager

Boston, MA · On-site

... between contractual commitments and real-world healthcare outcomes. This is not a project ... Partner with Product/Engineering teams on escalations, upgrades, patches, and roadmap alignment

Experian

Partner with Engineering, InfoSec and Product to support platform resilience, modernization ... Ensure compliance with HIPAA, X12, CMS, FHIR, etc. state regulations, and payer contractual ...

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As of Aug 12, 2026, the average hourly pay for contractual fhir developer in the United States is $60.02, according to ZipRecruiter salary data. Most workers in this role earn between $54.57 and $71.15 per hour, depending on experience, location, and employer.
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Infographic showing various Contractual Fhir Developer job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $124,843 per year, or $60 per hour.

Principal Platform Engineer, Medical Data

Synthesis Health

Remote

Full-time

Re-posted 29 days ago

Job description

Job Summary:
Synthesis Health is a mission- and values-driven company focused on revolutionizing healthcare through innovation. They are seeking a Principal Platform Engineer to oversee the integrity of their medical data domain, ensuring accurate interactions between services and data, while leading compliance and architectural strategies.
Responsibilities:
• Domain Model Stewardship & Service Interaction: You will define and enforce the integrity of our logical data model. You will architect the patterns for how all internal services and external integrations interact with this model, ensuring data accuracy and structural flexibility are preserved across the entire platform.
• High-Throughput Ingestion Architecture: You will architect and optimize our ingestion pipelines to handle massive bursts of DICOM images and HL7 messages without latency or data loss.
• Standards & Interoperability: You will lead the strategy for FHIR, HL7, and DICOM interoperability, ensuring our platform speaks the language of modern healthcare fluently.
• Automate Compliance: You will design systems that enforce HIPAA, ISO 27001, and SOC2 requirements at the infrastructure and code level. You will build "compliance as code" to ensure audit readiness without manual toil.
• Data Governance: You will define the patterns for data residency, retention, and deletion, ensuring we meet strict legal and contractual obligations across global deployments.
• Systemic Data Consistency: You will solve hard problems regarding distributed data consistency, helping us move away from tight coupling while ensuring data correctness across services.
• Elevate the Platform: You will be the subject matter expert (SME) for healthcare data within the engineering organization, mentoring Staff and Senior engineers on the nuances of medical data standards and distributed data patterns.
Qualifications:
Required:
• 10+ years of engineering experience with a specific focus on healthcare data.
• Expert in DICOM (tags, transfer syntaxes, WADO/QIDO) and HL7/FHIR.
• Proven track record of building data pipelines that handle terabytes of medical imaging data.
• Understanding of the specific storage and retrieval challenges of pixel data vs. metadata.
• Deep expertise in TypeScript/Node.js.
• Experience leading language transitions or strong Go proficiency.
• Deep expertise in schema design for both SQL (PostgreSQL) and NoSQL environments.
• Experience with data lakes and warehousing (BigQuery/Snowflake) in a healthcare context.
• Experience with stream processing (Kafka/Dataflow) for real-time DICOM and HL7 feeds.
• Expertise in container orchestration (Kubernetes) at scale.
• Built systems that are HIPAA/GDPR compliant from the ground up.
• Understand the technical implications of PHI (Protected Health Information) protection.
• Effectively communicate the business value of architectural investments to executive leadership.
Preferred:
• Understanding of the physics of medical imaging (CT, MRI, X-Ray) and how it impacts data storage and rendering.
• Experience architecting data flows that feed AI models for clinical decision support.
• Experience architecting or operating Picture Archiving and Communication Systems (PACS) or Vendor Neutral Archives (VNA).
Company:
Synthesis Health provides diagnostic and interventional radiology services. Founded in 2021, the company is headquartered in Houston, USA, with a team of 51-200 employees. The company is currently Growth Stage.

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