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Senior Fhir Developer Jobs (NOW HIRING)

ShortList Recruitment Limited

$103K - $142K/yr

\n \n \n \n \n Senior .NET Engineer Austin Hybrid Circa $175,000 plus equity \n \n \n ShortList is ... NET Engineer \n \n * Able to build and deliver a SMART on FHIR launch flow against a major ...

SWITS DIGITAL Private Limited

Senior UiPath RPA Developer

$55.75 - $73.75/hr

Senior UiPath Developer Location: Remote strong technical automation expertise with real-world ... Epic Workflows, FHIR APIs, Interconnect, Clarity/Caboodle, Healthcare Data Integration. * API ...

SAS

Sr Software Developer

Cary, NC · On-site

$51 - $67.25/hr

Senior Software Developer - HIE Production Support (Healthcare Interoperability)- Remote US ... Develop and support healthcare interfaces utilizing interoperability standards such as HL7 v2, FHIR ...

SAS

Sr Software Developer

Cary, NC · Remote

$51 - $67.25/hr

Senior Software Developer - HIE Production Support (Healthcare Interoperability)- Remote US ... Develop and support healthcare interfaces utilizing interoperability standards such as HL7 v2, FHIR ...

Zenosys

Rhapsody Developer

Trenton, NJ · On-site

Develop and maintain HL7 v2 and FHIR-based integration pipelines * Implement and support RESTful ... Sr. Technical Recruiter, Fax: Zenosys Consulting, Web:

Commence

Sr Health Interoperability Engineer

Leesburg, VA · On-site

$13K - $155K/yr

Design and implement FHIR R4-compliant APIs and integration pipelines across EHR systems (Epic and ... Partner with the Sr. Data Engineer and Sr. Solutions Architect to embed interoperability and data ...

Apex Informatics

Sr Software Engineer

$125K - $165K/yr

Will also take part in development work on web and mobile clients using FHIR and Mayo developed API ... DevOps and CI/CD procedures

Kasmo Inc.

IOS Developer + Node.js

Denver, CO · On-site

$53.25 - $73.25/hr

Senior iOS + Node.js Engineer 📍 Nashville, TN / Denver, CO - Onsite/ Hybrid 🏢 Onsite/Hybrid ... HIPAA, HL7/FHIR, EHR/EMR, Telemedicine 🔹 Experience with Couchbase/MongoDB and Apache Kafka 🔹 ...

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Senior Fhir Developer information

See salary details

$25K

$80.3K

$163.5K

How much do senior fhir developer jobs pay per year?

As of Jul 22, 2026, the average yearly pay for senior fhir developer in the United States is $80,287.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,500.00 and $103,000.00 per year, depending on experience, location, and employer.

What are Senior FHIR Developers?

Senior FHIR Developers are experienced software engineers who specialize in implementing and integrating solutions using the Fast Healthcare Interoperability Resources (FHIR) standard. They design, develop, and maintain healthcare applications that facilitate secure and efficient exchange of electronic health information. Their responsibilities often include creating APIs, ensuring compliance with healthcare regulations, optimizing data interoperability, and mentoring junior developers. Senior FHIR Developers play a crucial role in advancing healthcare IT systems by enabling seamless data sharing across different platforms.

What is the difference between Senior Fhir Developer vs Fhir Integration Specialist?

AspectSenior Fhir DeveloperFhir Integration Specialist
Required CredentialsFHIR certifications, programming skills, healthcare IT experienceFHIR knowledge, integration tools, healthcare standards
Work EnvironmentHealthcare IT teams, software development projectsHealthcare systems, interoperability projects
Employer & Industry UsageHospitals, EHR vendors, health IT companiesHealth systems, integration service providers
Common Search & ComparisonFocuses on development and coding of FHIR resourcesFocuses on integrating FHIR data across systems

While both roles require FHIR knowledge and healthcare IT experience, a Senior Fhir Developer primarily focuses on developing and customizing FHIR-based applications, whereas a Fhir Integration Specialist concentrates on integrating FHIR data across various healthcare systems to ensure interoperability.

What are some common challenges Senior FHIR Developers face when integrating FHIR standards with legacy healthcare systems?

Senior FHIR Developers often encounter challenges when connecting modern FHIR-based APIs to existing legacy healthcare systems, which may use older data formats or proprietary interfaces. Ensuring data consistency, handling data mapping, and maintaining interoperability across platforms can require creative solutions and close collaboration with both IT and clinical teams. Additionally, compliance with healthcare regulations and maintaining robust security protocols are critical considerations throughout the integration process. These challenges make strong problem-solving skills and clear communication essential in this role.

What are the key skills and qualifications needed to thrive as a Senior FHIR Developer, and why are they important?

To thrive as a Senior FHIR Developer, you need deep knowledge of HL7 FHIR standards, interoperability protocols, and strong programming skills (such as Java, .NET, or Python), typically supported by a degree in computer science or a related field. Experience with FHIR servers, cloud platforms (like AWS or Azure), RESTful APIs, and certifications such as HL7 FHIR Proficiency are highly valuable. Excellent problem-solving, communication, and project management skills help you collaborate with cross-functional teams and address complex integration challenges. These skills are crucial for ensuring robust, scalable, and compliant healthcare data solutions that support seamless interoperability across systems.
More about Senior Fhir Developer jobs
What cities are hiring for Senior Fhir Developer jobs? Cities with the most Senior Fhir Developer job openings:
What are the most commonly searched types of Fhir Developer jobs? The most popular types of Fhir Developer jobs are:
What states have the most Senior Fhir Developer jobs? States with the most job openings for Senior Fhir Developer jobs include:
What job categories do people searching Senior Fhir Developer jobs look for? The top searched job categories for Senior Fhir Developer jobs are:
Senior Fhir Developer jobs near you
Infographic showing various Senior Fhir Developer job openings in the United States as of July 2026, with employment types broken down into 83% Full Time, 3% Part Time, 1% Temporary, and 13% Contract. Highlights an 80% Physical, 5% Hybrid, and 15% Remote job distribution, with an average salary of $80,287 per year, or $38.6 per hour.

Senior .NET Engineer

ShortList Recruitment Limited

On-site, Remote

$103K - $142K/yr

Other

Re-posted 13 days ago

Job description

\n <\/head>\n \n \n
\n Senior .NET Engineer
Austin Hybrid
Circa $175,000 plus equity<\/b>\n <\/div>\n
\n

ShortList is recruiting a Senior .NET Engineer for an early\-stage healthcare technology company in Austin TX to build a clinical reasoning engine that closes the diagnostic capability gap between mid\-level providers and physicians.
<\/p>\n

The Senior .NET Engineer will be the first engineering hire, working directly with the founders to accelerate development, build integrations with major Electronic Health Record (EHR) systems, and ultimately help translate a proprietary clinical reasoning engine from concept into production\-grade systems.
<\/p>\n

This is not a stable seat at a large organisation. We are looking for a senior engineer who is comfortable with ambiguity, self\-organising by default, and genuinely motivated by the mission of expanding diagnostic access to underserved populations.
<\/p>\n

Key Requirements for the Senior .NET Engineer<\/b>
<\/p>\n

    \n
  • 5 or more years of professional C#.NET experience, with current familiarity with .NET 9
    <\/li>\n
  • Strong ASP.NET Core skills, including middleware, authentication, and dependency injection
    <\/li>\n
  • Working knowledge of OAuth 2.0 and OpenID Connect (OIDC)
    <\/li>\n
  • Strong REST API and JSON serialisation skills
    <\/li>\n
  • Solid Git and pull request workflow, comfortable with async collaboration as the default
    <\/li>\n
  • Prior Fast Healthcare Interoperability Resources (FHIR) experience is highly advantageous, even at sandbox level
    <\/li>\n
  • Comfortable working with AI pair\-programming tools
    <\/li>\n <\/ul>\n

    Key Skills required for the Senior .NET Engineer<\/b>
    <\/p>\n

      \n
    • Able to build and deliver a SMART on FHIR launch flow against a major Electronic Health Record sandbox within the first quarter
      <\/li>\n
    • Capable of implementing OAuth 2.0 and OpenID Connect authorisation with patient context
      <\/li>\n
    • Experienced in building FHIR clients and mappers across core resource types including Patient, Condition, Observation, and Encounter
      <\/li>\n
    • Able to write FHIR resources including Diagnostic Report and Service Request
      <\/li>\n
    • Capable of building Clinical Decision Support Hooks services from the ground up
      <\/li>\n
    • Able to design and implement multi\-tenant configuration and sandbox test harnesses
      <\/li>\n
    • Detail\-oriented, with a track record of clear commits, well\-structured pull requests, and respect for clinical and regulatory boundaries
      <\/li>\n
    • Comfortable shaping architecture decisions at an early stage, not just executing against a defined spec
      <\/li>\n <\/ul>\n

      Candidates from Electronic Health Record vendors, healthcare integration firms, and adjacent regulated\-industry backgrounds are particularly encouraged to apply. Pure frontend, ML, serverless\-only, and junior candidates are not a fit for this role.
      <\/p>\n

      \n Any experience with the following is a plus: Firely .NET SDK, Substitutable Medical Applications and Reusable Technologies (SMART) on FHIR launch flow implementation, Clinical Decision Support (CDS) Hooks implementation, or a background at Epic, Oracle Health, Cerner, or Athenahealth
      \n <\/div>\n

      This is a Hybrid role in Austin, with the option for fully remote for someone who meets all the requirements. Candidates must have the right to work in the United States and we do not currently have the ability to provide sponsorship.
      <\/p>\n

      \n Priority will be given to applicants in the Austin TX area and those actively in the process of relocating to Austin.
      \n <\/div>\n <\/div><\/span>
      \n <\/body>\n<\/html>

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