Software Engineer, Healthcare Integrations (HL7/FHIR)

Symmetrio Open

Remote United States Full-time Mid-level Software Engineering

At a glance

Mid-level Software Engineering role at Symmetrio. Remote, United States · full-time · $140,000–$185,000 base.

SalaryStated by Symmetrio

$140,000 – $185,000

Base salary for this role, in USD per year, as published in the posting.

RoleSoftware Engineering

SeniorityMid-level

LocationUnited States

WorkplaceRemote

EmploymentFull-time

Base pay$140,000–$185,000

PostedNov 12, 2026

Role brief

remoteroles summary, based on the employer's posting.

What you'll do

Translate customer data models into HL7, FHIR and SQL mappings, then test integrations through launch
Ship Python changes to the integration engine and expand how agents help author mappings and diagnose runs
Keep AWS and Kubernetes integrations healthy by finding message failures and correcting data issues
Coordinate setup, joint testing and launch support with hospital and clinic IT teams
Create interface specifications and runbooks, then turn completed integrations into reusable templates and tools

What you bring

At least five years working on healthcare integrations, preferably for radiation oncology or imaging
Three or more years developing and operating backend software in Python or a similar language, with tests, peer review and CI
You can work with FHIR R4, HL7 v2.x, REST APIs, SQL and clinical data mappings
Production use of Epic, Varian ARIA or another listed system, alongside an interface engine
You know AWS and Docker and can write clear technical guides for colleagues or customers

Who this fits

This hands-on engineering role suits someone who can own code and customer integrations from mapping through production support. You must be based in the Pacific Time Zone and work Pacific business hours, with occasional early or late calls. Expect occasional customer-site travel of about ten to fifteen percent and responsibility for handling protected health information under HIPAA and company policies.

From the employer

Symmetrio is recruiting a Software Engineer, Healthcare Integrations for our client, a rapidly growing international healthcare technology company building an AI-enabled platform for US and international radiation oncology and clinical care organizations.

The Software Engineer, Healthcare Integrations will build and run the integrations that connect our customer’s platform to the systems US healthcare customers use in production, including Epic, Varian ARIA, Elekta MOSAIQ, iKnowMed and others. The Software Engineer, Healthcare Integrations will build the channels and mappings for each customer, and the agentic integration engine that executes them. Our customer’s team writes and maintains that engine in-house, and you will become an integral part of that team.

The Software Engineer will own customer integrations end to end, from the customer's data model through go-live to production support, working with an international engineering team, Product, Clinical and Customer Success, and directly with hospital IT and vendor interface teams.

Remote (United States – Candidates must be located within the Pacific Time Zone and work Pacific Time business hours) | Full-time | Occasional travel (up to ~10–15%)

Compensation: $140,000 - $185,000 per year

Our customer offers

160 hours of vacation, six holidays, and four floating holidays each calendar year (prorated the first year)

Health and wellness plans, such as medical, dental, vision, basic life, and disability coverage.

Responsibilities

Build integrations: Design and build HL7, FHIR and SQL integrations with customer EMR and oncology systems, from data-model analysis and mapping specification through testing and go-live.

Develop the engine: Extend and harden the integration engine (new source kinds, transforms, resilience, observability), shipping production Python through a pull request, review and CI flow.

Build with and for agents: Use coding agents as a core part of how you ship. Extend the integration agent so more mapping authoring, run diagnosis and customer onboarding happens with an agent in the loop.

Run production: Operate integrations in an AWS and Kubernetes environment. Monitor, diagnose and fix failures across the full message path, from malformed messages to data-integrity issues.

Onboard customers: Work directly with hospital and clinic IT teams during onboarding: configuration, joint testing and go-live support.

Document: Maintain interface specifications, mapping documents and runbooks that the team and customers can rely on after go-live.

Make the next one faster: Turn each integration into reusable templates, mapping standards and tooling.

Requirements

5+ years in healthcare integration, ideally in radiation oncology or imaging.

3+ years building and operating backend services in Python or a comparable language, with automated tests, code review and CI. You own a codebase, not just a product's configuration.

Familiarity with FHIR R4 and HL7 v2.x (ADT, ORU, SIU). Comfortable with REST APIs and SQL against vendor schemas.

Production experience with at least one of Epic, Varian ARIA or Elekta MOSAIQ, and with an interface engine (Mirth Connect, Rhapsody, Cloverleaf, Corepoint or similar).

Data mapping across clinical systems: coded values, units and identifiers.

Working knowledge of AWS and Docker.

Clear written documentation: specs and runbooks a colleague or customer can follow without you in the room.

Nice to Have

iKnowMed, Cerner or other oncology and EMR platforms beyond those above.

Event-driven backends (NATS, Kafka or similar), Postgres and observability tooling.

DICOM, and how imaging data flows alongside HL7/FHIR in an oncology workflow.

Kubernetes and Terraform.

Radiation oncology clinical workflows: how treatment planning and delivery data is used by care teams.

Fluency with AI coding agents (Claude Code, Cursor or similar) as a daily tool, and curiosity about how far they can go.

Other Requirements

Ability to work core US business hours, with occasional early or late calls to coordinate with colleagues in other time zones.

Comfortable handling protected health information (PHI) in compliance with HIPAA and company data-handling policies.

Willingness to travel occasionally (approximately 10-15%) to customer sites for onboarding and go-live support.

Benefits

160 hours of vacation, six holidays, and four floating holidays each calendar year (prorated the first year)

Health and wellness plans, such as medical, dental, vision, basic life, and disability coverage. You are eligible to participate in these benefits effective the first of the month following your date of hire. You may choose to elect coverage for your family on many of these plans, provided they meet eligibility requirements;