Senior FHIR Data Engineer (Azure Health Data Services + SMART on FHIR)

We are looking for a Senior FHIR Data Engineer to lead the migration of a legacy Azure API for FHIR implementation to Azure Health Data Services (AHDS). This role is deeply technical and specialized — ideal for engineers who have worked directly with FHIR R4, SMART on FHIR, and CMS interoperability APIs. As the technical lead, you will architect, secure, and optimize real-time healthcare data pipelines, enabling scalable and compliant patient data exchange in line with CMS and HIPAA requirements. What You’ll Do Migrate existing Azure API for FHIR workloads to Azure Health Data Services (AHDS) Implement SMART on FHIR (Enhanced) for secure and scalable health data access Develop and secure FHIR-based APIs (Patient Access, Provider Directory, Prior Auth) using OAuth 2.0, RBAC, private endpoints, and WAF Build FHIR-conformant resource parsers, bulk and delta data loaders, and transformation services Create infrastructure using IaC (Bicep or ARM templates) and automate monitoring with Azure Monitor & App Insights Work across DevOps, Security, and Architecture teams to ensure regulatory compliance and robust deployment Lead release planning, UAT coordination, performance testing, and production rollout Deliver key assets: OpenAPI specs, SOPs, RBAC policies, and pipeline documentation Must-Have Experience 7+ years in cloud or healthcare data engineering 3+ years building or migrating workloads on Azure API for FHIR or AHDS Demonstrated experience with: FHIR R4 and SMART on FHIR protocols CMS Patient Access and Payer APIs HL7v2 message processing (ADT/ORM/ORU) Azure ecosystem tools: APIM, Data Factory, Synapse, AD, Monitor IaC with Bicep, ARM, Terraform, or similar API security: OAuth 2.0, JWT, WAF, RBAC, NSGs CI/CD with GitHub Actions or Azure DevOps Nice-to-Have Experience Exposure to Da Vinci PDex, Prior Authorization IGs Experience tuning and scaling FHIR server workloads in production Familiarity with CMS Interoperability Rules, ONC compliance frameworks Azure certifications: AZ-305, FHIR Proficiency, Healthcare AI/MLOps What We Value Precision and clarity in working with regulated data (HIPAA, HITRUST, CMS) A collaborative, agile mindset — comfortable leading cross-functional teams Deep knowledge of healthcare data workflows and exchange protocols Commitment to best practices in API governance, compliance, and observability Location & Logistics Houston, TX — Onsite preferred; Hybrid options available for top candidates Contract Duration: 6 Months with possible extensions Start Date: Immediate Job Type: Contract Pay: $70.00 - $100.00 per hour Expected hours: 40 per week Ability to Commute: Houston, TX 77015 (Required) Ability to Relocate: Houston, TX 77015: Relocate before starting work (Required) Work Location: In person