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Senior Backend – Infrastructure EngineerremoterocketshipUnited States
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Senior Backend – Infrastructure Engineer

remoterocketship
  • US
    United States
  • US
    United States

Über

Job Description:
Own the FHIR R4 data model design — resource profiling, extensions, search parameters, and terminology bindings for the GLP-1 clinical domain Architect and implement the HealthLake data layer including ingest pipelines, FHIR API configuration, and query optimization Lead the Supabase-to-HealthLake migration — mapping the existing 100+ table schema to FHIR resources, handling data normalization (free-text drug fields, lab values), and ensuring zero data loss during transition Design and enforce encryption patterns (at rest, in transit, field-level where required) and PHI access controls across all data stores Review and approve KMS infrastructure code (Terraform/CDK) — serve as the technical authority on AWS service configuration and IAM policies Build the data access layer consumed by agents (Clinical Protocol, Pharmacy Fulfillment) and the Canvas frontend Implement audit logging infrastructure that satisfies HIPAA access tracking requirements and replaces the current manual archiving pattern Design Clean Rooms configurations for analytics use cases that require de-identified data access Requirements:
7+ years in backend engineering with 3+ years focused on healthcare data infrastructure or interoperability Deep FHIR R4 expertise — must have designed FHIR resource profiles, implemented FHIR servers or worked extensively with FHIR APIs, and understand the difference between profiling decisions that help and those that create technical debt Strong AWS experience — HealthLake, Lambda, Step Functions, DynamoDB, S3, IAM, KMS. Must be comfortable owning production AWS infrastructure in a HIPAA-regulated environment Production experience with data migration from non-FHIR systems to FHIR — schema mapping, terminology normalization, and data validation pipelines Deep understanding of HIPAA technical safeguards — encryption, access controls, audit logging, minimum necessary standard, and BAA implications for service selection Strong SQL and API design skills — comfortable with both relational and document-oriented data patterns Experience working with outsourced development teams in a review/oversight capacity Benefits:
Health care insurance (medical, dental, vision) Life Insurance Supplemental Insurance PTO 401K matching Sick leave Phone/internet reimbursement Remote work Top of the line machines
  • United States

Sprachkenntnisse

  • English
Hinweis für Nutzer

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