Platform Engineer – Data Services

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the design and execution of the CDS Hooks platform, which includes card orchestration, hook context management, EHR-side logic orchestration, and integration with downstream data services.

• Oversee the CDS Hook API contracts and their evolution, ensuring they meet the SMART CDS Hooks specification while enhancing performance, reliability, and healthcare-specific optimizations.

• Direct the technical integration with EMR systems (Epic, NextGen, Athena, ECW) for CDS Hook discovery, execution, card rendering, and user action management.

• Design, develop, and support public-facing REST and event-driven APIs that provide clinical data, quality metrics, care gaps, attribution data, and decision support content to partners and provider-facing applications.

• Establish API contracts, versioning strategies, and deprecation policies that balance innovation with stability for external users.

• Implement and maintain API security patterns, including OAuth 2.0, scope-based authorization, rate limiting, and audit logging for compliant clinical data access.

• Design and optimize real-time or near-real-time data pipelines that feed into CDS Hooks and APIs, ensuring low latency, high freshness, and graceful failure modes.

• Create and implement comprehensive testing and QA frameworks for CDS Hooks and APIs, which include hook context validation, card rendering verification, and clinical workflow testing across EMR systems.

• Define reliability metrics and service level agreements (SLAs) for CDS Hook delivery and API performance, measuring and tracking against clinical requirements.

• Establish and assess clinical impact metrics, including the adoption of CDS Hooks, clinician interaction rates, workflow integration success, and patient outcome effects.

• Apply architectural judgment to trade-offs involving correctness, latency, scalability, maintainability, and operational risk in clinical data systems.

• Design and implement reliability patterns for CDS and API services, including monitoring, alerting, failure detection, graceful degradation, and incident recovery.

• Collaborate with the Data Reliability Engineer to define and manage SLAs for CDS Hook delivery, API response times, and data freshness in alignment with clinical needs.

• Set and maintain engineering standards for API design, data schemas, integration patterns, and interoperability, ensuring high-quality technical documentation and OpenAPI specifications.

• Work with Data Engineering to align upstream data models, gold-layer datasets, and platform capabilities with clinical decision support and API requirements.

• Act as the technical authority on clinical interoperability standards (SMART CDS Hooks, FHIR, HL7, CDS Hooks, EHR integration patterns).

• Collaborate with Product, Clinical Operations, and Business stakeholders to clarify requirements, translate clinical workflows into platform features, and influence product direction.

• Serve as a trusted technical advisor to EMR partners, healthcare systems, and external API consumers, ensuring clear expectations and predictable delivery.

• Ensure that all CDS and API services adhere to healthcare security, privacy, and regulatory requirements (HIPAA, state regulations, payer mandates).

• Partner with IT Security and Compliance teams to implement secure access controls, audit logging, encryption, and data protection measures across delivery mechanisms.

• Develop and implement audit trails for all clinical data access, supporting compliance audits and regulatory reporting.

• Mentor team members through design reviews, collaborative sessions, and architectural guidance on clinical data integration and API design.

• Document new and existing systems, designs, processes, and procedures.

⛳️ Requirements

• 8+ years of experience in designing, building, and operating API platforms, service-oriented systems, or large-scale backend infrastructure.

• Proven experience functioning at a senior or staff-level individual contributor role, managing complex systems from start to finish.

• 3+ years of direct experience with healthcare data integrations, EMR workflows, clinical data exchange, or healthcare interoperability standards (FHIR, HL7, CDA, claims data).

• 2+ years of hands-on experience with CDS Hooks, SMART on FHIR, or similar clinical decision support APIs.

• Strong background in designing and operating REST APIs, including contract design, versioning, error handling, and authentication/authorization practices.

• In-depth understanding of healthcare data integrations, EMR workflows, and interoperability patterns (FHIR, HL7, CDS Hooks, SMART on FHIR).

• Expertise in reliability design, SLAs, and operational metrics; capability to translate clinical requirements into technical service level objectives (SLOs).

• Experience with defining and measuring API performance metrics (latency, availability, error rates); familiarity with SLA monitoring and enforcement.

• Strong systems thinking ability to design for scale, reliability, maintainability, and resilience.

• Proficiency in modern backend programming languages (Python, Java, Go, or similar); comfortable reading and reviewing code across different languages.

• Experience with cloud platforms (AWS, Databricks, GCP) and containerized services (Docker, Kubernetes, or managed services).

• Demonstrated ability to collaborate effectively with engineering, product, analytics, clinical operations, and business teams.

• Excellent written and verbal communication skills, especially in articulating technical concepts and trade-offs to clinicians and non-specialists.

• Ability to thrive in a fast-paced, ambiguous environment with healthcare compliance and regulatory constraints.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work hours

• Paid time off

• Remote work options