Mission

Build and operate secure, reliable FHIR API and integrations with Epic from France, enabling a French healthcare startup to interoperate with US and EU clinical systems at production scale.

Responsibilities

• Design, build, and maintain Node.js/TypeScript FHIR API and services integrating with Epic via FHIR R4 and SMART on FHIR.
• Own Epic onboarding (App Orchard), OAuth2 client flows, EHR launch/context, and token scope management.
• Implement Epic Interconnect and, where needed, HL7 v2 (ADT/ORM/ORU) via Bridges or integration middleware.
• Model, map, and validate core FHIR resources (Patient, Practitioner, Encounter, Observation, Condition, Medication, Order/ServiceRequest).
• Define API contracts (OpenAPI), versioning, idempotency, retry/backoff, and resiliency patterns.
• Ensure data protection (encryption in transit/at rest), auditing, consent, and data minimization under GDPR.
• Add observability (dashboards, SLOs/SLIs, alerts) and maintain operational readiness (on‑call rotation).
• Partner with security and compliance for DPIAs, vendor reviews, and evidence for audits (GDPR/HDS context).

Minimum Qualifications

• 6+ years backend engineering with Node.js/TypeScript; production experience with RESTful APIs.
• 3+ years hands‑on EHR integrations; at least one production Epic integration.
• Deep FHIR experience (US Core profiles, validation, search, paging, conditional create/update).
• SMART on FHIR (EHR and standalone launch), OAuth2/OIDC, scopes/consents.
• HL7 v2 fundamentals (ADT/ORM/ORU) and mapping to FHIR.
• Cloud deployment (AWS/GCP/Azure), containerization, CI/CD, infra‑as‑code basics.
• Strong English; willingness to relocate to France within 3–6 months.

Preferred Qualifications

• European interoperability: CI‑SIS/FHIR FR profiles, INS, Pro Santé Connect, eIDAS.
• Privacy/security: GDPR, de‑identification/pseudonymization, audit/eventing, secrets management.
• Event streaming (Kafka), durable queues, replay; schema registries; test frameworks (contract testing).
• French language (nice to have).