Senior Azure Applications API Engineer

About the job

You will own the end-to-end technical work required to move the legacy Azure FHIR environment to AHDS (Azure Health Data Services) harden the platform and extend it with CMS-mandated APIs. The role spans API migration security engineering API development performance tuning automated testing and production cut-over. You will be the primary point of contact for all AHDS matters throughout the project.

Phase 1 (400hrs) - Migrate existing FHIR service to AHDS apply security layers tune platform performance. Plan and run regression & conformance tests; coordinate sprint releases. Finalize requirements align consent model update living spec.

Phase 2 (300hrs) - Implement Payer-to-Payer Provider Prior Auth APIs on AHDS; optimize scaling. Validate new APIs run system & release testing manage deployment calendar. Update documentation and traceability for added APIs; gather any change requests.

Key responsibilities

Migrate the existing Azure API for FHIR workloadincluding bulk & delta data loadsto AHDS and upgrade to SMART on FHIR (Enhanced).

Apply security layers (Azure AD OAuth 2.0 RBAC private endpoints WAF/NSGs) and validate HIPAA/HITRUST & CMS compliance.

Enable and harden Patient Access and Provider Directory APIs; capture CMS reporting metrics via Azure Monitor workbooks.

Design build and test new Payer-to-Payer Provider and Prior Authorization APIs on AHDS in Phase 2 including APIM policies and OpenAPI specs.

Optimize platform performance & scalability; conduct system/performance tests and regression/conformance suites.

Drive release management: sprint planning UAT coordination production cut-over hyper-care and incident response.

Produce artifactsIaC templates (ARM/Bicep) runbooks SOPs living specifications developer-portal documentation and hand-over packs.

Collaborate closely with Cloud Architects API/App Developers DevOps Security and client stakeholders.

Requirements

Experience

7 years in cloud engineering

3 years with Azure API for FHIR or AHDS

2 years working with FHIR workloads

Preferred: Delivered a payer-side CMS-compliant Patient Access or Payer-to-Payer API

Technical Skills

AHDS Azure API for FHIR Azure API Management (APIM)

Azure AD (OAuth2 / OpenID)

Infrastructure-as-Code: ARM/Bicep

CI/CD with GitHub Actions or Azure DevOps

Scripting: PowerShell or Python

Preferred: Experience with Da Vinci PDex & Prior Auth IGs

Preferred: Security tools like Pester Checkov

Standards & Security

Strong knowledge of HL7 FHIR R4 SMART on FHIR HIPAA

Familiar with CMS interoperability & reporting rules

Preferred: HITRUST CSF implementation experience

Testing & Operations

Performance and load testing

Automated regression testing

Azure Monitor & Log Analytics

Preferred: Chaos/resiliency testing on Azure

Soft Skills

Strong written and verbal communication

Agile/Scrum experience

Stakeholder-facing capabilities

• Preferred: Mentoring or team leadership experience