Senior Full Stack Developer- Remote Canada

Toronto - Canada

Monthly Salary: Not Disclosed

Posted on: 12-10-2025

Vacancies: 1 Vacancy

Job Summary

The Senior Full-Stack Developer will have deep experience in FHIR-based interoperability to support the delivery of large-scale healthcare data exchange solutions supporting CMS mandates such as Patient Access Provider Access and Prior Authorization.

This role is responsible for writing production-grade code leading technical delivery mentoring developers and collaborating closely with Project Managers Solution Architects and Technical Account Managers to ensure that every deployment meets both performance and compliance standards.

Responsibilities:

Develop backend services adapters and integrations using Java Spring Boot and Apache Camel for CMS mandates (Patient Access Provider Access P2P Prior Auth).
Deliver FHIR R4/SMART on FHIR APIs aligned with US Core and applicable Implementation Guides ensuring full terminology compliance (LOINC SNOMED CT RxNorm ValueSets).
Participate in customer meetings office hours demos and escalations; explain technical concepts clearly and professionally.
Code & Test Excellence Write clean maintainable code with strong unit/integration testing (JUnit Testcontainers MockMVC) and participate in detailed peer reviews.
Automate & Deploy Build CI/CD pipelines in GitLab manage Helm deployments on Kubernetes and troubleshoot services pods and performance issues.
Integrate & Scale Work with Kafka or equivalent messaging queues and relational databases (PostgreSQL/MS SQL) to deliver scalable event-driven data pipelines.
Mentor & Lead Review code guide junior developers and promote best practices in design automation and maintainability.
Accountable for ensuring that all working hours are accurately reported in the time tracking system on a daily or weekly basis that the majority of (if not all) hours are tracked as billable and that the integrated project management tool is properly and fully utilized.
Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.

Requirements:

8 years software development experience including 5 years in Java/Spring Boot.
Proven delivery of FHIR/SMART on FHIR integrations in production environments.
Strong knowledge of US Core FHIR IGs and healthcare terminologies (LOINC SNOMED CT RxNorm ValueSets).
Prior experience in professional services or healthcare delivery teams.
Hands-on with GitLab CI/CD Kubernetes/Helm Kafka and relational databases (PostgreSQL/MS SQL).
Excellent verbal and written communication and ability to work directly with customers.
Highly organized accountable and capable of managing multiple concurrent priorities.

Preferred Experience:

Experience with Smile CDR or HAPI FHIR.
Exposure to HL7 v2 CDA or legacy FHIR integrations.
Familiarity with CMS interoperability mandates (Patient Access P2P Provider Access PA).
Experience authoring FHIR Implementation Guides or using Inferno for testing.
Familiarity with AWS/Azure cloud environments and infrastructure-as-code (Terraform).

We may use artificial intelligence (AI) tools to support parts of the hiring process such as reviewing applications analyzing resumes or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed please contact us.

Required Experience:

Senior IC

Responsibilities:

Develop backend services adapters and integrations using Java Spring Boot and Apache Camel for CMS mandates (Patient Access Provider Access P2P Prior Auth).
Deliver FHIR R4/SMART on FHIR APIs aligned with US Core and applicable Implementation Guides ensuring full terminology compliance (LOINC SNOMED CT RxNorm ValueSets).
Participate in customer meetings office hours demos and escalations; explain technical concepts clearly and professionally.
Code & Test Excellence Write clean maintainable code with strong unit/integration testing (JUnit Testcontainers MockMVC) and participate in detailed peer reviews.
Automate & Deploy Build CI/CD pipelines in GitLab manage Helm deployments on Kubernetes and troubleshoot services pods and performance issues.
Integrate & Scale Work with Kafka or equivalent messaging queues and relational databases (PostgreSQL/MS SQL) to deliver scalable event-driven data pipelines.
Mentor & Lead Review code guide junior developers and promote best practices in design automation and maintainability.
Accountable for ensuring that all working hours are accurately reported in the time tracking system on a daily or weekly basis that the majority of (if not all) hours are tracked as billable and that the integrated project management tool is properly and fully utilized.
Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.

Requirements:

8 years software development experience including 5 years in Java/Spring Boot.
Proven delivery of FHIR/SMART on FHIR integrations in production environments.
Strong knowledge of US Core FHIR IGs and healthcare terminologies (LOINC SNOMED CT RxNorm ValueSets).
Prior experience in professional services or healthcare delivery teams.
Hands-on with GitLab CI/CD Kubernetes/Helm Kafka and relational databases (PostgreSQL/MS SQL).
Excellent verbal and written communication and ability to work directly with customers.
Highly organized accountable and capable of managing multiple concurrent priorities.

Preferred Experience:

Experience with Smile CDR or HAPI FHIR.
Exposure to HL7 v2 CDA or legacy FHIR integrations.
Familiarity with CMS interoperability mandates (Patient Access P2P Provider Access PA).
Experience authoring FHIR Implementation Guides or using Inferno for testing.
Familiarity with AWS/Azure cloud environments and infrastructure-as-code (Terraform).

Required Experience:

Senior IC