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Software Engineer, EHR Integrations

Seattle, WA or Madison, WI

Our Mission & Culture

At Xealth, we're revolutionizing healthcare by leveraging data and automation to empower care providers (building on EHRs such as Epic and Cerner) to seamlessly prescribe, deliver, and monitor digital health for patients. We are a detail-oriented team, committed to maintaining the highest standards while moving with agility and impact.

We are a highly skilled, collaborative, and passionate group, applying our expertise to improve health outcomes for millions. We believe in shared ownership and are looking for a team player who is a self-starter and self-driven to pioneer the next generation of intelligent, automated cloud infrastructure.

This role offers a unique opportunity to join a software development team to advance our capabilities with EHR integrations.

What You'll Own and Deliver (Responsibilities)

As a critical member of our clinical and EHR integration team, you will be designing, developing and maintaining software with a strong focus on the following:

  • EHR Integration: Advancing our EHR integration to EHR via HL7 v2, FHIR and proprietary web service calls. Your responsibility goes beyond API integration by building abstraction layers to facilitate high level functionalities such as clinical workflows, patient identities, data writebacks and order creation.
  • Clinical Workflow Development: Work with product managers and EHR specialists to design and implement clinical workflows built on the EHR integration. Express your passion for changing the healthcare experiences for millions of patients with your work!
  • Clinical Data Quality and Governance: Work with the Information Security team to ensure the accuracy, security, and integrity of patient data as it moves between Xealth, vendors, and EHR systems. Design and implement logging, monitoring, and validation checks to maintain high data standards and regulatory compliance (e.g., HIPAA).
  • Scaling the Solution: Working with DevOps and platform engineers, scale our clinical workflow solutions with modern container based platforms running in the cloud. If you are passionate about solving complex software engineering problems in distributed systems, this is the right place for you.
  • Passionate AI Evangelists: You are passionate for using tools like GitHub Copilot to their full potential. This isn't just about auto-completing code; it's about fundamentally rethinking our development lifecycle, automating toil, and empowering yourself and fellow engineers to focus on solving the most challenging problems. If you're constantly experimenting with new prompts and workflows to build better software faster, you'll feel right at home.
  • Empathetic Troubleshooting: Act as an escalation point for production issues. You will apply an empathetic approach when working with internal and external partners to swiftly diagnose and resolve complex system problems.

The Expertise You'll Bring (Requirements)

We are looking for a technically deep fast learner with a strong work ethic who thrives in a collaborative, high-impact environment.

Core Technical Competencies

  • Software Development experiences in Healthcare: Experiences working with health care industry standard API such as HL7 v2, FHIR, Epic Interconnect web services.
  • Software Development experiences in Fast Pace Team: Past experiences working in fast paced, self-motivated scrum based software development team. Candidates with startup experiences are preferred.
  • Distributed System: Deep understanding of modern distributed systems with understanding of modern containerization and orchestration. Past experiences working with Kubernetes or Amazon ECS are preferred.
  • Software Development and Troubleshooting Skills: Past experiences working with Typescript or Javascript preferred. Past experiences troubleshooting complex software issues using logs and traces. 

Highly Valued Experience (Nice to Have)

  • Experiences with AWS or other commercial public cloud solutions.
  • Experience with Typescript and NodeJS.
  • Deep Clinical Workflow and Data Model Expertise: Prior experience working directly within or extensively integrating with a major Electronic Health Record (EHR) vendor, such as Epic or Cerner. This includes a deep understanding of standard clinical workflows (e.g., patient admission, ordering, discharge, medication administration) and the underlying data models and structures used to support them.
  • Advanced FHIR Knowledge: Deep understanding and practical experience working with FHIR Implementation Guides (IGs), including the ability to perform resource profiling, validate conformance, and implement specific IGs like US Core or other domain-specific guides.
  • Clinical Authorization and Security Protocols: Direct experience designing and implementing secure application launches and data access using industry-standard authorization protocols, specifically OAuth 2.0 and the SMART on FHIR application launch framework. This includes handling token exchange, authorization scopes, and refresh tokens in a production clinical environment.
  • Patient Identity Management: Experience with systems and strategies for managing and reconciling patient identities across disparate clinical systems, including familiarity with Master Patient Index (MPI) concepts, demographic data exchange (e.g., via HL7 ADT messages), and using standardized identifiers for patient matching.

About Xealth

  • Xealth created the leading digital health platform helping health systems deliver connected, personalized care at scale. Embedded in the EHR, it enables clinicians to prescribe, automate, and measure the impact of digital tools--including apps, services, and wearable data--within existing workflows. Now part of Samsung's connected care vision, Xealth enhances decision-making, reduces friction, and supports enterprise-wide digital health strategies. Trusted by more than 500 hospitals and 70+ solution partners, Xealth provides a scalable foundation for delivering connected, personalized, and preventative care--empowering health systems to drive outcomes, engagement, and operational efficiency while advancing digital transformation.
  • Xealth has been named to the World's Best Digital Health Companies list by Newsweek, awarded gold in the Digital Health awards in 2024 and twice in 2023. In 2023 Xealth was also listed as one of BuiltIn's Best Places to Work, and one of Fierce Healthcare's Fierce 15 of 2023.

Benefits:

:baby_bottle: Paid parental leave.
:gift_heart: Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
:computer: Xealth provides your laptop and offers $250 home office stipend for you to spend during your first 3 months to create a productive and comfortable workspace at home.
:books: Generous learning & development opportunities for you to grow your skills and career.
:bank: 401k Match: Xealth offers a dollar-for-dollar match up to 3%.
:desert_island: Flexible time off & 10 standardized holidays.
:bike: $500 yearly fitness stipend to spend on staying active.

Xealth is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures.

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