Sr. EPIC EHR Integration Engineer

About Fusemachines

Fusemachines is a 10+ year old AI company, dedicated to delivering state-of-the-art AI products and solutions to a diverse range of industries. Founded by Sameer Maskey, Ph.D., an Adjunct Associate Professor at Columbia University, our company is on a steadfast mission to democratize AI and harness the power of global AI talent from underserved communities. With a robust presence in four countries and a dedicated team of over 400 full-time employees, we are committed to fostering AI transformation journeys for businesses worldwide. At Fusemachines, we not only bridge the gap between AI advancement and its global impact but also strive to deliver the most advanced technology solutions to the world.

Location: Full-time (Remote)

About The Role

We are seeking a Full-Time, Fully Remote EHR Integration Engineer to design, develop, and integrate Electronic Health Record (EHR) solutions while ensuring full compliance with HIPAA, HITECH, and other healthcare data privacy/security regulations.

This role combines deep technical expertise in frontend and backend development with strong knowledge of healthcare compliance requirements. You will work closely with healthcare stakeholders, solution architects, and compliance teams to design secure, scalable, and compliant EHR systems.

You will be responsible for developing modern, high-performance UIs for EHR systems, building secure APIs, integrating third-party healthcare services, and implementing AWS-based serverless solutions that meet stringent privacy and security standards.

Roles and responsibilities

• Design, develop, and maintain EHR solutions using React.js for frontend and Python for backend services.
• Integrate with third-party healthcare APIs, systems, and vendor platforms.
• Build serverless applications using AWS Lambda, API Gateway, DynamoDB, and related AWS services.
• Ensure seamless interoperability following HL7, FHIR, and other healthcare data exchange standards.
• Ensure all systems, integrations, and APIs comply with HIPAA, HITECH, and other applicable healthcare regulations.
• Implement encryption, secure authentication, access controls, and logging mechanisms.
• Conduct risk assessments and implement security controls to protect Protected Health Information (PHI).
• Collaborate with compliance teams to create technical documentation and policies for EHR systems.
• Maintain accurate records of compliance measures, security controls, and system configurations.
• Support incident response efforts related to PHI breaches or suspected breaches.
• Provide knowledge transfer sessions to development and support teams on secure EHR design principles.

Required skills/Competencies

• Bachelor’s or Master’s degree in Computer Science, Healthcare IT, or related field.
• 8+ years of software development experience, with at least 3+ years working on healthcare-related applications.
• Proven experience with:
  • Frontend: React.js, Redux, TypeScript/JavaScript
  • Backend: Python
  • Cloud & Serverless: AWS Lambda, API Gateway, DynamoDB, S3, CloudWatch
• Strong understanding of healthcare standards (HIPAA, HITECH, HL7, FHIR).
• Strong understanding of healthcare operations and EHR workflows.
• Experience with EPIC and bi-directional information flow, including pushing person data into the EHR and pulling data for purposes like prescription handling and others.
• Expertise in privacy-by-design and security best practices.
• Ability to interpret and apply complex healthcare regulations in technical contexts.
• Proficiency in API design and integration, especially in healthcare systems.
• Experience establishing monitoring systems for compliance tracking.
• Leadership skills to guide cross-functional teams in secure healthcare development projects.
• Experience in designing secure, scalable, and high-availability systems.
• Strong problem-solving skills and ability to translate compliance requirements into technical solutions.
• Excellent communication skills for working with technical and non-technical stakeholders.

Nice to Have

• AWS Certified Developer / Solutions Architect
• Certified Professional in Healthcare Information and Management Systems (CPHIMS)
• Certified HIPAA Professional (CHP) or related
• Implement Infrastructure as Code (IaC) using AWS CDK, CloudFormation, or Terraform.

Fusemachines is an Equal Opportunities Employer, committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or any other characteristic protected by applicable federal, state, or local laws.