Engineer II, FHIR

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes. 

Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

The Team you will be joining:

HQR

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility.  Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS.  We do this through HCD and Service design practices, product thinking, and skilled engineering.  At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

As an Engineer II:

You contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes.

You demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals.

You accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products.

You proactively support and collaborate with team members, fostering a positive and productive team environment.

You adhere to established team processes, ensuring a steady and reliable delivery of features to production.

These are the types of things you’ll be working on 

Test Automation and QA execution

Design, develop, and maintain scalable and robust test automation frameworks and scripts.

Write, execute, and evaluate test cases to target areas of most risk, and provide testing metrics.

Implement automated testing of various features across multiple systems to improve the efficiency and effectiveness of the software testing process.

Independently developing performance, functional, behavioral, API, and 508 (any as needed) test scripts using applicable tools, create test scenarios and execute tests

Defect Management and Quality Strategy

Collaborate closely with software developers to identify and fix software bugs and defects.

Assist in defining and implementing strategies for integration and system testing.

Collaboration and Stakeholder Engagement

Collaborate with product managers, engineers, and other stakeholders to define, prioritize, and communicate QA/Testing requirements

Agile Team Participation

Actively participate in Agile ceremonies, such as stand-ups, sprint planning, and retrospectives, ensuring effective communication and collaboration across the team.

CI/CD & DevOps Integration

Contribute to the creation of a continuous integration/continuous delivery (CI/CD) environment.

Code Quality & Architectural Alignment

Participate in code reviews and ensure that all solutions are aligned to pre-defined architectural specifications.

Planning & Delivery Support

Assist in the estimation, prioritization, and planning of development tasks, ensuring projects are delivered on time and within budget.

Documentation & Maintenance

Document and maintain the functionality of test cases and automation scripts.

• US Citizenship or Green Card only - we do not offer Sponsorship
• US Residency for at least the past 3 years
• Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
• Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article

• Remote First, Remote Only Culture
• Four weeks paid time off yearly (prorated based on start date for the first year)
• 10 paid floating company holidays
• Flexible schedule
• Work from home setup including a Macbook 
• Collaborative, learning environment
• Medical, dental, and company-paid vision insurance
• Optional HSA account with some medical plans and a company contribution
• Company paid basic life and AD&D insurance coverages
• Company paid short and long term life insurance
• Optional critical illness and accident insurance
• 401K plan with 3% safe harbor contribution
• Wellness resources and virtual care
• Perks Plus employee discounts

• You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.

• Develop, deploy, and maintain backend applications using Java, GoLang, and Python, 

• Design and implement FHIR-compliant APIs and services for healthcare data exchange

• Build and maintain integrations with FHIR servers and healthcare data platforms

• Support transition from legacy data formats toward FHIR-based architectures

• Implement and maintain CI/CD pipelines using tools such as Jenkins

• Develop frontend components using Angular, HTML, and TypeScript

• Manage database development using SQL, including performance tuning and optimization

• Work with AWS services to build scalable and secure cloud infrastructure

• Define and manage infrastructure using Terraform

• Ensure data accuracy, validation, and compliance across healthcare reporting workflows

• Bachelor’s degree or equivalent and 8+ years of development experience

• Experience with Java, Spring boot

• GoLang, Python, Angular or TypeScript (at least 2)

• Cloud experience, preferably AWS

• Experience in Agile development methodology

• Experience with Infrastructure as Code, preferably Terraform

• Experience with fully automated CI/CD pipelines from commit through production deployment

• Strong relational database experience such as PostgreSQL

• Experience working with HL7 FHIR standards, including resources, profiles, and implementation guides

• Experience building or integrating RESTful APIs aligned to FHIR specifications

• Familiarity with FHIR R4 and healthcare interoperability patterns

• Experience working with healthcare data formats such as QRDA, C-CDA, or claims data

• Understanding of digital quality measurement concepts, including eCQM and dQM

• Experience with Clinical Quality Language (CQL) or exposure to measure logic execution

• Experience working with FHIR servers such as HAPI FHIR or similar platforms

• Experience designing or consuming FHIR resources such as Measure, MeasureReport, Patient, Encounter, and Observation

• Understanding of data validation, data quality, and regulatory reporting constraints in healthcare systems

• AWS Certifications

• Experience with AWS ECS Fargate, AWS RDS, AWS S3

• Experience with Jenkins or similar CI/CD tools

• Experience with Databricks or modern data platforms

• Experience implementing US-Core FHIR  implementation guide within enterprise scale systems

• Experience working with large-scale healthcare reporting or analytics systems

• Familiarity with CMS environments, data pipelines, or regulatory programs