Lead Backend Engineer (healthcare solution)
Location: Remote from Spain (an indefinite Spanish employment contract)
Intellias is looking for a Lead Backend Engineer - Healthcare Data Interoperability to join a large-scale digital healthcare initiative focused on connecting fragmented health data and enabling secure, real-time interoperability across the U.S. healthcare ecosystem.
This is a hands-on technical leadership role combining deep healthcare interoperability expertise, backend and data engineering, architecture, and team leadership. You will lead engineers responsible for building and operating real-time interoperability infrastructure connecting EHR/EMR systems, healthcare networks, providers, payers, digital health platforms, and other clinical data sources.
The idóneo candidate brings strong expertise in FHIR and U.S. healthcare interoperability, together with the engineering depth required to design, build, and operate production systems at scale.
Project Overview:




The project is building a FHIR-based healthcare data platform that integrates clinical and consumer health information from thousands of healthcare data sources and creates a unified longitudinal health record.
The interoperability platform processes high-volume, real-time healthcare data and connects with EHR/EMR systems, HIE/HIN networks, healthcare providers, insurance organizations, pharmacies, wea
The engineering ecosystem includes FHIR R4, HL7, REST APIs, Python, Spark, Kubernetes, Kafka and other messaging technologies, SQL/NoSQL databases, and cloud infrastructure.
A key focus of the initiative is compliance with U.S. healthcare interoperability standards and regulations, including US Core, USCDI, SMART on FHIR, CMS interoperability requirements, and national healthcare exchange networks.
The platform is also evolving toward AI-enabled engineering and healthcare capabilities, including practical use of LLMs and modern AI technologies where they can improve data processing, engineering p

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