Staff Interoperability Engineer (healthcare solution)
Location: Remote from Spain (an indefinite Spanish employment contract)
Intellias is looking for a
Staff Interoperability Engineer
to join a large-scale digital healthcare initiative focused on designing, building, and scaling healthcare interoperability solutions that enable secure, standards-compliant health data exchange across the U.S. healthcare ecosystem.
This is a
Staff-level Individual Contributor role
for an experienced engineer who combines deep expertise in healthcare interoperability, distributed backend systems, API architecture, and cloud-native engineering. You will define technical direction, solve the platform's most complex interoperability challenges, and establish engineering standards that enable teams to build reliable, scalable, and compliant healthcare integrations.
The role combines
deep hands-on engineering with broad technical influence
across interoperability architecture, FHIR implementation, API security, healthcare standards, and AI-enabled engineering practices.
Project Overview :




The project is building a
FHIR-based healthcare data platform
that enables secure interoperability across EHR systems, healthcare providers, payers, national healthcare exchange networks, laboratories, pharmacies, wearable devices, and digital health applications.
The platform processes healthcare data at national scale, supporting
Patient Access APIs, Bulk FHIR APIs, Provider Directory APIs, SMART on FHIR , and real-time healthcare integration services while maintaining compliance with U.S. healthcare interoperability standards and regulations.
The engineering environment combines
Python, Apache Spark, Kafka, Kubernetes, cloud-native infrastructure, FHIR R4, HL7, REST APIs, OAuth2/OIDC, SMART on FHIR, distributed event-driven architectures, and AI-assisted engineering .
This is an
AI-native engineering environment , where coding agents and reusable AI capabilities are used to accelerate implementation, t

📌 Staff Interoperability Engineer (Madrid)
🏢 Intellias
📍 Madrid