4 hours ago
Remote, United States or Atlanta, GA, USASenior
Responsibilities
- Optimize the HAPI FHIR JPA persistence layer in PostgreSQL, including search parameters, custom indexes, partitioning, reindexing, resource expunge and history policies, Bulk Data export performance, and asynchronous MDM link tables.
- Design and execute FHIR data quality checks covering US Core STU 9 conformance, duplicate and orphaned references, and source-event precedence validation.
- Develop and maintain FHIR-based measure-reporting services for digital quality measurement engines, HEDIS baselines, facility and statewide reporting, administrative-effort baselines, and DHHS monthly service report exports.
- Query OMOP Common Data Model and Apache Iceberg data marts and collaborate on transforming published healthcare data into OMOP when FHIR-side changes affect downstream datasets.
- Produce capacity-planning and performance evidence supporting 99.9% availability, a 15-minute RPO, and a 4-hour RTO.
- Support Aurora PostgreSQL sizing, read-replica configurations, backup verification, and database performance optimization.
- Deliver migration scripts, runbooks, dashboards, and test suites into designated repositories.
- Support team objectives through additional assigned tasks and responsibilities.
Requirements
- Bachelor's degree in Computer Science, Information Technology, Data Engineering, or a related field.
- At least 7 years of professional PostgreSQL experience in production environments.
- Strong hands-on experience with PostgreSQL query planning, index design, partitioning, and performance troubleshooting across multi-terabyte databases.
- At least 3 years of hands-on experience with HAPI FHIR JPA server internals, including resource tables, search-parameter indexing, Bulk Data, MDM, FHIR R4, and US Core.
- Working knowledge of OMOP Common Data Model v5.4, including concept, vocabulary, and clinical-event tables, with experience writing analytical SQL queries.
- Experience developing healthcare quality reporting solutions using FHIR-based measures, CQL, FHIR Measure/MeasureReport, digital quality measures, HEDIS, or equivalent clinical quality reporting standards.
- Proficiency with Java 21, Spring Boot, Flyway, and Git, including the ability to extend HAPI FHIR interceptors and measure-reporting services using secure development practices in HIPAA-regulated environments.
- Experience with Amazon Aurora PostgreSQL, Apache Iceberg, Apache Spark, Kafka Streams, OpenSearch, and Grafana is an additional qualification.
- Experience supporting Medicaid programs, state Health Information Exchanges, or VA/federal healthcare data modernization initiatives is an additional qualification.
- Experience with healthcare data extracts from Epic, Meditech, Oracle Health, or athenahealth is an additional qualification.
- Experience with OHDSI tools such as Achilles or Data Quality Dashboard and healthcare data quality validation is an additional qualification.
- Experience with high-availability database architectures, disaster recovery planning, backup verification, and production performance monitoring is an additional qualification.
- U.S. citizenship is required, and selected candidates must successfully complete a background check.
- Ability to obtain and maintain a Government/Public Trust clearance, including required fingerprinting when required.
Benefits
- Medical, dental, and vision benefits.
- 401(k) with employer match.
- Paid time off and federal holidays.
- Corporate laptop.
- Training opportunities.
- 100% remote work; candidates must reside within the continental U.S.
Tech Stack
Categories
BackendData Engineering
About VetsEZ
VetsEZ delivers AI-enabled digital services, cloud platforms, and health data interoperability solutions to U.S. federal agencies, with a focus on healthcare IT. The privately held firm, founded in 2012 and headquartered in San Diego, is a prime contractor on major IDIQ vehicles such as VA T4NG/T4NG2 and CIO-SP3, supporting modernization of mission-critical systems across multiple agencies.