Cook Children's

Senior ServiceNow Systems Developer

Cook Children's
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24 hours ago
Remote, United States or Fort Worth, TX, USASenior

Responsibilities

  • Lead full-lifecycle development of complex features using object-oriented programming and design patterns.
  • Architect system specifications, application hierarchies, integrations, and data models.
  • Integrate internal applications with Epic and Cerner EMR platforms using HL7 and FHIR.
  • Analyze distributed production systems, identify performance bottlenecks, and improve scalability and reliability.
  • Establish engineering standards, conduct peer code reviews, mentor junior developers, and lead technical decisions.
  • Implement encryption, identity management, and ACL controls while supporting HIPAA and PHI protection.
  • Conduct security audits and maintain regulatory compliance across environments.
  • Gather requirements, conduct feasibility studies, and translate healthcare challenges into technical roadmaps.
  • Lead Agile ceremonies, improve CI/CD pipelines, maintain documentation, and govern the SDLC.
  • Oversee unit, integration, and UAT testing and set the production release quality bar.
  • Partner with clinical leadership, external vendors, and non-technical stakeholders.

Requirements

  • At least 5 years of professional software development experience focused on full-stack, mobile, or data-centric environments.
  • Bachelor's degree in Computer Science, Information Technology, or a related field; alternatively, a high school diploma plus 10 years of experience.
  • Proficiency in at least two programming languages from C#, SQL, Java, Swift, Kotlin, or equivalent.
  • Experience architecting systems and leading technical decisions rather than only executing assigned tickets.
  • Hands-on expertise with ACLs, encryption, identity management, and HIPAA compliance.
  • Strongly preferred experience integrating Epic or Cerner EMR systems using HL7 or FHIR.
  • Ability to communicate and collaborate with clinical leadership, vendors, and non-technical stakeholders.
  • Preferred ServiceNow Certified System Administrator certification.
  • Preferred ServiceNow Certified Application Developer certification.

Benefits

  • Remote, full-time position with a 40-hour standard workweek and first-shift schedule.
  • Primary residence in Texas is required throughout employment.
  • Employment requires maintaining all licenses and credentials required for the position.
  • Cook Children's is an equal opportunity employer.

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Cook Children's

About Cook Children's

5,001-10,000 employees
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