About the job
You will own the end-to-end technical work required to move the legacy Azure FHIR environment to AHDS (Azure Health Data Services), harden the platform, and extend it with CMS-mandated APIs. The role spans API migration, security engineering, API development, performance tuning, automated testing, and production cut-over. You will be the primary point of contact for all AHDS matters throughout the project.
Phase 1 (400hrs) - Migrate existing FHIR service to AHDS, apply security layers, tune platform performance. Plan and run regression & conformance tests; coordinate sprint releases. Finalize requirements, align consent model, update living spec.
Phase 2 (300hrs) - Implement Payer-to-Payer, Provider, Prior Auth APIs on AHDS; optimize scaling. Validate new APIs, run system & release testing, manage deployment calendar. Update documentation and traceability for added APIs; gather any change requests.
Key responsibilities
- Migrate the existing Azure API for FHIR workloadincluding bulk & delta data loadsto AHDS and upgrade to SMART on FHIR (Enhanced).
- Apply security layers (Azure AD OAuth 2.0, RBAC, private endpoints, WAF / NSGs) and validate HIPAA / HITRUST & CMS compliance.
- Enable and harden Patient Access and Provider Directory APIs; capture CMS reporting metrics via Azure Monitor workbooks.
- Design, build, and test new Payer-to-Payer, Provider, and Prior Authorization APIs on AHDS in Phase 2, including APIM policies and OpenAPI specs.
- Optimize platform performance & scalability; conduct system / performance tests and regression / conformance suites.
- Drive release management : sprint planning, UAT coordination, production cut-over, hyper-care, and incident response.
- Produce artifactsIaC templates (ARM / Bicep), runbooks, SOPs, living specifications, developer-portal documentation, and hand-over packs.
- Collaborate closely with Cloud Architects, API / App Developers, DevOps, Security, and client stakeholders.
Requirements
Experience
7+ years in cloud engineering3+ years with Azure API for FHIR or AHDS2+ years working with FHIR workloadsPreferred : Delivered a payer-side CMS-compliant Patient Access or Payer-to-Payer APITechnical Skills
AHDS, Azure API for FHIR, Azure API Management (APIM)Azure AD (OAuth2 / OpenID)Infrastructure-as-Code : ARM / BicepCI / CD with GitHub Actions or Azure DevOpsScripting : PowerShell or PythonPreferred : Experience with Da Vinci PDex & Prior Auth IGsPreferred : Security tools like Pester, CheckovStandards & Security
Strong knowledge of HL7 FHIR R4, SMART on FHIR, HIPAAFamiliar with CMS interoperability & reporting rulesPreferred : HITRUST CSF implementation experience\Testing & Operations
Performance and load testingAutomated regression testingAzure Monitor & Log AnalyticsPreferred : Chaos / resiliency testing on AzureSoft Skills
Strong written and verbal communicationAgile / Scrum experienceStakeholder-facing capabilitiesPreferred : Mentoring or team leadership experience