Full-Stack Developer EMR Integration & Clinical Engineering

You will own the EMR integration layer - both the FHIR API and the EMR's server-side plugin/SDK system - connecting our clinical platform to cloud infrastructure and pharmacy fulfillment systems. This is a greenfield build, not a maintenance role. You are writing the integration code that makes prescriptions flow, clinical data stay structured, and provider workflows stay fast.

Job Activities and Responsibilities: The responsibilities listed below are subject to change., * Build and maintain bidirectional data flows between a programmable EMR's FHIR R4 API and a cloud-hosted FHIR data store - across 30+ clinical resource types (Patient, MedicationRequest, Observation, Encounter, QuestionnaireResponse, etc.)

• Develop server-side EMR plugins in Python (Django ORM data layer) for clinical workflow automation: event handlers, protocol enforcement, layout customization, scheduling logic, and custom commands
• Configure provider-facing workflows for multiple clinical lines of business - each with distinct intake flows, lab requirements, formulary constraints, and prescribing protocols
• Develop lambda functions for data movement

Cloud Infrastructure Integration

• Wire webhook events into event-driven cloud pipelines
• Own the EMR-to-FHIR data contract: ensure resource mappings are correct, normalize free-text clinical fields into coded values (LOINC, SNOMED, ICD-10, RxNorm), and validate end-to-end data integrity

Do you have experience in S3?, Must-Have

• 5+ years of production Python
• Working knowledge of FHIR R4 (resource types, references, search parameters, bundles) or demonstrable ability to ramp quickly on healthcare interoperability standards
• Experience with AWS: Lambda, EventBridge or equivalent event bus, IAM, KMS, and at least one managed data store
• React proficiency
• Comfort working with PHI under HIPAA: encrypted storage, audit logging, least-privilege access, BAA-covered services
• Ability to operate in a small, fast-moving team with minimal process overhead and maximum ownership

Strong Preference

• Prior healthcare or health-tech experience
• Experience integrating with EMR/EHR platforms
• Django ORM experience
• Event-driven architecture experience (EventBridge, SNS/SQS, Kafka)

Nice-to-Have

• Exposure to AI/ML agent frameworks
• React Native or Expo
• SOC 2 Type II or HITRUST audit experience

Physical Requirements:

• Proficient in using a computer and related equipment, including printers and fax machines.
• Ability to sit or stand for extended periods.
• Effective communication skills via telephone and email.
• Capable of lifting up to 40 pounds as needed.

Pulled from the full job description

• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance
• Life insurance
• Cell phone reimbursement, * Health care insurance (medical, dental, vision)
• Life Insurance
• Supplemental Insurance through Aflac
• PTO
• 401K matching
• Sick leave
• Phone/internet reimbursement
• Remote work
• Top of the line machines

Revelation Pharma is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Evergreen Telehealth is a vertically integrated direct-to-consumer telehealth platform. We own the full clinical lifecycle and are building our platform on FHIR R4-first cloud infrastructure with a programmable EMR at the center. The engineering team is small, senior, and moving fast.