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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # VistA Developer - **Company:** Accenture - **Location:** Washington, DC, United States - **Experience:** Expert - **Salary:** $78,600.0 - $160,200.0 - **Contract:** Permanent contract - **Skills:** Automation of Tests, Computer Programming, Continuous Delivery, Continuous Integration, Software Debugging, Github, Health Information Management, Health Information Systems (HIS), Integrated Development Environments, JSON, M Programming Language, Systems Development Life Cycle, Software Engineering, Extensible Markup Language (XML), Extensible Stylesheet Language Transformations (XSLT), Test-Driven Development (TDD), Information Technology, Health Level Seven International, Intersystems, Software Version Control - **Published:** August 5, 2026 - **Apply:** https://dejobs.org/x/x/DB0EA21328DC4352A07C1E8E77E85EEB/job/ ## About the Role Our program is seeking an experienced and detail-oriented Veterans Health Information Systems and Technology Architecture (VistA) Developer. This candidate must support a challenging integration and health information exchange project utilizing InterSystems Caché, Ensemble, VistA, and HealthShare., * 5 + years of experience in analyzing customer needs and developing overall concept and design objectives. * Bachelor's Degree (Computer Science, Electronics Engineering or other engineering or technical discipline is required). 8 years of additional relevant experience may be substituted for education. * 5+ years of experience creating software in a variety of programming and for a variety of IT software applications. * 5+ years of experience in debugging and correcting errors in computer programs. * 5+ years of experience with VistA deployment and patching, from the operating system (OS) level up. * 5+ years of experience with formal SDLC, particularly agile. * 5+ years of experience with Intersystem technology stack (Iris, Caché, Ensemble). * 5+ years of experience developing application programming interfaces (APIs), remote procedure call (RPC), and clinical application code using Caché Massachusetts General Hospital Utility Multi-Programming System (MUMPS) or Caché Object Script (COS). * 5+ years of experience with extensible markup language (XML), extensible stylesheet language transformations (XSLT), JavaScript Object Notation (JSON) or other data formats. * 5+ years of experience working in an agile scrum solution development environment. * 5+ years of experience in stakeholder engagement including solution features to stakeholders, share knowledge, and provide tool and process guidance. * 5+ years of experience in analysis, problem solving, and troubleshooting. Preferred: * Experience with Health Level 7 (HL7) messaging and standards. * Ability to handle multiple tasks effectively, and work independently, with minimal supervision and direction. * Understanding HealthShare and Iris. * Experience translating design mockups and prototypes into working application designs. * A solid understanding of version control principles. * Experience with test-driven development (TDD), continuous integration, continuous deployment, and automated testing. * Motivated to drive tasks to completion and take ownership of projects. * Ability to work in a fast-paced development environment. * Federal Government experience, preferably with the Veteran's Administration. * Knowledge of VA patch and release process for VistA. * Experience with VIP framework. * Experience working in the health care industry. * Experience with GitHub. ## Description * The VistA Developer will be responsible for deploying, updating, and managing test VistA instances across several cloud-deployed environments. * They will also provide support to development teams using deployed VistA systems. This role focuses primarily on development, with responsibilities that include designing, development, and participating in coding activities and validation. * Utilize a strong understanding of Software Development Life Cycle (SDLC) processes, Veteran-focused Integration Process (VIP), and VistA. * Interact effectively and professionally with clients, stakeholders, partners, subcontractors, and vendors. * Escalate key issues and recommended solutions to project and client leadership and participate in architecture enhancements by supporting enterprise and maintenance releases. * Scope and define development activities for the team in support of overall program roadmaps, releases, and sprints. ## Related Videos - [Navigating the Corporate Jungle: Life as a Developer in a large Company](https://www.wearedevelopers.com/videos/621-navigating-the-corporate-jungle-life-as-a-developer-in-a-large-company) - [Innovating Developer Tools with AI: Insights from GitHub Next](https://www.wearedevelopers.com/videos/1268-innovating-developer-tools-with-ai-insights-from-github-next) - [Tips and Tricks for Working with JSON](https://www.wearedevelopers.com/videos/1229-tips-and-tricks-for-working-with-json) - [Unlocking the potential of Digital & IT at Vodafone](https://www.wearedevelopers.com/videos/602-unlocking-the-potential-of-digital-it-at-vodafone) - [Bringing AI Model Testing and Prompt Management to Your Codebase with GitHub Models](https://www.wearedevelopers.com/videos/1536-bringing-ai-model-testing-and-prompt-management-to-your-codebase-with-github-models) - [Introducing JSON Structure](https://www.wearedevelopers.com/videos/100219-introducing-json-structure) ## Related Articles - [Résumé-Driven Development: How IT trends affect the job market for software developers](https://www.wearedevelopers.com/magazine/59-resume-driven-development-how-it-trends-affect-the-job-market-for-software-developers) - [Quick guide: How to write a Software Developer CV](https://www.wearedevelopers.com/magazine/37-quick-guide-how-to-write-a-software-developer-cv) - [Dev Digest 121 - AI goes offline](https://www.wearedevelopers.com/magazine/456-dev-digest-121-ai-goes-offline) - [7 Important Tips That Every Software Developer Should Know](https://www.wearedevelopers.com/magazine/101-7-important-tips-that-every-software-developer-should-know) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer)