> Markdown version of [/jobs/ext/4650026-systems-engineer](https://www.wearedevelopers.com/jobs/ext/4650026-systems-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Systems Engineer - **Company:** Robert Half - **Location:** Seattle, WA, United States (Remote available) - **Experience:** Expert - **Contract:** Contract - **Skills:** Java (Programming Language), Application Programming Interfaces (APIs), Systems Engineering, Microsoft Azure, C Sharp (Programming Language), Clinical Data Repository, Data as a Services, Interoperability, JSON, Python (Programming Language), Data Streaming, Extensible Markup Language (XML), Data Ingestion, Fast Healthcare Interoperability Resources - **Published:** November 9, 2026 - **Apply:** https://www.dice.com/job-detail/ce58b73a-f049-4358-95f1-30e34826f9e8 ## About the Role 10+ years of healthcare integration or interoperability work at an HIE, health system, payer, EHR vendor, or health IT company. Deep, hands-on knowledge of C-CDA: document templates, sections, entries, and the real-world variation between EHR implementations. Hands-on FHIR R4 experience, including US Core profiles, implementation guides, bundle structure, and validation. Working knowledge of USCDI and how its data classes map to C-CDA and FHIR. Experience with clinical terminologies (LOINC, SNOMED CT, RxNorm, ICD-10-CM). A track record of onboarding external trading partners: writing specifications, testing with partner engineers, and resolving data issues across organizations. Clear, persuasive communication with both engineers and non-technical stakeholders, including making the case for change to partners who are comfortable with the status quo. Comfort reading and writing code in at least one language (such as C#, Java, or Python), and fluency with JSON and XML. Understanding of patient matching and master patient index concepts. Experience handling PHI under HIPAA and a security-minded approach to data flows., All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. ## Description Standards and data design Own the mapping and conversion of inbound C-CDA/CCD documents into FHIR R4 resources in Azure Health Data Services, including conversion templates and handling of data that does not map cleanly. Define the FHIR profiles, validation rules, and implementation guidance for trading partners posting FHIR bundles to us. Ensure the data we ingest and expose conforms to USCDI v3 and US Core, and maintain the testing and evidence needed to demonstrate conformance Washington state IT security standards. Guide terminology handling across LOINC, SNOMED CT, RxNorm, ICD-10-CM, and CVX. Patient identity and data quality Own the data flow for how incoming records are matched and linked through our master patient index before landing in the FHIR service. Partner with our data engineer to monitor data quality, identify partner-specific issues, and drive fixes at the source. APIs for participants and payers Own the design for the FHIR APIs we expose to participants and payers, including search behavior, authorization scopes, and documentation. Partner onboarding and migration Lead technical onboarding for trading partners: specifications, connectivity and conformance testing, troubleshooting, and go-live. Building and operating with the team Work with our developers on Azure-based ingestion pipelines, giving them precise requirements for what correct output looks like. Work with our operations engineering team on monitoring, alerting, runbooks, and incident response for clinical data flows.