Description of the Role
As a Platform Engineer on Data Services, you will help design, build, and operate the clinical decision support and API-driven data delivery platform that enables Vytalize Health to embed timely, actionable clinical insights directly into provider workflows. Working cross-functionally with Data Engineering, Product, Clinical Operations, and EMR partners, your solutions will transform how clinicians access data—moving from external tools and workarounds to seamless, in-workflow decision support via CDS Hooks and real-time APIs. You will own the technical foundation for Clinical Decision Support (CDS) Hooks, REST APIs, and the architectural patterns that ensure clinical data is accessible, trustworthy, and performant at the moment of care.
Primary Responsibilities
- Lead design and implementation of the CDS Hooks platform, including card orchestration, hook context handling, EHR-side logic orchestration, and integration with downstream data services.
- Own CDS Hook API contracts and evolution, ensuring compliance with SMART CDS Hooks specification while adding performance, reliability, and healthcare-specific optimizations.
- Lead technical integration with EMR systems (Epic, NextGen, Athena, ECW) for CDS Hook discovery, execution, card rendering, and user action handling.
- Design, build, and maintain public-facing REST and event-driven APIs exposing clinical data, quality metrics, care gaps, attribution data, and decision support content to partners.
- Implement and maintain API security patterns including OAuth 2.0, scope-based authorization, rate limiting, and audit logging for compliant clinical data access.
- Design and implement comprehensive testing and QA frameworks for CDS Hooks and APIs—including hook context validation, card rendering verification, and clinical workflow testing across EMR systems.
- Establish reliability metrics and SLAs (latency, availability, freshness) for CDS Hook delivery and API performance.
- Ensure all CDS and API services comply with healthcare security, privacy, and regulatory requirements (HIPAA, state regulations).
Required Qualifications
- 8+ years of experience designing, building, and operating API platforms, service-oriented systems, or backend infrastructure at scale.
- 3+ years of direct experience with healthcare data integrations, EMR workflows, clinical data exchange, or healthcare interoperability standards (FHIR, HL7, CDA, claims data).
- 2+ years of hands-on experience with CDS Hooks, SMART on FHIR, or similar clinical decision support APIs.
- Proficiency in modern backend languages (Python, Java, Go, or similar).
- Strong experience designing and operating REST APIs, including contract design, versioning, error handling, and authentication/authorization patterns.
- Experience with cloud platforms (AWS, Databricks, GCP) and containerized services (Docker, Kubernetes).