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Engineering Lead with Healthcare experience

Vacancy details
Software Engineering
Python Engineering Lead
Senior Lead
Bulgaria, Colombia, Croatia, Poland, Portugal, Spain, Ukraine, United States
Remote
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Intellias is looking for an Engineering Lead to join a large-scale Digital Health initiative building a FHIR-based healthcare platform that connects providers, payers, clinical systems, and external healthcare networks.

This is a hands-on leadership role that combines strong engineering expertise with team leadership. You will set technical direction, grow engineers, and ensure delivery of secure, reliable, and HIPAA-compliant healthcare solutions.

What project we have for you

We’re helping a US digital-health platform make patients’ medical data accessible, consistent, and trustworthy. The platform brings together data from many clinical and administrative sources: lab results, diagnoses, medications, visits, claims and more. It standardizes this data into FHIR and exposes it through secure, standards-based APIs used by internal products and external partners.

You’ll lead the engineering team that builds it. This is a player-coach role to start. While your
number of direct reports is smaller and growing, you’ll write production code across the stack,
sharing ownership of the API and public surfaces with our full-stack engineer, and you’ll stay
close to the data integration work. You’ll own the platform’s technical direction, delivery, and
team, and you’ll represent engineering to partners, product, and clinical advisors.

What you will do

  • Lead onshore/nearshore and offshore teams: hire and level accurately, run 1:1s and
    performance conversations, and develop leads into stronger managers.
  • Grow the organization, with clear boundaries and a bench of future leaders.
  • Write production code across the API, embeddable widgets, preview app, SDKs, and
    MCP server, with ownership that shifts with priorities. Step off the critical path as the
    team grows while staying close enough to the code to judge quality firsthand.
  • Set the technical direction for an API-first platform, where every surface is a client of one
    OpenAPI-defined API. Own partner authentication, tenant scoping, per-partner
    configuration and branding, rate limiting, idempotency, and audit logging.
  • Design configurable, rules-based questionnaire matching that clinical staff can change
    without code, and that clinical advisors review.
  • Guide the integration of provider schedule inventory from health systems and telehealth
    networks through batch and real-time API feeds, with a booking path that confirms
    availability or fails gracefully.
  • Own the roadmap, commitments, SLOs, and incident follow-through.
  • Build HIPAA and minimum-necessary PHI boundaries into every surface, including what
    reaches an LLM through the MCP server, working with our security and compliance
    team.
  • Set how the team employs AI to build, with the review and testing practices that keep the
    work correct and safe.

What you need for this

  • 8+ years of software engineering experience, including 4+ years managing engineering
    teams.
  • Experience managing other managers or team leads, including leads of outsourced,
    vendor, or nearshore teams.
  • Hands-on full-stack skills with Python (FastAPI or similar) on the backend and
    TypeScript and React on the frontend. You’ve shipped partner-facing APIs or embedded
    products to production.
  • Experience leading data integration with external partners through both batch file feeds
    and APIs.
  • Strong API design judgment across REST (OpenAPI) and GraphQL: contracts,
    versioning, idempotency, OAuth 2.0, tenant isolation, and rate limiting.
  • Experience working with PII and/or PHI under HIPAA.
  • Daily use of AI coding tools like Claude Code in your own work, and experience leading
    a team’s adoption of them.
  • You keep a team moving when plans, staffing, or vendors change, and you give people a
    clear plan even when big questions are still open.
  • You hold every lead, onshore or outsourced, to one consistent bar, and you make good
    calls quickly with the information you have.

Nice to have:

  • Experience in healthcare technology, working with PHI under HIPAA.
  • Strong working knowledge of FHIR models, APIs, and implementation guides such as
    US Core or Bulk FHIR, including mapping to and from FHIR, profiling, and extensions.
  • Experience with FHIR platforms and tools, whether commercial or open-source (e.g.,
    HAPI, Smile, Medplum), or having built your own.
  • Participation in the FHIR community, such as HL7 or non-HL7 working groups,
    Connectathons, IG contributions, or presentations at events like DevDays or HIMSS.
  • FHIR training or certifications, such as FHIR Implementer or Advanced Developer.
  • Domain knowledge in specialized FHIR areas such as clinical reasoning, analytics,
    FHIRPath, search, terminology, or AI.
  • Experience with scheduling standards and APIs such as the IHE ITI Scheduling IG,
    SMART Scheduling Links, or Epic Open Scheduling.
  • Experience building products for payers or employers.
  • Experience building MCP servers or other LLM tool integration

What it’s like to work at Intellias

At Intellias, where technology takes center stage, people always come before processes. By creating a comfortable atmosphere in our team, we empower individuals to unlock their true potential and achieve extraordinary results. That’s why we offer a range of benefits that support your well-being and charge your professional growth.
We are committed to fostering equity, diversity, and inclusion as an equal opportunity employer. All applicants will be considered for employment without discrimination based on race, color, religion, age, gender, nationality, disability, sexual orientation, gender identity or expression, veteran status, or any other characteristic protected by applicable law.
We welcome and celebrate the uniqueness of every individual. Join Intellias for a career where your perspectives and contributions are vital to our shared success.

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