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Salary: USD 175,000 - 215,000 / annual
CLEAR is building a secure identity platform transforming how people live, work, and travel. As a Senior FullStack Software Engineer on the CLEAR1 team, you'll operate at the intersection of modern web platforms, healthcare interoperability standards, and high-assurance identity systems to power frictionless, trusted healthcare experiences nationwide connecting patients, providers, and partners.
You'll design and deliver secure, scalable fullstack solutions that integrate with enterprise EHR systems and national health information exchange frameworks. Your work will involve building and maintaining healthcare data integrations leveraging FHIR (RESTful APIs/JSON) and HL7 v2 messaging to enable compliant, real-time data exchange. You'll develop identity resolution and patient matching capabilities using identifiers such as MRNs and NPIs to ensure integrity across disparate clinical systems.
You'll partner with Engineering, Security, Product, and Health Information Management teams to implement compliant, audit-ready workflows for regulated healthcare processes. Collaboration with external vendors (e.g., Epic Technical Services) to troubleshoot integration issues, manage deployments across TST/PRD environments, and ensure production reliability is a key part of the role.
Success is measured by successful delivery and stability of FHIR/HL7 integrations across healthcare partners, reduction in data integrity issues related to patient matching and identity resolution, high system uptime and successful production deployments across tiered clinical environments, and audit readiness and compliance adherence for regulated workflows (e.g., EPCS, identity assurance requirements).
Tech stack: Python, React, TypeScript, AWS cloud.
REQUIREMENTS:
- 6+ years of fullstack software engineering experience building scalable web applications and APIs
- Demonstrated proficiency in healthcare interoperability standards, including FHIR (REST/JSON) and working knowledge of HL7 v2 event-driven messaging
- Experience navigating national health information exchange frameworks such as TEFCA, QHINs, or Carequality
- Practical experience integrating with enterprise EHR systems—ideally Epic—via web service layers such as Interconnect
- Ability to manage secure API authentication, service accounts (e.g., Epic EMP records), and audited system-to-system communication
- Experience promoting software across tiered clinical environments, including Testing (TST) and Production (PRD)
- Knowledge of high-assurance identity standards (e.g., NIST IAL2), biometric validation, and document verification workflows
- Familiarity with regulated healthcare security requirements, including EPCS and audit logging standards
- Strong cross-functional collaboration skills, including working alongside HIM teams and external vendor support to resolve integration challenges
- Ability to articulate technical concepts across ambiguous projects to a mixed audience of technical and non-technical stakeholders
- Experience collaborating and mentoring less experienced team members
