Senior Java Developer (FHIR) – Interoperability (Remote) 

About this role: 
We are seeking a Senior Java Developer with deep HL7® FHIR® expertise to lead the design and implementation of payer-centric interoperability platforms. This role focuses on building secure, scalable FHIR R4 services (with R5 experience as a plus) that expose member, coverage, claims, and clinical data across required FHIR resources and operations. The ideal candidate will work in a cloud-native Microsoft Azure environment, leveraging Kafka-based event streaming and MongoDB to support high-volume, regulatory-driven healthcare data exchange. 

This is a hands-on role for a senior engineer with strong experience in enterprise Java/Spring Boot development, payer domain knowledge, and real-world experience operating FHIR at scale in production environments. 

About the Company: 
We are a technology-driven organization focused on delivering innovative healthcare interoperability solutions. Our teams build scalable, secure platforms that enable seamless data exchange across the healthcare ecosystem while meeting regulatory and compliance requirements. 

Responsibilities: 
• Design, implement, and maintain FHIR R4 servers and APIs supporting payer-relevant resources and operations (CRUD, search, history, bulk data, subscriptions). 
• Define and manage FHIR profiles, extensions, value sets, and terminology bindings aligned with payer use cases. 
• Map and transform payer system data (membership, claims, benefits, authorizations) into FHIR-compliant formats. 
• Build Java 17 or more/ Spring Boot microservices using clean architecture and domain-driven design principles. 
• Develop and integrate RESTful and event-driven APIs using Kafka. 
• Implement HAPI FHIR frameworks for persistence, validation, and serialization. 
• Apply SMART on FHIR, OAuth 2.0, and OpenID Connect for secure authentication and authorization. 
• Ensure HIPAA-compliant handling of PHI, including encryption, audit logging, and access controls. 
• Deploy and scale applications in Microsoft Azure using Docker and Kubernetes (AKS). 
• Design resilient systems with retries, circuit breakers, idempotency, and DLQs. 
• Contribute to CI/CD pipelines and infrastructure-as-code initiatives. 
• Establish testing strategies (unit, integration, performance) and observability practices. 
• Mentor engineers, conduct code reviews, and contribute to architecture decisions. 

Requirements: 
• 5 years of professional Java development experience. 
• Strong expertise in Java 11  (preferably Java 17) and Spring Boot. 
• 3 years of hands-on FHIR experience (R4 required; R5 preferred). 
• Experience with core FHIR resources, profiles, extensions, validation, and versioning. 
• Proven experience with HAPI FHIR (server configuration and customization). 
• Solid understanding of payer healthcare data domains (member, coverage, claims, benefits). 
• Experience implementing OAuth 2.0 / OIDC and SMART on FHIR. 
• Hands-on experience with Azure, Kafka (or equivalent), and MongoDB and/or relational databases. 
• Experience building and operating cloud-native microservices. 
• Strong communication skills and ability to work in regulated environments. 

Preferred Qualifications: 
• Experience with Bulk FHIR ($export) and asynchronous workflows. 
• Familiarity with X12 transactions (270/271, 834, 835, 837). 
• Experience with HL7 v2 or CDA/CCDA. 
• Knowledge of terminology services (SNOMED CT, LOINC, RxNorm). 
• Experience with API gateways (Azure APIM, Apigee, Kong). 
• Familiarity with Infrastructure as Code (Terraform, Bicep). 
• Experience with observability tools (Open Telemetry, Prometheus, Grafana). 
• Prior experience with CMS/ONC interoperability initiatives or payer programs. 

Success in this role: 
• Deliver and operate a production-grade payer FHIR platform covering required resources and operations. 
• Improve scalability, latency, and reliability across Kafka-driven pipelines. 
• Maintain strong security and compliance posture for PHI. 
• Elevate engineering standards through mentorship, documentation, and automation. 

Tech Stack: 
• Language/Framework: Java 17, Spring Boot, Spring Security 
• FHIR: R4/R5, HAPI FHIR, SMART on FHIR 
• Cloud: Microsoft Azure (AKS) 
• Messaging: Kafka 
• Datastore: MongoDB, relational databases 
• DevOps: Docker, Kubernetes, CI/CD 
• Security: OAuth 2.0, OIDC, JWT 
• Observability: Logging, metrics, distributed tracing 

Education: 
• Bachelor’s degree in Computer Science or related field, or equivalent practical experience. 

Flexible Working 

At Conduent, we value individuality and flexible working arrangements. In this role, you can expect: 

• Remote Work: Enjoy the flexibility of working from home while optimizing your work-life balance. 

Working for You 

We offer perks and rewards designed to support you: 

• Health & Welfare Benefits: Comprehensive plans tailored to your needs, effective from day one. 

• Retirement Savings: Robust programs to help you secure your financial future. 

• Employee Discounts: Access to a wide range of discounts on merchandise, services, travel, and more. 

• Career Growth Opportunities: Paths for advancement within a global organization. 

• Paid Training: Learn while you earn with award-winning learning platforms. 

• Paid Time Off: Competitive PTO packages to help you recharge. 

• Great Work Environment: Join an award-winning culture that values diversity and inclusion. 

Join Us: 

At Conduent, we are united by a shared mission. We understand that our success is driven by the success of our associates. When you join us, you’ll find opportunities to: 

• Bring your authentic self to work every day. 

• Grow and thrive both personally and professionally. 

• Make a meaningful impact with our clients, in our communities, and for the millions of people we serve. 

With over 50,000 associates in 24 countries, you’ll be part of a global team that’s shaping the future — for the company and for yourself. 

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business needs, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is ($96,250- $125,000)