Senior Software Engineer, Fullstack (Healthcare)

Responsibilities

• Design and deliver secure, scalable fullstack solutions that integrate with enterprise EHR systems and national health information exchange frameworks
• Build and maintain healthcare data integrations leveraging FHIR (RESTful APIs/JSON) and HL7 v2 messaging to enable compliant, real-time data exchange
• Develop identity resolution and patient matching capabilities using identifiers such as MRNs and NPIs to ensure integrity across disparate clinical systems
• Partner with Engineering, Security, Product, and Health Information Management teams to implement compliant, audit-ready workflows for regulated healthcare processes
• Collaborate with external vendors (e.g., Epic Technical Services) to troubleshoot integration issues, manage deployments across TST/PRD environments, and ensure production reliability
• How you'll measure success:
• 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
• Audit readiness and compliance adherence for regulated workflows (e.g., EPCS, identity assurance requirements)
• What you're great at:
• 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
• Articulating technical concepts to a mixed audience of technical and non-technical stakeholders
• Collaborating and mentoring less experienced members of the team
• Comfort with ambiguity
• Curiosity about technology, belief in constant learning, and ability to be autonomous to figure out what's important
• How You'll be Rewarded:
• We offer holistic total rewards, including comprehensive healthcare plans, family building benefits (fertility and adoption/surrogacy support), flexible time off, free OneMedical memberships for you and your dependents, and a 401(k) retirement plan with employer match.
• The total compensation range for this role is $225,000 - $300,000, depending on levels of skills and experience.

Benefits

Additional Information

CLEAR is building THE secure identity company of the future. Our mission is to make experiences safer and easier-physically and digitally. With more than 38 million Members and a growing network of partners across the world, CLEAR's secure identity platform is transforming the way people live, work, and travel. Whether it's at the airport, stadium, or throughout your everyday life, CLEAR unlocks the magic of frictionless experiences. As a Senior Fullstack Software Engineer on CLEAR's Healthcare team, you will build and scale secure, interoperable identity and data solutions that connect patients, providers, and partners. You'll operate at the intersection of modern web platforms, healthcare interoperability standards, and high-assurance identity systems powering frictionless, trusted healthcare experiences nationwide. A brief highlight of our tech stack: Python / React / Typescript AWS cloud

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