Principal Software Engineer

HealthMark Group is a leading provider of health IT solutions for healthcare providers across the country. By leveraging technology to reimagine the business of healthcare, HealthMark transforms administrative processes into seamless digital solutions. From HealthMark’s proprietary MedRelease platform for Release of Information, the company is pioneering an efficient, compliant, and patient-centric approach to support the entire spectrum of the patient information journey. HealthMark Group was founded in 2006 with corporate headquarters in Dallas, TX, and has been named to both the Dallas 100 and the Inc. 5000 for multiple years in a row as one of the fastest-growing companies in the region and the country.

POSITION: PRINCIPAL SOFTWARE ENGINEER

HealthMark Group is developing the next generation of digital health information software, focused on the release of information services, patient records management, and seamless healthcare data exchange across systems. We are seeking a Principal Software Engineer with deep expertise in healthcare interoperability standards to lead the design of secure, scalable, and compliant healthcare data solutions.

This position is critical to ensuring that our platforms integrate with other healthcare systems using standards such as FHIR, supporting national interoperability initiatives and reducing the administrative burden on providers and patients.

If you have a passion for both technical innovation and improving healthcare through seamless data exchange, we want to hear from you.

Primary Role And Responsibilities

• Design and implement healthcare interoperability workflows to support the secure, compliant release and exchange of patient information
• Develop and manage ETL (Extract, Transform, Load) processes for ingesting, normalizing, transforming, and exporting healthcare data across systems and standards (FHIR, HL7)
• Architect solutions leveraging healthcare integration engines (e.g., NIFI 2.3), microservices, and APIs
• Create scalable, maintainable interfaces for exchanging health information between disparate systems, including EMRs/EHRs, health information exchanges (HIEs), and patient portals
• Collaborate closely with business analysts, healthcare partners, and engineering teams to define integration requirements and translate them into technical solutions
• Ensure solutions adhere to HIPAA, HITECH, and other security and compliance frameworks
• Maintain a strong focus on performance optimization, error handling, auditability, and operational transparency of interoperability workflows
• Ensure documentation of designs and workflows is kept current
• Solving complex healthcare data exchange challenges with a sense of urgency

Required Experience And Qualifications

• 12+ years of professional software development and architecture experience in a Microsoft stack, including building new applications using C#, ASP.NET MVC, and .NET Core
• Deep understanding of healthcare interoperability standards and frameworks, including but not limited to FHIR
• Experience architecting and implementing healthcare data exchange solutions in compliance with HIPAA and other regulatory requirements
• Hands-on experience designing interoperability workflows using ETL pipelines and integration engines (e.g., Apache NIFI)
• Strong working knowledge of AWS services related to data integration and interoperability, including:
• AWS Glue for ETL pipelines
• AWS Lambda for serverless event-driven workflows
• Amazon S3 for secure healthcare data storage
• Amazon RDS for relational database management
• Amazon API Gateway for secure API integration
• Amazon Event Bridge or SNS/SQS for event-driven architectures
• Define and design technology solutions to meet both business and interoperability objectives
• Ability to structure solutions and technical content for presentations to customers and partners
• Excellent troubleshooting, documentation, and communication skills
• BS/BA in Computer Science, Engineering, or 12 years of relevant experience

Additional Preferred Experience

• Apache NIFI 1.27 or later experience
• Designing and developing a microservices architecture
• Experience with Amazon Healthlake for FHIR-native healthcare data integration
• Working on software in the healthcare industry, particularly around patient information management or data interoperability
• AWS Certified Solutions Architect certification

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