About Us
Abacus Insights is changing the way healthcare works for you. We’re on a mission to unlock the power of data so health plans can enable the right care at the right time—making life better for millions of people. No more data silos, no more inefficiencies. Just smarter care, lower costs, and better experiences.
Backed by $100M from top VCs, we’re tackling big challenges in an industry that’s ready for change. And while GenAI is still new for many, we’ve already mastered turning complex healthcare data into clear, actionable insights. That’s our superpower—and it’s why we’re leading the way.
Abacus, innovation starts with people. We’re bold, curious, and collaborative—because the best ideas come from working together. Ready to make an impact? Join us and let's build the future, together.
Abacus is seeking a FHIR Engineer with strong expertise in healthcare interoperability standards, particularly the FHIR (Fast Healthcare Interoperability Resources) framework. The ideal candidate will have hands-on experience with the technical aspects of FHIR, including authorization, consent management, and secure API implementation. This role requires both a solid understanding of healthcare data exchange standards and the ability to design, implement, and maintain scalable FHIR-based solutions.
Key Responsibilities
• Design, implement, and maintain FHIR APIs in compliance with HL7, CMS, and ONC regulations.
• Configure and manage FHIR servers (e.g., Firely, HAPI, HealthLake) for ingestion, normalization, and access of healthcare data.
• Implement OAuth 2.0 / OpenID Connect / SMART on FHIR for authorization and authentication.
• Support consent management workflows, ensuring that data access is fully aligned with regulatory requirements.
• Collaborate with product teams to map payer and provider data to FHIR resources.
• Troubleshoot and resolve issues with FHIR API integrations, ensuring data integrity and security.
• Work with DevOps teams to deploy FHIR services in cloud environments (AWS, Azure, or GCP).
• Document implementation details, technical designs, and workflows for internal and client-facing use.
Required Skills & Qualifications
• Strong knowledge of FHIR R4 resources (Patient, Coverage, EOB, Clinical, Formulary, Provider Directory, etc.).
• Experience with FHIR Implementation Guides (IGs) such as CMS-0057, CMS- 9115, US Core, CARIN Blue Button, PDex.
• Hands-on experience with authorization frameworks (OAuth2.0, JWTs, PKCE, SMART scopes).
• Familiarity with consent management standards (FHIR Consent resource, ONC/CMS guidelines).
• Solid programming background in languages such as Python, Java, or Node.js.
• Understanding of API security and compliance (HIPAA, PHI/PII data handling).
• Strong knowledge of cloud-based architectures (AWS HealthLake, Azure API Management, etc.).
• Excellent problem-solving, communication, and collaboration skills.
Preferred Qualifications
• Experience with FHIR bulk data APIs and NDJSON pipelines.
• Knowledge of legacy healthcare data formats (HL7 v2, X12 278/837) and mapping to FHIR.
• Prior experience working with payer or provider organizations.
Our Commitment as an Equal Opportunity Employer
As a mission-led technology company helping to drive better healthcare outcomes, Abacus Insights believes that the best innovation and value we can bring to our customers comes from diverse ideas, thoughts, experiences, and perspectives. Therefore, we dedicate resources to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment regarding race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
At the heart of who we are is a commitment to continuously and intentionally building an inclusive culture—one that empowers every team member across the globe to do their best work and bring their authentic selves. We carry that same commitment into our hiring process, aiming to create an interview experience where you feel comfortable and confident showcasing your strengths. If there’s anything we can do to support that—big or small—please let us know.