Job Opportunities

PHP Developer

We are looking for an experienced PHP Developer to design, build, and maintain backend services that support our platform's compliance with the ONC Health IT Certification Program . You'll work closely with our compliance, QA, and clinical informatics teams to implement and test functionality tied to certification criteria such as USCDI data classes, FHIR-based APIs, and interoperability requirements.
This role is ideal for someone who enjoys working at the intersection of healthcare regulation and software engineering, and who is comfortable navigating detailed technical specifications and audit-driven development cycles.
What You'll Do
Design and build PHP-based backend services and APIs that meet ONC certification criteriaImplement and maintain FHIR R4 / SMART on FHIR APIs to support data exchange and Conditions of Certification (e.g., API, Real World Testing, Information Blocking)Map and transform clinical data to align with USCDI data classes and elementsCollaborate with QA and compliance teams to prepare for ONC-ACB (Authorized Certification Body) testing and surveillanceBuild and maintain integrations with EHR/EMR systems, HL7 v2, CCD/C-CDA documents, and other healthcare data formatsWrite and maintain test cases tied to certification test procedures (e.g., g(10), b(1), b(10), d(1)–d(13))Participate in Real World Testing plan execution and annual ONC reporting cyclesDocument technical implementations for audit readiness and certification submissionsTroubleshoot and resolve defects identified during internal QA, ONC-ACB testing, or surveillance auditsStay current on ONC rule updates (e.g., HTI-1, HTI-2) and translate regulatory changes into technical requirementsRequired Qualifications
4+ years of professional PHP development experience (Symfony, or a comparable framework)Experience building and consuming RESTful APIsFamiliarity with healthcare data standards: HL7 FHIR, HL7 v2, C-CDA/CCDUnderstanding of relational databases (MySQL, PostgreSQL) and writing efficient, secure queriesExperience working in regulated or compliance-driven environmentsStrong understanding of API security practices (OAuth2, SMART on FHIR authorization flows)Ability to read and interpret regulatory/technical specifications (e.g., ONC certification companion guides)Strong written documentation skills for audit and compliance purposesPreferred Qualifications
Prior experience supporting a product through actual ONC Health IT Certification (2015 Edition or Cures Update)Experience with USCDI / USCDI+ data class implementationFamiliarity with Clinical Quality Measures (CQMs) and quality reporting (e.g., MIPS, eCQM)Experience with HIPAA-compliant system design and PHI handlingKnowledge of Information Blocking regulations and exceptions