Senior Full Stack Developer- Remote Canada at Altera Digital Health

Toronto, Ontario, Canada

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

8+ years software development experience, including 5+ years in Java/Spring Boot
Proven delivery of FHIR/SMART on FHIR integrations in production environments
Strong knowledge of US Core, FHIR IGs, and healthcare terminologies (LOINC, SNOMED CT, RxNorm, ValueSets)
Prior experience in professional services or healthcare delivery teams
Hands-on with GitLab CI/CD, Kubernetes/Helm, Kafka, and relational databases (PostgreSQL/MS SQL)
Excellent verbal and written communication and ability to work directly with customers
Highly organized, accountable, and capable of managing multiple concurrent priorities

Responsibilities

Develop backend services, adapters, and integrations using Java, Spring Boot, and Apache Camel for CMS mandates (Patient Access, Provider Access, P2P, Prior Auth)
Deliver FHIR R4+/SMART on FHIR APIs aligned with US Core and applicable Implementation Guides, ensuring full terminology compliance (LOINC, SNOMED CT, RxNorm, ValueSets)
Participate in customer meetings, office hours, demos, and escalations; explain technical concepts clearly and professionally
Write clean, maintainable code with strong unit/integration testing (JUnit, Testcontainers, MockMVC) and participate in detailed peer reviews
Build CI/CD pipelines in GitLab, manage Helm deployments on Kubernetes, and troubleshoot services, pods, and performance issues
Work with Kafka or equivalent messaging queues and relational databases (PostgreSQL/MS SQL) to deliver scalable, event-driven data pipelines
Review code, guide junior developers, and promote best practices in design, automation, and maintainability
Ensure that all working hours are accurately reported in the time tracking system on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the integrated project management tool is properly and fully utilized

Skills

Key technologies and capabilities for this role

JavaSpring BootApache CamelFHIRSMART on FHIRJUnitTestcontainersMockMVCGitLabHelmKubernetesKafkaPostgreSQLMS SQL

Questions & Answers

Common questions about this position

Is this position remote?

Yes, this is a remote position available to candidates in Canada.

What salary or compensation is offered for this role?

This information is not specified in the job description.

What are the key skills required for this Senior Full Stack Developer role?

The role requires 8+ years of software development experience including 5+ years in Java/Spring Boot, proven delivery of FHIR/SMART on FHIR integrations, strong knowledge of US Core, FHIR IGs, and healthcare terminologies (LOINC, SNOMED CT, RxNorm, ValueSets), hands-on experience with GitLab CI/CD, Kubernetes/Helm, Kafka, and relational databases.

What does the team environment look like for this position?

The role involves leading technical delivery, mentoring developers, collaborating with Project Managers, Solution Architects, and Technical Account Managers, participating in customer meetings, and promoting best practices.

What makes a candidate stand out for this role?

Candidates with prior experience in professional services or healthcare delivery teams, excellent communication skills for working directly with customers, and the ability to manage multiple priorities while ensuring accurate billable hours tracking will stand out.

Altera Digital Health

Cloud-based EMR solutions for healthcare providers

About Altera Digital Health

Altera Health provides technology solutions for hospitals and health networks in Australia and New Zealand, focusing on enhancing patient care and improving clinical workflows. Their main product is a cloud-based Electronic Medical Record (EMR) system that allows healthcare providers to digitally store, manage, and access patient information. This system is designed to be user-friendly, enabling clinicians to prioritize patient care over administrative tasks. Altera Health differentiates itself from competitors by offering a scalable and cost-effective SaaS model, which includes subscription fees for their EMR system and additional services like scanning and document management. The company's goal is to support healthcare providers in modernizing their operations and achieving better patient outcomes through improved information flow and operational efficiency.

Maipú, ChileHeadquarters

2017Year Founded

ACQUISITIONCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Benefits

Remote Work Options

Flexible Work Hours

Risks

Generative AI adoption may increase competition, challenging Altera's market position.

Paymentus integration could expose Altera to financial technology risks.

Delays in Paragon Denali deployment may impact customer satisfaction.

Differentiation

Altera's cloud-based EMR system enhances patient care and streamlines clinical workflows.

Partnership with Microsoft Azure boosts Altera's cloud-native EHR capabilities for rural hospitals.

Altera's offensive cybersecurity approach proactively addresses vulnerabilities before exploitation.

Upsides

Generative AI collaboration with EPAM enhances efficiency and reduces operational costs.

Paragon Denali offers scalable, cost-effective solutions for smaller hospitals on Microsoft Azure.

Altera's Sunrise EHR ranked top inpatient EHR for community and acute rehabilitation hospitals.

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