Jobs and Careers

Senior Engineer, FHIR

United States, United StatesRemotefull_timeVerifiedPosted 28 May 2026

About the role

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes.

Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

The Team you will be joining:

HQR

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Hospital Quality Reporting program. Thousands of hospitals across the country depend on these systems to submit quality measure data that reflects the care beneficiaries receive in their facility. Our teams will continuously strive to modernize these systems, while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

As a Senior Engineer:

You contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes.
You demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals.
You accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products.
You proactively support and collaborate with team members, fostering a positive and productive team environment.
You adhere to established team processes, ensuring a steady and reliable delivery of features to production.

These are the types of things you’ll be working on

Cross-functional Collaboration: Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC.
Test Planning and Design: Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities.
Bug Tracking and Resolution: Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution.
Quality Metrics and Standards: Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC.
Automate Testing Processes: Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines.
Continuous Improvement: Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices
Compliance and Regulatory Adherence: Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes.
Performance and Security Testing: Implement and conduct performance and security testing following best practices and business requirements.

Security Clearance Requirements

US Citizenship or Green Card only - we do not offer Sponsorship
US Residency for at least the past 3 years
Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article