Senior Full Stack Software Engineer

Department Summary

Are you looking to make a global impact by working on leading-edge, open-source software and emerging standards for healthcare? The Computational Health Informatics Program (chip.org) at Boston Children's Hospital, a Harvard Medical School affiliate, is seeking an experienced full stack developer to join the SMART Health IT team (smarthealthit.org).

You will build software that brings AI capabilities and multimodal data to the point of care for children with chronic disease, across a research network of leading U.S. children's hospitals. The work turns clinical notes, imaging, labs, genomics, and structured EHR data into the systems clinicians, researchers, and families actually use.

As a member of the team that defined the national standards for SMART on FHIR and Bulk FHIR, now embedded in every major EHR, you will be at the center of data and AI innovation in healthcare.

About You

• Strong software engineering foundation. You ship high-quality, well-tested, well-documented code at scale.
• Solid grounding in data architectures, databases, and cloud-native software design.
• You operate well with autonomy. Given context and a goal, you self-direct and surface trade-offs early.
• Motivated to learn. Curious about new tools, standards, AI methods, and problem domains.
• Committed to open source and to building things that get widely used.

Key Responsibilities

• Partner with clinicians, researchers, and engineers to translate user needs into engineering plans, weighing effort against impact.
• Design and build backend services that turn large-scale clinical data into research-ready and AI-ready data products.
• Build APIs and reference clients that demonstrate the platform's capabilities to clinical, research, and public health partners.
• Contribute to and represent open standards. Present at conferences, collaborate with developers from peer institutions, and help shape the next generation of FHIR and SMART specifications.

Minimum Qualifications

Education

• Bachelor's in Computer Science, Master's preferred

Experience:

• Bachelor's and 7 years' experience or Master's and 4 years of related experience
• Practical experience with Python, JavaScript, and SQL.
• Experience with big data technologies (e.g., Spark, Athena, Presto, BigQuery, Airflow, Parquet).
• Strong knowledge of Linux and *nix ecosystems
• Strong communication and collaboration skills.
• A link to your work on GitHub or comparable public work.
• Hands-on experience building infrastructure in the cloud (AWS, Google Cloud, or Azure) preferred.
• Comfort working across tech stacks. Working knowledge of Node.js and modern front-end development preferred.
• Background with healthcare data formats and APIs (FHIR, SMART, HL7 v2) preferred.
• Experience with AI or machine learning workflows, including LLM and multimodal pipeline preferred.

The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.