API Integrations Developer

What you will do:

We are looking for a API INTEGRATIONS DEVELOPER who can help shape our vision and support our mission. Here is what the position will look like.

• Design develop and maintain RESTful APIs using Python (Flask FastAPI Django) Node.js Java or .NET.
• Implement API best practices including idempotency pagination filtering sorting and versioning.
• Build secure authentication and authorization flows (OAuth2 JWT API keys mTLS).
• Create and maintain OpenAPI/Swagger documentation and Postman collections.
• Develop serialization/deserialization logic for JSON XML and healthcare‑specific schemas.
• Build integrations with EHRs clearinghouses PBMs HIEs CMS systems and state Medicaid platforms.
• Translate and map X12 EDI transactions (270/271 276/277 278 834 835 837) into API‑ready data models.
• Implement HL7 FHIR‑based APIs for Patient Access Provider Directory and Payer‑to‑Payer exchange.
• Work with HL7 v2 CDA and common FHIR resources (Patient Coverage Claim EOB etc.).
• Apply payer‑specific business logic including eligibility rules dual‑eligibility MCO structures program codes and retroactive eligibility.
• Support encounter reporting capitation logic and risk corridor adjustments.
• Understand state‑specific Medicaid program variations and regulatory requirements.
• Work with payer data models including members providers claims encounters coverage risk scores and care gaps.
• Build ETL pipelines and real‑time data flows using queues events and batch processing.
• Design SQL queries stored procedures and schemas using SQL Server or Snowflake.
• Implement SCDs snapshot tables system‑versioned tables and Data Vault 2.0 patterns.
• Ensure all API and data workflows comply with HIPAA CMS interoperability rules and PHI/PII handling standards.
• Implement audit trails lineage tracking and data retention policies.
• Apply the Minimum Necessary Standard across all data access patterns.
• Deploy services using Docker Kubernetes and CI/CD pipelines (GitHub Actions Azure DevOps Jenkins).
• Implement structured logging distributed tracing metrics and error monitoring using ELK Datadog Prometheus or Grafana.
• Collaborate with infrastructure teams across AWS Azure GCP or hybrid environments.
• Write unit tests (pytest JUnit) integration tests and contract tests (Pact).
• Conduct performance testing using k6 or Locust.

• Ensure high reliability and auditability of all API endpoints.

   

What you will bring:

Education: Bachelor’s degree in computer science or related field required or an equivalent combination of education and experience. 

Experience: 4+ years of backend development experience (Python Node.js Java or .NET). Hands‑on experience with HL7 FHIR and X12 EDI transactions. Experience working with healthcare payer systems. Experience with OAuth2 JWT RBAC/ABAC and secure API design. Preferred experience includes experience implementing a FHIR server or FHIR gateway. Experience with EDI translation engines. Experience with risk adjustment models. Experience with API gateways and reverse‑proxy security patterns.

Knowledge Skills and Abilities: Strong understanding of REST API design and distributed systems. Strong SQL skills including query optimization and advanced joins. Familiarity with HIPAA CMS interoperability rules and PHI governance. Knowledge of member provider claims encounters coverage risk scores and care gap data structures. Strong understanding of HIPAA PHI/PII handling CMS interoperability rules RBAC/ABAC OAuth2 JWT and mTLS. Knowledge of relational database design normalization/denormalization strategies SCDs snapshot tables and system‑versioned tables. Understanding of Patient Access API Provider Directory API and Payer‑to‑Payer data exchange requirements. Skilled in designing and implementing RESTful APIs with Python Node.js Java or .NET. Ability to build and maintain integrations with EHRs clearinghouses PBMs HIEs and state Medicaid systems. Ability to convert business rules and regulatory requirements into technical API and integration solutions.  Ability to navigate payer ecosystems legacy systems and multi‑vendor healthcare environments. Demonstrates support for the company’s mission vision and values.  Position requires excellent written and verbal communication skills. Must be proficient in Microsoft office applications (Word Excel PowerPoint Outlook SharePoint) with ability to work with a variety of project management tools.  May be required to manage multiple priorities and projects with tight deadlines. 

Licenses/Certifications:  A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Together we will be: an innovative and collaborative team who supports each other the employees and vision of the company to reach our goals individually together and as an organization.

Pay Perks and Benefits at Colorado Access:

The compensation for this position is $118600.00 - $133300.00 annually. Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate departmental budget availability internal salary equity considerations and available market information but not based on a candidate’s sex or any other protected status.

In addition to being part of a mission driven organization serving our community as an eligible Colorado Access employee you’ll receive a generous benefits package that includes:

• Medical dental vision insurance that starts the first day of the month following start date.
• Supplemental insurance such as critical illness and accidental injury.
• Health care and dependent care flexible spending account options.
• Employer-paid basic life insurance and AD&D (employee spouse and dependent).
• Short-term and long-term disability coverage.
• Voluntary life insurance (employee spouse dependent).
• Paid time off
• Retirement plan
• Tuition reimbursement (based on eligibility).
• Annual bonus program (based on eligibility requirements and performance).

Where you will work:

This position will be a hybrid model work environment a blend of ‘In-Office’ and ‘Remote.’ 

We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.

What We Do

Colorado Access is a local nonprofit health plan that serves members throughout Colorado. We have been on a mission since 1994 to partner with communities and empower people through access to quality equitable and affordable care. Our focus is driving improvements in quality member experience outcomes and cost. We care for individuals families and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program).