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About the Role

Caspar Health connects digital rehabilitation with personal therapeutic care, helping people receive care during and after their clinic stay, wherever they are. We are looking for a Senior Software Engineer to join our Integration Squad, developing, rolling out, operating, and maintaining healthcare integrations. You will strengthen our backend engineering capacity and help clinic IT teams and software partners connect reliably to Caspar Health. The role covers existing interfaces and new integrations, from implementation and partner onboarding through production support and ongoing improvement. Hands-on experience implementing and operating FHIR integrations in production is a required qualification.

Responsibilities

Develop, roll out, operate and maintain integrations across our interface landscape
Take integrations through requirements clarification, data mapping, implementation, partner testing, go-live and ongoing support
Maintain and improve existing interfaces, resolve production issues and support changes in clinic and partner systems
Build reliable data flows for patient information and therapy schedules
Design and maintain backend services and versioned APIs in our Ruby on Rails and TypeScript environment
Handle duplicate messages, delayed or out-of-order updates, cancellations and partial failures with clear retry and reconciliation behaviour
Extend our developer portal with runnable quickstarts, accurate API references, synthetic examples and troubleshooting guidance
Work with clinic IT teams and software partners on tested interface contracts and repeatable onboarding
Improve automated contract and end-to-end tests, monitoring and operational runbooks
Share maintenance, support and knowledge through pairing, design discussions and code reviews
Apply secure authentication, authorisation, tenant isolation and data-handling practices with our infrastructure and privacy specialists

Requirements

Substantial hands-on experience delivering FHIR integrations used in production, including personal responsibility for implementation and troubleshooting after launch
Practical knowledge of FHIR resources, profiles, implementation guides, identifiers, terminology bindings, extensions and validation
Hands-on production experience with Ruby on Rails, including maintaining and troubleshooting backend APIs and asynchronous integrations
Practical experience working with AWS infrastructure, including the ability to integrate and manage cloud-based services
Experience with healthcare data models, patient and encounter lifecycles, identity matching and appointment changes
Strong SQL and PostgreSQL skills, including data modelling, migrations and performance-conscious queries
Experience designing secure REST APIs and asynchronous or event-driven integrations
Clear documentation and communication with engineers, product colleagues and integration partners
A collaborative, pragmatic approach and strong written and spoken English

Skills

FHIR
HL7 v2
REST APIs
CSV imports
Ruby on Rails
TypeScript
AWS
SQL
PostgreSQL
Secure authentication
Authorisation
Tenant isolation
Data-handling practices

Location

Germany

Work Type

Full physical presence within the country
Remote-first with flexible working hours
office optional in Berlin-Mitte or up to 90 days a year outside of Germany

Experience Level

Senior

Benefits

Monthly home office allowance
Additional meal subsidy
30 vacation days per year
Budget for learning & development, conferences, and coaching
High level of ownership and decision-making freedom
Genuine collaboration
Access to all Caspar offerings for mental and physical well-being
Snacks
Group sports sessions
Drinks fridge
Sense of humor

About the Company

Caspar Health connects digital rehabilitation with personal therapeutic care. We help people receive care during and after their clinic stay, wherever they are.
Bei Caspar Health schaffen wir digitalisierte Rehabilitation für medizinische Einrichtungen, um Ärztinnen, Therapeutinnen und Patientinnen mit innovativen Tools zu unterstützen, eine langfristige Genesung und einen Neuanfang in ein gesünderes und nachhaltigeres Leben für alle Patientinnen zu sichern.
Wir stellen Ärztinnen und Therapeutinnen die digitale Therapie-Plattform zur Verfügung, um individuell angepasste, interdisziplinäre Caspar-Therapiepläne zu erstellen und den Genesungsverlauf und die Entwicklung zeit- und ortsunabhängig zu verfolgen.
Alle Patientinnen erhalten ein Caspar Health-Konto mit einem auf sie zugeschnittenen interdisziplinären Therapieplan. Es umfasst klinische Übungen, Seminare und Aufklärungsvideos, die unabhängig von Zeit und Ort immer verfügbar sind. Caspar Health ist eine interaktive Plattform. Patientinnen trainieren, geben ihr Feedback und erhalten die notwendige Unterstützung von unseren Caspar Clinic Therapeut*innen.

Equal Opportunity

At Caspar Health, we strive to provide a friendly, safe and welcoming environment for all Casparians* regardless of ethnic origin, gender, gender identity and expression, sexual orientation, limitations of any kind, physical appearance, social background, age or religion (or lack thereof).
When you apply, we purely focus on your experience and motivation. You decide what additional information you want to disclose (picture, marital status, religion, gender, nationality, etc). We value and treat all applications equally.