





Mid-level backend role at a known healthtech employer in metro location, but niche FHIR/EHR requirements limit the pool.
Strong healthcare interoperability (FHIR, EHR) and PHI/compliance requirements make cross-industry transfers difficult.
Explicit 6–9 years requirement plus mandatory backend, microservices, and FHIR/EHR interoperability experience.
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Own and maintain critical backend services for provider-facing healthcare platform including appointment scheduling, AI-assisted clinical documentation, and multi-tenant FHIR data exchange.
Lead FHIR R4 and HL7v2 interoperability strategy, collaborating with EHR vendors (Epic, Cerner) and ensure scalable, secure system architecture supporting multi-tenant environments.
Architect and evolve backend systems primarily in Python, focusing on scalability, privacy (HIPAA compliance), observability, and integrating healthcare AI agents and RAG pipelines.
6–9 years of software engineering experience building distributed backend systems; candidates with 5–6 years of strong experience considered.
Proficiency in backend languages with preference for Python; strong SQL/NoSQL and RESTful API design skills.
Hands-on experience with healthcare interoperability standards (FHIR R4, HL7v2) and at least one major EHR API (Epic, Cerner) strongly preferred.
Experience designing microservices, multi-tenant architectures, service isolation, and strong system design (HLD/LLD) skills.
Experienced backend engineer comfortable owning live production systems that impact clinical workflows and provider interactions in healthcare.
Skilled in healthcare interoperability and able to lead technical strategy and troubleshooting with EHR integrations, supporting enterprise healthcare customers.
Capable of architectural thinking for scalable, secure multi-tenant systems and mentoring peers within a data/backend engineering organization in a regulated environment.