Job Description

Engineering at Innovaccer

With every line of code, we accelerate our customers' success, turning complex challenges into innovative solutions. Collaboratively, we transform each data point we gather into valuable insights for our customers. Join us and be part of a team that's turning dreams of better healthcare into reality, one line of code at a time. Together, we're shaping the future and making a meaningful impact on the world.

About the Role

We're looking for a Software Development Engineer III (Backend) to own the architecture and evolution of the interoperability platform that powers secure healthcare data exchange across our products. You'll lead mission-critical integrations connecting EMR/EHR systems, practice management platforms, laboratories, payers, and external partners — and shape the long-term technical strategy for how that data moves.

This is a high-impact, hands-on role for someone who combines deep healthcare interoperability expertise with strong software engineering fundamentals. You'll design integration solutions using standards like HL7 v2, FHIR, CDA/CCDA, and X12/EDI, working with engines such as Rhapsody, Mirth Connect, Cloverleaf, or Corepoint. Beyond implementation, you'll set technical direction, improve platform reliability, mentor engineers, and partner closely with Product, Implementation, and Customer Success to build systems that are secure, scalable, and built to last — processing large volumes of healthcare transactions without compromising on compliance.

A Day in the Life

Architecture & Technical Direction

• Own the design and evolution of complex interoperability solutions spanning multiple healthcare systems, building scalable, cloud-native integration architecture that holds up at volume.
• Lead architecture reviews, set engineering standards, and drive technical decisions that balance immediate priorities with the platform's long-term direction.
• Evaluate emerging interoperability standards and push modernization — moving legacy integrations toward API-first and event-driven patterns where it makes sense.

Building & Shipping

• Build and maintain healthcare interfaces across HL7 v2, FHIR, CDA/CCDA, X12/EDI, REST, and SOAP, using Python, Go, Java, or similar.
• Develop reusable integration frameworks and shared tooling that make the whole team faster.

Reliability & Security

• Own production reliability for critical integrations — retries, idempotency, monitoring, alerting, and error recovery for workflows that can't afford to fail quietly.
• Lead incident investigations and root-cause analysis, and take part in on-call for critical services.
• Build with HIPAA and PHI handling front of mind — encryption, authentication, authorization, and audit trails aren't an afterthought here.

Mentorship & Collaboration

• Mentor engineers through design reviews, code reviews, and pairing.
• Work closely with Product, R&D, Implementation, and Customer Success to turn complex requirements into solutions that actually ship.
• Champion good engineering habits — automated testing, CI/CD, observability, documentation.

What success looks like in your first 6–12 months: you're owning technical delivery on critical interoperability initiatives end to end, you've measurably improved reliability and observability across integration services, you've set standards and reusable frameworks the team builds on, and Product/R&D/Implementation see you as the go-to person for interoperability strategy.

What You Need

Must-Haves

• 6–9 years of software engineering experience, with significant time spent building enterprise integration or healthcare interoperability solutions.
• Deep, hands-on expertise with HL7 v2, FHIR, CDA/CCDA, X12/EDI, and healthcare messaging workflows.
• Experience with integration engines such as Rhapsody or comparable healthcare integration platforms.
• Strong backend engineering skills in Python, Go, or Java.
• Solid grounding in SQL/relational databases — query optimization, data modeling, ETL.
• Experience designing RESTful APIs, SOAP services, and distributed integration architectures.
• Hands-on experience building cloud-native applications on AWS (preferred), Azure, or GCP.
• Experience with resilient distributed systems — messaging, async processing, fault tolerance, retries, idempotency, high availability.
• A track record of leading architecture discussions, mentoring engineers, and driving engineering excellence across teams.
• Strong communication skills — you can explain a gnarly technical tradeoff to both an engineer and a non-technical stakeholder.

Good to Have

• Experience integrating with EMR/EHR or Practice Management systems (Allscripts, NextGen, Epic, athenahealth, eClinicalWorks, Cerner, or similar).
• Familiarity with event-driven architectures and Kafka.
• Exposure to observability platforms like New Relic or KFuse.
• Experience with Docker and Kubernetes.
• Familiarity with US healthcare workflows, HIPAA, CMS requirements, and payer-provider integrations.
• We know engineers with this exact combination of deep interoperability depth and platform-scale engineering experience are rare — if you're a strong distributed-systems engineer without direct healthcare exposure but you're excited to go deep on the domain, we'd still love to talk.

Here’s What We Offer

• Generous Leaves: Enjoy generous leave benefits of up to 40 days.
• Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition.
• Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break? We've got you covered.
• Health Insurance: We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury. Extending support to the family members who matter most.
• Care Program: Whether it’s a celebration or a time of need, we’ve got you covered with care vouchers to mark major life events. Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need.
• Financial Assistance: Life happens, and when it does, we’re here to help. Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most.

Innovaccer is an equal-opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.

Disclaimer: Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

About Innovaccer

Innovaccer builds software that helps hospitals, clinics, and health insurance companies make sense of all the scattered data they deal with every day — patient records, appointments, insurance claims, lab results — and turns it into something useful and actionable.

Think of a typical hospital: patient information often lives in a dozen different systems that don't talk to each other well. This causes delays in scheduling, slows down doctors, and makes it harder to catch health problems early. Innovaccer's platform connects all of that data together, and increasingly, uses AI "agents" to actually do some of the manual work for healthcare teams — things like scheduling appointments, preparing insurance paperwork, or drafting clinical notes — so that staff can spend more time with patients and less time on admin work.

Some of the largest healthcare systems in the US — including CommonSpirit Health, Atlantic Health, and Banner Health — use Innovaccer's platform today.

The company is also investing heavily in this direction: in June 2026, Innovaccer signed a multi-year partnership with AWS to run its AI agents at a much larger scale, using AWS's cloud AI tools (Amazon Bedrock) and healthcare-specific data infrastructure (AWS HealthLake). This is a strong signal of where the platform — and this engineering team — is headed next. For more information, visit www.innovaccer.com and check us out on YouTube, Glassdoor, LinkedIn, Instagram, and the Web