Note: The job is a remote job and is open to candidates in USA. Medecision is seeking a skilled Backend Engineer III to design, develop, and maintain complex backend services and integrations. This role involves significant responsibility for interoperability, business logic implementation, and connectivity with external APIs, supporting core platform workflows and partner integrations.
Responsibilities
- Design, build, and maintain core APIs and backend services that drive platform workflows and facilitate external integrations
- Develop and support FHIR-based integrations, including resource transformation, validation, and workflow orchestration
- Implement business logic, service-layer rules, and integration patterns for internal and partner-facing APIs
- Assist in exposing select services through MCP-compatible wrappers to enable AI and automation use cases
- Collaborate closely with the Tech Lead on architecture, design decisions, performance optimization, and production support
- Write clean, maintainable code, automated tests, and comprehensive technical documentation
Skills
- 4-6 years of professional backend engineering experience
- Bachelor's degree in Computer Science, Information Technology, or a related field
- Proven experience building APIs and service integrations in production environments
- Working knowledge of FHIR resources, healthcare data exchange, or interoperability frameworks
- Experience with Google Cloud Platform (GCP) deployments and cloud-native development practices
- Strong SQL proficiency and data modeling skills
- Ability to independently own and deliver medium-to-high complexity technical projects
- Familiarity with event-driven architectures, Pub/Sub messaging, or workflow orchestration systems
- Exposure to AI enablement patterns, tool interfaces, or MCP-style service wrapping
Benefits
- Opportunity to work on innovative projects with a dynamic team.
- Professional development and growth opportunities.
- Competitive salary and benefits package.
- Supportive and inclusive work environment.
Company Overview
MEDecision provides collaborative health care management solutions for clients. It was founded in 1988, and is headquartered in Wayne, Pennsylvania, USA, with a workforce of 201-500 employees. Its website is http://www.medecision.com.Company H1B Sponsorship
Medecision has a track record of offering H1B sponsorships, with 1 in 2025, 3 in 2023, 3 in 2022, 6 in 2021, 7 in 2020. Please note that this does not guarantee sponsorship for this specific role.