Senior Full Stack Engineer (US Healthcare) - Remote

Job Title: Senior Full Stack Engineer Healthcare Special Projects (CTOs Office)

Location: Remote

Working Hours: 3 PM IST to 12 AM IST

Experience Required: Minimum 7 years

Employment Type: Full-Time

Department: CTO Office / Special Projects (Healthcare Engineering)

Position Overview

The Senior Full Stack Engineer in the CTO Office will own and deliver high-impact special projects across our healthcare portfolioprimarily focused on health insurance payers and Health Information Exchange (HIE) initiatives. This is a high-autonomy, high-visibility role for someone who thrives in ambiguity, moves fast with strong engineering judgment, and can independently take a project from concept to production. You will partner directly with the CTO and cross-functional stakeholders to identify opportunities, shape solutions, build end-to-end systems, and drive adoptionbalancing speed with quality, security, and interoperability requirements in healthcare.

Key Responsibilities

• Own special projects end-to-end: discovery, solution design, implementation, testing, deployment, and post-launch iteration.
• Partner directly with C-level execs to translate strategic priorities into executable technical plans, milestones, and shipped outcomes.
• Design and build production-grade full stack applications using Next.js/React, Node.js, and TypeScript.
• Architect scalable, secure systems that handle PHI responsibly, including audit logging, traceability, access controls, and data minimization.
• Build backend services and APIs (REST and/or GraphQL) with strong standards for reliability, documentation, versioning, and performance.

• Lead integration efforts for payer and/or HIE workflows, enabling data exchange and interoperability across systems.
• Implement or support healthcare data exchange standards and transactions such as FHIR, HL7 v2, and X12/EDI (270/271, 276/277, 278, 834, 835, 837) as project needs require.
• Make pragmatic architecture decisions and technology selections, documenting tradeoffs and ensuring maintainability.
• Establish best practices for the project: code quality, automated testing, CI/CD, monitoring, and operational readiness.
• Work closely with product, operations, compliance, and engineering teams to align requirements, unblock execution, and ensure successful rollout.
• Communicate proactively with stakeholdersproviding clear status updates, risks, options, and recommendations.

Required Skills and Qualifications

• Bachelors degree in Computer Science, Software Engineering, or a related field.
• 7+ years of full stack engineering experience shipping production applications.
• Strong expertise in Next.js/React and modern front-end development (state management, performance, accessibility).
• Strong backend experience with Node.js and TypeScript (Express/NestJS or similar), including API design and integration patterns.
• Proven ability to work independently and deliver projects from start to finish with minimal oversight.
• Strong system design skills and experience building scalable architectures, making sound tradeoffs, and driving projects through ambiguity.
• Solid experience with SQL databases (Postgres/MySQL) and data modeling; familiarity with NoSQL is a plus.
• Healthcare domain experience, preferably with health insurance payers and/or HIE programs.
• Working knowledge of interoperability standards and workflows (FHIR, HL7, X12/EDI).
• Experience building secure systems in compliance-driven environments (HIPAA-aligned controls, encryption, least privilege, auditability).
• Experience with cloud platforms (AWS/Azure/GCP), CI/CD pipelines, and production deployments.
• Excellent written and verbal communication skills, including the ability to align technical execution with business outcomes.

Preferred Qualifications

• Hands-on experience with payer workflows such as eligibility & benefits, claims lifecycle support, prior authorization, provider data, member enrollment, care coordination, and payer reporting.
• Experience with FHIR implementation details (profiling/validation, terminology, subscriptions, bulk data, integration engines).
• Experience with HIE integration patterns and tooling (interface engines, exchange workflows, eventing, batch vs real-time pipelines).
• Experience with observability (logs/metrics/traces), incident response, and building reliable production systems.
• Exposure to event-driven architectures (queues/streams), background processing, and resilient integration patterns.
• Familiarity with compliance frameworks and operational rigor (SOC 2 environments, HITRUST-aligned controls).
• Experience with infrastructure-as-code and containerized deployments (Docker/Kubernetes/serverless).

Soft Skills

• Highly self-driven with strong ownershipable to take initiative, make progress independently, and deliver outcomes.
• Comfortable operating in ambiguity with a builder mindsetable to define the problem, propose solutions, and execute quickly.
• Strong product thinkingunderstands user needs and optimizes for impact, usability, and adoption.
• Excellent stakeholder managementclear, proactive communication and ability to influence without authority.
• High standards for quality, security, and reliabilityespecially when dealing with sensitive healthcare data.
• Resilient and adaptableable to pivot priorities while maintaining focus and execution discipline.

What Makes This Role Different

• Direct partnership with C-level execsand high visibility across strategic initiatives.
• High autonomy and ownershipyour work will directly shape product direction and execution.
• A chance to build meaningful healthcare technology that impacts real patients, providers, and payer operations.
• Opportunity to set the engineering bar for special projects through strong architecture, speed, and craftsmanship.