Note: The job is a remote job and is open to candidates in USA. Medecision is seeking a Backend Lead Engineer to provide day-to-day technical leadership for their API team. This role involves converting architectural vision into scalable, production-ready APIs and services while ensuring security, reliability, and interoperability of the platform.
Responsibilities
- Lead API design and implementation for internal platform services, partner integrations, and interoperability workflows
- Translate architecture and security standards into concrete service patterns, interface contracts, and coding standards for the team
- Design and develop FHIR-based APIs, including resource mapping, validation, and interoperability workflows
- Lead the technical implementation of MCP wrappers around key APIs and services, enabling AI-driven agents to safely access approved tools and data
- Conduct design and code reviews; mentor backend, DevOps, and QA team members
- Collaborate with architects to enforce security best practices, auditability, tenant isolation, and operational reliability across deployments
Skills
- 7-10 years of backend or API engineering experience with demonstrable technical leadership
- Proven expertise designing RESTful APIs, including service contracts, versioning strategies, error handling, and scalability
- Hands-on experience with FHIR APIs and healthcare interoperability standards
- Experience building or exposing APIs and services to support AI or agent-based workflows; familiarity with MCP is strongly preferred
- Proficient with GCP services such as Cloud Run, GKE, Pub/Sub, Cloud SQL, API Gateway, IAM, logging, and monitoring
- Excellent communication skills, with the ability to guide and lead execution in a fast-paced environment
- Background in healthcare, payer operations, or working with regulated data environments
- Familiarity with event-driven architectures and asynchronous processing patterns
- Java Development: Strong proficiency in Java, including frameworks such as Spring Boot for building RESTful APIs
- API Gateway Management: Experience with Kong, Apigee or similar API Gateway for configuring, deploying, and managing APIs, including plugins for authentication, rate limiting, and monitoring
- Containerization and Orchestration: Experience with Docker for containerizing Java applications and Kubernetes for orchestration in GCP environments
- Security: Knowledge of API security best practices, including OAuth2, JWT tokens, API keys, and encryption both in transit and at rest
- CI/CD Pipelines: Experience designing and implementing continuous integration and continuous deployment (CI/CD) pipelines using tools like Jenkins, GitLab CI, or Google Cloud Build
- Monitoring and Logging: Familiarity with monitoring tools such as Prometheus, Grafana, Google Cloud Monitoring, and centralized logging with Google Cloud Logging or ELK Stack
- Networking and Load Balancing: Understanding of networking concepts within GCP, including Virtual Private Cloud (VPC), firewall rules, and load balancing for API traffic management
- API Design and Documentation: Experience with API specification standards such as OpenAPI/Swagger and tools for API documentation and testing (e.g., Postman)
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.