Job Description

Job Title

: Senior Full Stack Engineer - Healthcare Payers & HIE 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 portfolio--primarily 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 adoption--balancing 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 stakeholders--providing clear status updates, risks, options, and recommendations.

Required Skills and Qualifications

Bachelor's 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 ownership--able to take initiative, make progress independently, and deliver outcomes. Comfortable operating in ambiguity with a builder mindset--able to define the problem, propose solutions, and execute quickly. Strong product thinking--understands user needs and optimizes for impact, usability, and adoption. Excellent stakeholder management--clear, proactive communication and ability to influence without authority. High standards for quality, security, and reliability--especially when dealing with sensitive healthcare data. Resilient and adaptable--able to pivot priorities while maintaining focus and execution discipline.

What Makes This Role Different

Direct partnership with C-level execs and high visibility across strategic initiatives. High autonomy and ownership--your 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.