Senior Backend & AI Engineer with Healthcare Data Experience

5+ years building production-grade backend systems. Background working with healthcare datasets, FHIR standards, or EHR integrations. Hands-on experience with semantic search, NLP pipelines, or text-based data retrieval. Strong SQL expertise: schema design, indexing, optimization, and secure multi-tenant architectures. Experience designing secure systems handling sensitive or regulated data (HIPAA, GDPR, SOC2). Integration work with REST APIs, OAuth, and external third-party services. Ability to own decisions around architecture, design, and performance.

Build and maintain secure data ingestion pipelines for healthcare data. Normalize medical data using ICD-10, CPT, SNOMED CT, LOINC, RxNorm. Design and implement EHR integrations and external API connections. Architect backend services, multi-tenant PostgreSQL databases, and HIPAA-compliant infrastructure. Develop semantic search, NLP-driven querying, and relevance-ranking features. Implement RBAC, audit logging, encryption, and other security controls. Integrate third-party services (OAuth, communication tools, notifications). Create automated monitoring, data synchronization, and operational health checks. Collaborate with clinical advisors to refine domain-specific capabilities. Produce clear technical documentation and support compliance needs.