Software Development Engineer III – Backend (Comet)

Engineering at Innovaccer

With every line of code, we accelerate our customers' success, turning complex challenges into innovative solutions. Collaboratively, we transform each data point we gather into valuable insights for our customers. Join us and be part of a team that's turning dreams of better healthcare into reality, one line of code at a time. Together, we're shaping the future and making a meaningful impact on the world.

About the Role

We're looking for a Software Development Engineer III to step into a critical architectural role at the heart of Innovaccer's provider-facing platform. This isn't a green-field feature team — it's ownership of live, production systems that power appointment scheduling, AI-assisted clinical documentation, and FHIR-based interoperability across multiple enterprise healthcare customers today.

You'll take over from a departing architect and become the go-to engineer for a set of services that directly affect how providers see patients, how clinical notes get created, and how data flows in and out of EHRs like Epic and Cerner. Alongside this, you'll help push the platform forward — building healthcare AI agents, contributing to RAG pipelines, and strengthening the FHIR/interoperability foundation that everything else is built on.

This role sits at the intersection of deep backend engineering and healthcare domain expertise. You'll need to be equally comfortable digging into a tricky production issue and designing a multi-tenant FHIR architecture that's built to scale over the long run.

A Day in the Life

Own core provider-facing services

• Act as the primary owner for the systems behind intelligent appointment scheduling, AI-assisted clinical documentation, and multi-tenant FHIR data exchange — the kind of services that, if they go down, a provider notices immediately.
• Triage and resolve issues in provider scheduling logic, working through complex provider hierarchies and edge cases.
• Support and evolve real-time data ingestion pipelines that power provider search and scheduling.

Lead FHIR & interoperability strategy

• Drive FHIR R4 and HL7v2 strategy in collaboration with InterOps teams and EHR vendors (Epic, Cerner, and others).
• Design and maintain multi-tenant FHIR architectures that handle user context propagation, audit compliance, and data isolation safely across customers.
• Troubleshoot EHR integration issues across multiple live customer environments.

Architect for scale

• Design scalable, secure, and reliable backend systems in Python (primary).
• Establish patterns for runtime configuration management across Python microservices.
• Build data routing and isolation mechanisms to keep multi-tenant systems safe and performant.

Build what's next

• Contribute to healthcare AI agents and RAG-based pipelines that bring AI directly into clinical and operational workflows.
• Partner with product managers, healthcare domain experts, and other engineers to translate real clinical and operational needs into shippable systems.
• Respond to customer escalations tied to scheduling availability or documentation delays, with urgency and ownership.

Raise the bar

• Mentor and guide other engineers; contribute to technical leadership and best practices across the data/backend engineering org.
• Own the end-to-end lifecycle of the tools you build — from prototype to production, including observability and long-term maintainability.
• Champion privacy-by-design and regulatory compliance (HIPAA) as a default, not an afterthought.

What You Need

Must-have

• 6–9 years of software engineering experience building distributed, backend systems (candidates with 5–6 years of strong experience will also be considered).
• Strong backend engineering experience — Python is preferred.
• Strong database fundamentals (SQL and NoSQL) and RESTful API design experience.
• Hands-on experience with healthcare interoperability standards — FHIR R4, HL7v2 — and at least one major EHR API (Epic, Cerner, or similar) is strongly preferred. We know great backend engineers with this exact background are rare, so if you don't have direct healthcare experience but are a strong distributed-systems engineer willing to ramp up on the domain, we'd still love to talk.
• Experience designing for microservices, multi-tenant architecture, and service isolation.
• Strong system design skills (HLD/LLD) and sharp debugging instincts in production environments.

Good to have

• Exposure to AI agents, RAG pipelines, or LLM-based systems in production.
• Experience with provider scheduling logic or appointment optimization.
• Prior experience in healthcare SaaS or a health system IT department.
• Familiarity with modern data stack tools (Kafka, Spark, Airflow) and cloud platforms (AWS, Azure, GCP).
• Understanding of healthcare compliance practices — HIPAA, audit logging, PHI handling.

Education

• Bachelor's or Master's degree in Computer Science, Engineering, or a related field.

Here’s What We Offer

• Generous Leaves: Enjoy generous leave benefits of up to 40 days.
• Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition.
• Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break? We've got you covered.
• Health Insurance: We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury. Extending support to the family members who matter most.
• Care Program: Whether it’s a celebration or a time of need, we’ve got you covered with care vouchers to mark major life events. Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need.
• Financial Assistance: Life happens, and when it does, we’re here to help. Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most.

Innovaccer is an equal-opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.

Disclaimer: Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

About Innovaccer

Innovaccer builds software that helps hospitals, clinics, and health insurance companies make sense of all the scattered data they deal with every day — patient records, appointments, insurance claims, lab results — and turns it into something useful and actionable.

Think of a typical hospital: patient information often lives in a dozen different systems that don't talk to each other well. This causes delays in scheduling, slows down doctors, and makes it harder to catch health problems early. Innovaccer's platform connects all of that data together, and increasingly, uses AI "agents" to actually do some of the manual work for healthcare teams — things like scheduling appointments, preparing insurance paperwork, or drafting clinical notes — so that staff can spend more time with patients and less time on admin work.

Some of the largest healthcare systems in the US — including CommonSpirit Health, Atlantic Health, and Banner Health — use Innovaccer's platform today.

The company is also investing heavily in this direction: in June 2026, Innovaccer signed a multi-year partnership with AWS to run its AI agents at a much larger scale, using AWS's cloud AI tools (Amazon Bedrock) and healthcare-specific data infrastructure (AWS HealthLake). This is a strong signal of where the platform — and this engineering team — is headed next. For more information, visit www.innovaccer.com and check us out on YouTube, Glassdoor, LinkedIn, Instagram, and the Web.