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Innovaccer is a healthcare software platform that helps hospitals, clinics, and health insurance companies integrate and make sense of scattered patient data across multiple systems. The company serves major US healthcare systems including CommonSpirit Health, Atlantic Health, and Banner Health, and is expanding into AI-powered agents for clinical workflows.
You will join the engineering team as a Full Stack Software Development Engineer I, building and maintaining a multi-tenant application platform with integrations to InNote, P360, Gravity, and AidBox (FHIR-first schema). Your primary focus will be developing scalable backend services and responsive frontend interfaces for healthcare providers and payers, working across the full stack on referral workflows—from creation and approval to tracking and fulfillment.
Key responsibilities include:
**Referral Workflow Development**: Build full-stack features for referral workflows covering creation, approval, tracking, and fulfillment. Develop RESTful APIs using FastAPI or Node.js for referral CRUD operations, status transitions, and reporting. Build React-based dashboards and workflows for referral management.
**Integration & Interoperability**: Integrate with InNote and Gravity APIs for data exchange and workflow orchestration. Lead FHIR migration efforts to convert existing data models to FHIR-compliant schemas aligned with FHIR R4 standards.
**Data & Multi-Tenancy Architecture**: Implement multi-tenancy architecture ensuring data isolation and tenant-specific customizations. Design and optimize PostgreSQL and MongoDB schemas for referral entities and audit trails.
**Quality, Collaboration & Operations**: Write comprehensive unit and integration tests maintaining >80% code coverage. Participate in code reviews and architectural discussions. Deploy and monitor services in Kubernetes environments using Argo CD. Collaborate with product, design, and QA teams on requirements and acceptance criteria.
Innovaccer recently signed a multi-year partnership with AWS (June 2026) to scale its AI agents using Amazon Bedrock and AWS HealthLake, signaling the platform's direction toward AI-powered healthcare automation.
**Requirements**
Must-Haves:
- 2+ years of full-stack web development experience with Python (async), FastAPI/Django, and Node.js/Express
- Proficiency with React, TypeScript, Tailwind CSS, and Material Design
- Hands-on experience with MongoDB (primary) and PostgreSQL (optional), including schema design and SQL optimization
- Working knowledge of FHIR R4, HL7, and REST API design patterns
- Experience with Docker, Kubernetes, Argo CD, and CI/CD pipelines
- Familiarity with Git, Jira, Postman, and monitoring tools such as ELK or Datadog
- Healthcare domain knowledge, including FHIR basics and HIPAA/compliance awareness
- Understanding of multi-tenancy design patterns and microservices architecture
- Comfort writing and maintaining automated tests using standard testing frameworks
Good to Have:
- Familiarity with InNote or similar EHR platforms
- Experience with event-driven architectures (Kafka, RabbitMQ)
- GraphQL implementation experience
