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 an SDE-1, Fullstack Engineer to develop and maintain a multi-tenant application platform with integrations to InNote, P360, Gravity, and AidBox (FHIR-first schema).

You'll build 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 — while contributing to a broader FHIR migration effort that brings our data models in line with FHIR R4 standards.

A Day in the Life

Referral Workflow Development

• Build full-stack features for referral workflows — creation, approval, tracking, and fulfillment.
• Develop RESTful APIs with FastAPI/Node.js for referral CRUD, 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 — convert existing data models to FHIR-compliant schemas.

Data & Multi-Tenancy Architecture

• Implement multi-tenancy architecture ensuring data isolation and tenant-specific customizations.
• Design and optimize PostgreSQL/MongoDB schemas for referral entities and audit trails.

Quality, Collaboration & Operations

• Write comprehensive unit and integration tests; maintain >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.

What You Need

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, to be used with AidBox.

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 [email protected]. 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.