[Remote] API Engineer III

Note: The job is a remote job and is open to candidates in USA. Medecision is seeking a skilled Backend Engineer III to design, develop, and maintain complex backend services and integrations. This role involves significant responsibility for interoperability, business logic implementation, and connectivity with external APIs, supporting core platform workflows and partner integrations.ResponsibilitiesDesign, build, and maintain core APIs and backend services that drive platform workflows and facilitate external integrationsDevelop and support FHIR-based integrations, including resource transformation, validation, and workflow orchestrationImplement business logic, service-layer rules, and integration patterns for internal and partner-facing APIsAssist in exposing select services through MCP-compatible wrappers to enable AI and automation use casesCollaborate closely with the Tech Lead on architecture, design decisions, performance optimization, and production supportWrite clean, maintainable code, automated tests, and comprehensive technical documentationSkills4-6 years of professional backend engineering experienceBachelor's degree in Computer Science, Information Technology, or a related fieldProven experience building APIs and service integrations in production environmentsWorking knowledge of FHIR resources, healthcare data exchange, or interoperability frameworksExperience with Google Cloud Platform (GCP) deployments and cloud-native development practicesStrong SQL proficiency and data modeling skillsAbility to independently own and deliver medium-to-high complexity technical projectsFamiliarity with event-driven architectures, Pub/Sub messaging, or workflow orchestration systemsExposure to AI enablement patterns, tool interfaces, or MCP-style service wrappingBenefitsOpportunity to work on innovative projects with a dynamic team.Professional development and growth opportunities.Competitive salary and benefits package.Supportive and inclusive work environment.Company OverviewMEDecision provides collaborative health care management solutions for clients. It was founded in 1988, and is headquartered in Wayne, Pennsylvania, USA, with a workforce of 201-500 employees. Its website is http://www.medecision.com.Company H1B SponsorshipMedecision has a track record of offering H1B sponsorships, with 1 in 2025, 3 in 2023, 3 in 2022, 6 in 2021, 7 in 2020. Please note that this does not guarantee sponsorship for this specific role.