API Engineer III

🕒 April 21

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $110k - $125k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔙 Backend Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 26%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Medecision

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1988

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Series C on 2003-03

Healthcare • Consulting • Logistics

Medecision is a cloud-based company that provides a comprehensive data-powered platform designed for health plans, health systems, third-party administrators, and government solutions. Their platform enables organizations to improve health outcomes, reduce medical and administrative costs, and manage care effectively through digital care management, utilization management, and population health management. Medecision leverages advanced analytics and automation to optimize workflows and enhance patient engagement, supporting organizations in delivering personalized care while maximizing operational efficiency.

📋 Description

• Design, develop, and version APIs with a strong focus on contracts, backward compatibility, and lifecycle management • Build and maintain FHIR-based integrations, including resource transformation, validation, and workflow orchestration • Implement business logic, service-layer rules, and integration patterns for internal and external APIs • Develop APIs that enable secure interactions between AI agents and platform workflows • Manage API gateway configuration, security policies, and developer documentation • Own automated API testing, including contract and regression tests • Collaborate with Tech Leads and cross-functional teams on architecture, performance, and production support • Support Medecision’s mission to deliver interoperable, whole-person care by ensuring APIs and integrations are secure, reliable, and scalable • Complete other duties as assigned • Minimal travel required, limited to occasional team or company events • Follow and comply with all security policies and procedures, including HIPAA and HITRUST regulations

🎯 Requirements

• 4–6 years of backend engineering experience in Java and Spring Boot, with proven success delivering production APIs and integrations • Experience designing externally consumed APIs, including versioning and backward compatibility • Knowledge of API security best practices: authentication, authorization, and multi-tenant data isolation • Bachelor’s degree in Computer Science, IT, or a related field (or equivalent experience) • Familiarity with FHIR, healthcare data exchange, or interoperability frameworks • Experience with Google Cloud Platform (GCP) and cloud-native development • Strong SQL and data modeling skills across relational and NoSQL databases • Ability to independently manage and deliver medium- to high-complexity projects • Excellent collaboration, communication, and documentation skills – comfortable working with distributed teams • Experience with API gateways and developer portals • Background integrating APIs with AI agents or LLM-based tools • Healthcare payer or care management domain knowledge • Familiarity with event-driven architectures, Pub/Sub messaging, or orchestration systems • Strong problem-solving mindset and a customer-centric approach to building scalable, secure solutions • Applicants must be authorized to work for any employer in the US • Must comply with HIPAA and HITRUST regulations and organizational security policies

🏖️ Benefits

• Remote-first working environment that allows for a flexible schedule • New Hire Allowance to get your home office up & running • Monthly Remote Stipend to cover ongoing costs like your home internet bill • Paid Leave of Absence options including Parental Leave for welcoming a new child • Caregiver Leave for taking care of a loved one who is ill • Other programs are available • Typical health and retirement benefits