API Engineer III

Description

We’re looking for our next bold leader – an API Engineer III – to join our quest to provide market-transforming

solutions for businesses, care teams, and consumers to interactively manage health and care.

At Medecision, you’ll have the chance to work with people who have incredible intellect, who are hard-wired for

problem-solving. You’ll also know that you’re making a real difference, and not just in some abstract, corporate-

mission-statement kind of way. We’re working with companies that touch millions of lives every day, maybe even

saving a few along the way. Each person contributes uniquely to our mission and our ability to raise the level of

experience we provide to all our customers and colleagues. The role of API Engineer III is no different, and in fact,

plays a key role in our journey to innovate solutions that solve real problems for our clients.

To be successful at Medecision, the API Engineer III will understand what a customer-centric organization entails

and be able to infuse that ideology in their contributions. On a given day, you will design, build, and maintain

customer-, partner-, and AI agent-facing APIs and backend services that power Medecision’s platform workflows

and partner integrations, including FHIR-based data exchange, helping our clients improve health outcomes for

the millions of members they serve

Requirements

What You’ll Do

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

Complete other duties as assigned

Support Medecision’s mission to deliver interoperable, whole-person care by ensuring the APIs and integrations

you build are secure, reliable, and built to scale for the clients and members who depend on them

Minimal travel required, limited to occasional team or company events

Follow and comply with all security policies and procedures established by the organization, including

adherence to HIPAA and HITRUST regulations

Applicants must be authorized to work for any employer in the US. This position does not offer sponsorship for

employment visas.

What You’ll Bring

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

Benefits at Medecision

As we aim to reimagine healthcare for everyone, we also care for each of our employees' overall well-being. Along

with your typical health and retirement benefits, some other components of our total rewards package include:

Remote-first working environment that allows for a flexible schedule

New Hire Allowance to get your home office up & running plus a 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, and other programs are available