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Salary
≈ $120k – $220k per year (Estimated)
Location
In office (Hartford)
Seniority
Senior · 5+ years exp
Visa
H-1B filings in 12 months: 281 · for this role: 48 · green card filings: 17

Confirmed on the employer's own hiring board on Oct 16, 2026. First seen by Alion on Oct 14, 2026. EXL scores B on the Alion truth index.

Overview
Company
Impact
Profile match

EXL

EXL, legally ExlService Holdings, is a data analytics, AI and digital operations company headquartered in New York that runs outsourced business processes and builds data and AI solutions for insurers, healthcare organisations, banks, media and retail companies. Founded in 1999 and listed on Nasdaq, it has more than 60,000 employees across six continents, with large delivery centers in Noida, Gurgaon, Pune, Bengaluru and Chennai and a newer AI hub in Dublin. It hires data scientists and data engineers, GenAI and MLOps engineers, analytics managers, solution consultants and client partners, plus talent acquisition, finance and medical coding staff.

Hybrid; Hartford, CT

$80-90k plus bonus

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

We are seeking a highly motivated Backend Developer with strong expertise in Python, FastAPI, XML processing to build and enhance a Healthcare Data Quality Platform focused on evaluating, scoring, and onboarding clinical data from CCDA documents.

The successful candidate will work on a modern backend platform, responsible for clinical document parsing, healthcare data quality analysis, secure data ingestion, and integration.

Qualifications:

  • Bachelor’s degree in computer science, Mathematics or related field, or equivalent practical experience.
  • Minimum 5 years of experience in Python backend development including production service designing and deployment.
  • Experience owning system architecture decisions: service boundaries, data model design and API contracts.
  • FastAPI - routers, Depends() injection, UploadFile handling, StreamingResponse, StaticFiles for SPA serving. Understanding of same-origin deployment.
  • Strong hands-on experience parsing XML with lxml.
  • Strong SQL experience.
  • Experienced in query troubleshooting such as isolating blocks of poor performing code, determining root cause and developing remediation actions.
  • Knowledge of HIPAA compliance and data privacy standards.
  • Strong understanding of QA methodologies, test planning, and defect tracking.
  • Analytical mindset with attention to detail and problem-solving skills.
  • Knowledge & experience in US Healthcare Interoperability, HEDIS & handling CCDA / HL7 CDA R2 document structure is preferred.
  • Design-thinking & excellent verbal and written communication skills.

Responsibilities:

  • Design, develop, and maintain backend services using Python and FastAPI.
  • Build scalable APIs for healthcare data ingestion, processing, scoring, and reporting.
  • Develop and maintain REST endpoints supporting file uploads, data validation, and export capabilities.
  • Implement processing patterns, thread pools, and dependency injection.
  • Create reusable and maintainable code using Python best practices, type hints, and data-class-based models.
  • Develop and maintain CCDA parsing and data extraction capabilities.
  • Parse healthcare documents using lxml and XPath expressions.
  • Extract, analyze, and score clinical information
  • Enhance data quality scoring algorithms and clinical coverage assessment logic.
  • Implement security and governance best praticies.
  • Support healthcare interoperability and clinical data quality initiatives.

Qualifications:

  • Bachelor’s degree in computer science, Mathematics or related field, or equivalent practical experience.
  • Minimum 5 years of experience in Python backend development including production service designing and deployment.
  • Experience owning system architecture decisions: service boundaries, data model design and API contracts.
  • FastAPI - routers, Depends() injection, UploadFile handling, StreamingResponse, StaticFiles for SPA serving. Understanding of same-origin deployment.
  • Strong hands-on experience parsing XML with lxml.
  • Strong SQL experience.
  • Experienced in query troubleshooting such as isolating blocks of poor performing code, determining root cause and developing remediation actions.
  • Knowledge of HIPAA compliance and data privacy standards.
  • Strong understanding of QA methodologies, test planning, and defect tracking.
  • Analytical mindset with attention to detail and problem-solving skills.
  • Knowledge & experience in US Healthcare Interoperability, HEDIS & handling CCDA / HL7 CDA R2 document structure is preferred.
  • Design-thinking & excellent verbal and written communication skills.
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