{"id":4312758,"url":"https://alion.io/job/onsure-health-senior-lead-developer-full-stack-engineering","title":"Senior Lead Developer - Full Stack Engineering","company":{"id":4543844,"name":"OnSure Health","domain":"onsurehealth.com","url":"https://alion.io/company/onsure-health","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Delhi, India"],"countries":["IN"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Angular","optional":false},{"name":"AWS","optional":false},{"name":"Azure","optional":false},{"name":"C#","optional":false},{"name":"CI/CD","optional":false},{"name":"FHIR","optional":false},{"name":"GCP","optional":false},{"name":"Git","optional":false},{"name":"HIPAA","optional":false},{"name":"HL7","optional":false},{"name":"JavaScript","optional":false},{"name":"MySQL","optional":false},{"name":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Python","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"SQL","optional":false},{"name":"TypeScript","optional":false},{"name":"Vue.js","optional":false}],"status":"live","first_seen_at":"2026-11-14T05:08:11Z","employer_posted_date":null,"last_verified_at":"2026-11-14T05:08:11Z","board_verified":false,"closed_at":null,"days_open":0,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":0},"description":"About the Role :\n\nWe are seeking an experienced Senior Lead Developer to design, develop, and implement advanced software solutions for EMR/EHR systems and inbuilt process automation within the US healthcare industry.\n\nThe ideal candidate will have strong expertise in full-stack software development, healthcare technology, system architecture, API integrations, and workflow automation. The role involves developing scalable healthcare applications, integrating clinical and administrative workflows, and building intelligent automation solutions to streamline healthcare operations.\n\nThe candidate will work closely with product managers, healthcare operations teams, business analysts, and other developers to translate complex healthcare requirements into secure, scalable, and high-performance software solutions.\n\nKey Responsibilities :\n\n1. EMR/EHR Software Development :\n\n- Design, develop, and maintain scalable EMR/EHR applications and healthcare technology platforms.\n\n- Build and enhance clinical, administrative, and operational modules within healthcare systems.\n\n- Develop functionalities for patient management, appointment scheduling, clinical documentation, medical records, and care coordination.\n\n- Design and implement secure, user-friendly interfaces for healthcare professionals and administrative users.\n\n- Develop reusable software components and scalable application architectures.\n\n- Ensure high-quality, maintainable, and efficient code through established development standards.\n\n2. Inbuilt Process Automation Development :\n\n- Design and develop automated workflows within EMR/EHR platforms to reduce manual intervention.\n\n- Build automation solutions for patient registration, scheduling, eligibility verification, authorization tracking, and documentation.\n\n- Develop automated workflows for healthcare revenue cycle operations, including medical billing, claims processing, charge capture, payment posting, and denial management.\n\n- Implement rule-based automation, workflow engines, triggers, notifications, and task escalation mechanisms.\n\n- Develop configurable automation capabilities to support different healthcare organizations and operational requirements.\n\n- Identify process bottlenecks and implement software-driven solutions to improve operational efficiency.\n\n3. Healthcare Application Development & Integration :\n\n- Develop and integrate healthcare applications with third-party systems, payer platforms, clearinghouses, and practice management systems.\n\n- Implement healthcare interoperability standards, including HL7 and FHIR.\n\n- Design, develop, and maintain RESTful APIs and secure data exchange mechanisms.\n\n- Build integrations between EMR/EHR platforms and billing, credentialing, scheduling, and clinical applications.\n\n- Ensure accurate data synchronization, system reliability, and integration performance.\n\n- Troubleshoot and resolve complex application and integration issues.\n\n4. Full-Stack Software Engineering :\n\n- Develop scalable backend services, business logic, and database architectures.\n\n- Build responsive and intuitive frontend applications for healthcare users.\n\n- Design and optimize database schemas, queries, and data processing workflows.\n\n- Implement authentication, authorization, role-based access controls, and secure application architecture.\n\n- Conduct code reviews, debugging, performance optimization, and technical documentation.\n\n- Develop unit tests, integration tests, and automated testing frameworks.\n\n5. AI & Intelligent Healthcare Automation :\n\n- Develop and integrate AI-powered functionalities into healthcare applications.\n\n- Implement intelligent document processing, data extraction, and automated documentation workflows.\n\n- Build AI-assisted solutions for clinical documentation support, medical coding assistance, claims validation, and operational workflow optimization.\n\n- Integrate AI/ML models and third-party AI services through secure APIs.\n\n- Collaborate with AI/ML teams to develop intelligent healthcare automation capabilities.\n\n- Ensure appropriate validation, human oversight, and safeguards for clinical and high-impact automated processes.\n\n6. Software Architecture & Technical Leadership :\n\n- Participate in system architecture design, technology selection, and technical planning.\n\n- Develop scalable, modular, and maintainable software solutions.\n\n- Lead technical discussions and provide guidance to junior developers.\n\n- Review code and ensure adherence to software development best practices.\n\n- Identify technical risks and recommend improvements to application architecture.\n\n- Collaborate with cross-functional teams to define technical requirements and delivery timelines.\n\n- Support deployment, production troubleshooting, and continuous product improvement.\n\n7. Healthcare Compliance & Data Security :\n\n- Develop applications aligned with applicable HIPAA privacy and security requirements.\n\n- Implement secure data handling, encryption, audit logging, and access control mechanisms.\n\n- Ensure healthcare data confidentiality, integrity, and availability.\n\n- Support compliance with relevant US healthcare interoperability and data exchange requirements.\n\n- Maintain technical documentation and support security assessments and compliance reviews.\n\nRequired Technical Skills :\n\n- Strong proficiency in one or more backend programming languages: Python, Java, C#, Node.js, or similar.\n\n- Experience with frontend technologies such as React.js, Angular, Vue.js, JavaScript, or TypeScript.\n\n- Strong knowledge of REST APIs, microservices, and software architecture.\n\n- Experience with SQL databases such as PostgreSQL, MySQL, or SQL Server.\n\n- Understanding of cloud platforms such as AWS, Microsoft Azure, or Google Cloud.\n\n- Experience with Git, CI/CD pipelines, automated testing, and deployment practices.\n\n- Hands-on experience with application integration and workflow automation.\n\n- Strong debugging, problem-solving, and performance optimization skills.\n\nHealthcare Technology Experience :\n\n- Experience developing or integrating EMR/EHR systems.\n\n- Understanding of US healthcare workflows and clinical or administrative processes.\n\n- Knowledge of HL7, FHIR, healthcare APIs, and interoperability standards.\n\n- Familiarity with healthcare platforms such as Epic, Oracle Health/Cerner, athenahealth, eClinicalWorks, or NextGen.\n\n- Understanding of HIPAA requirements and healthcare data security.\n\n- Exposure to medical billing, revenue cycle management, credentialing, or healthcare operations automation is preferred.\n\nQualifications :\n\n- Bachelor's or Master's degree in Computer Science, Information Technology, Software Engineering, or a related field.\n\n- 5 - 8 years of professional software development experience.\n\n- Demonstrated experience designing and developing scalable software applications.\n\n- Experience working on complex integrations, automation workflows, or enterprise software products.\n\n- Strong communication, analytical, and technical problem-solving skills.\n\n- Ability to work independently and collaborate with cross-functional teams.\n\nKey Performance Indicators :\n\n- Successful development and deployment of EMR/EHR modules and automation features.\n\n- Achievement of software development milestones and delivery timelines.\n\n- Improvement in application performance, scalability, and reliability.\n\n- Reduction in manual healthcare operational processes through automation.\n\n- Quality of code, test coverage, and production stability.\n\n- Successful implementation of healthcare system integrations.\n\n- Reduction in technical defects and recurring production issues.\n\n- Compliance with security and software development standards.\nSkills\nFull Stack, EHR/EMR, Healthcare EcoSystem, HL7, FHIR, RESTful API, Python, Java, React.js, AngularJS, Microservices Architecture","description_format":"text","description_chars":7821,"description_truncated":false,"requirements":{"experience_years_min":6,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["EHR & Clinical Software"],"lifecycle":[{"event":"open","at":"2026-11-14T13:10:15Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":0,"expected_fill_days":29,"reasons":["seen:0","win:early"],"computed_at":"2026-11-14T15:14:19Z"},"pay":null,"html_url":"https://alion.io/job/onsure-health-senior-lead-developer-full-stack-engineering","json_url":"https://alion.io/job/onsure-health-senior-lead-developer-full-stack-engineering.json","meta":{"generated_at":"2026-11-14T15:14:19Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":16628,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4543844},"rest":"https://alion.io/mcp/rest/get_company?id=4543844"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fonsure-health-senior-lead-developer-full-stack-engineering"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fonsure-health-senior-lead-developer-full-stack-engineering"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fonsure-health-senior-lead-developer-full-stack-engineering"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/onsure-health-senior-lead-developer-full-stack-engineering\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fonsure-health-senior-lead-developer-full-stack-engineering"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4312758}},{"tool":"search_jobs","arguments":{"company":"onsurehealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4312758},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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