Principal Backend Developer – Clinical Applications
Confirmed on the employer's own hiring board on Oct 22, 2026. First seen by Alion on Oct 15, 2026. Oracle scores A on the Alion truth index.
Principal Backend Developer - Clinical Applications Engineering Transform Healthcare Through Modern EHR Technology
Oracle Health is building the next generation of healthcare technology through our Gen2 Electronic Health Record (EHR) platform. We are seeking a highly skilled Principal Software Engineer to join our Clinical Applications Engineering team focused on modernizing provider workflows, inbox management, and clinical messaging capabilities that are central to how clinicians communicate, coordinate care, and manage patient information.
This is a full-stack engineering role with a strong emphasis on backend development, distributed systems, and scalable platform architecture. You will work on mission-critical healthcare applications used by clinicians every day while helping drive Oracle Health's next-generation cloud-native EHR strategy.
We are looking for engineers who thrive in complex technical environments, possess strong system design skills, and demonstrate a deep sense of ownership across the entire software development lifecycle.
What You'll Do
Design and Build Scalable Clinical Applications
- Design, develop, and maintain cloud-native EHR applications supporting clinical inbox, messaging, and provider workflow experiences.
- Build highly scalable backend services and distributed systems that power critical healthcare workflows.
- Develop full-stack solutions while maintaining a primary focus on backend architecture, performance, reliability, and scalability.
- Partner with product managers, architects, and cross-functional engineering teams to translate business requirements into technical solutions.
- Drive technical design discussions and contribute to long-term platform strategy.
Technical Leadership & Mentorship
- Serve as a technical leader within the team, helping guide architecture decisions and engineering best practices.
- Mentor junior engineers through code reviews, design reviews, and day-to-day technical guidance.
- Lead small engineering initiatives and coordinate delivery across teams when required.
- Foster a culture of engineering excellence, accountability, and continuous learning.
End-to-End Ownership
- Own services and applications throughout the entire development lifecycle, from requirements gathering through deployment and production support.
- Troubleshoot complex production issues and drive root-cause analysis efforts.
- Improve observability, reliability, operational readiness, and system performance.
- Collaborate closely with TPMs, Product Managers, and stakeholders to ensure requirements are clearly understood and successfully delivered.
Engineering Productivity & AI Enablement
- Leverage modern AI-assisted development tools, including coding assistants and prompt-driven engineering workflows, to improve productivity and development efficiency.
- Work closely with teams building AI-powered healthcare capabilities while remaining focused on application engineering and platform delivery.
- Apply AI tools thoughtfully while maintaining strong software engineering fundamentals, architecture expertise, and independent problem-solving capabilities.
Required Qualifications
- Bachelor's degree in Computer Science, Software Engineering, or related field.
- 7-9+ years of professional software engineering experience.
- Strong experience developing enterprise-scale backend systems using Java, Python, or other object-oriented programming languages.
- Deep understanding of distributed systems, microservices architecture, APIs, scalability, resiliency, and performance optimization.
- Experience building and supporting cloud-native applications in modern engineering environments.
- Proven experience serving as a technical lead, leading projects and mentoring engineers.
- Experience guiding and supporting teams of approximately 5-6 engineers through technical execution and delivery.
- Strong understanding of software design principles, data structures, algorithms, and system architecture.
- Excellent verbal and written communication skills with the ability to clearly explain technical concepts to both technical and non-technical audiences.
Preferred Qualifications
- Experience with cloud platforms, containerization, and modern DevOps practices.
- Experience working in highly regulated environments requiring reliability, security, and compliance.
- Familiarity with AI-assisted development tools such as GitHub Copilot, Codex, or similar engineering productivity platforms.
What Makes Someone Successful in This Role
The ideal candidate is first and foremost a strong software engineer with deep backend expertise and a passion for solving complex technical problems. They understand how modern distributed systems operate, can independently design and build scalable services, and are comfortable owning solutions from concept through production.
Successful candidates demonstrate:
- Strong technical depth rather than reliance on AI-generated code.
- The ability to leverage AI tools responsibly to accelerate productivity while maintaining full understanding of system design and implementation details.
- Exceptional communication skills and the ability to articulate technical challenges, tradeoffs, and solutions clearly.
- A strong sense of ownership and accountability for product outcomes.
- A collaborative leadership style that elevates the entire engineering team.
- A desire to mentor others while remaining highly hands-on in design, coding, and problem-solving.
Why Join Oracle Health
At Oracle Health, you will help build technology that directly impacts healthcare providers and patients worldwide. You'll work on large-scale distributed systems, modern cloud-native architectures, and next-generation EHR solutions while collaborating with talented engineers across Oracle's healthcare organization.
This is an opportunity to influence the future of healthcare technology while solving challenging technical problems at enterprise scale.
Disclaimer:Certain U.S. based or U.S. customer or client-facing roles may be required to comply with applicable requirements, such as immunization/occupational health mandates, and/or drug testing requirements.
Range and benefit information provided in this posting are specific to the stated locations only
US: Hiring Range in USD from: $114,600 to $234,600 per annum. May be eligible for bonus, equity, and compensation deferral.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4