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API Engineer, Manager

Medecision

US · On-site Full-time Lead $125k – $135k/yr Today

About the role

Role Overview

We are seeking an API Engineer, Manager to provide day-to-day technical leadership for our API team. In this critical role, you will convert architectural vision into scalable, production-ready APIs and services, integrating healthcare standards such as FHIR, enabling secure deployments on GCP, and supporting AI-enabled workflows. You will collaborate closely with architects and cross-functional teams to maintain the security, reliability, and interoperability of our platform.

Key Responsibilities

  • Lead API design and implementation for internal platform services, partner integrations, and interoperability workflows.
  • Translate architecture and security standards into concrete service patterns, interface contracts, and coding standards for the team.
  • Design and develop FHIR-based APIs, including resource mapping, validation, and interoperability workflows.
  • Lead the technical implementation of MCP wrappers around key APIs and services, enabling AI-driven agents to safely access approved tools and data.
  • Conduct design and code reviews; mentor backend, DevOps, and QA team members.
  • Collaborate with architects to enforce security best practices, auditability, tenant isolation, and operational reliability across deployments.

Qualifications

  • 7-10 years of backend or API engineering experience with demonstrable technical leadership.
  • Proven expertise designing RESTful APIs, including service contracts, versioning strategies, error handling, and scalability.
  • Hands-on experience with FHIR APIs and healthcare interoperability standards.
  • Experience building or exposing APIs and services to support AI or agent-based workflows; familiarity with MCP is strongly preferred.
  • Proficient with GCP services such as Cloud Run, GKE, Pub/Sub, Cloud SQL, API Gateway, IAM, logging, and monitoring.
  • Excellent communication skills, with the ability to guide and lead execution in a fast-paced environment.

Preferred Experience

  • Background in healthcare, payer operations, or working with regulated data environments.
  • Familiarity with event-driven architectures and asynchronous processing patterns.

Salary Description

$125,000 - $135,000

Skills

API GatewayCloud RunCloud SQLGCPGKEIAMMCPPub/SubRESTful APIs

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