Backend Engineer (Hospital Management Systems)

We're Hiring: Backend Engineer (HMS) – MedOrbit, an AI-Native Hospital PlatformThis isn't a "maintain a CRUD app" role. MedOrbit is already live with paying hospitals, runs the full clinical and operational spine of a hospital, and has 11 AI agents in production under clinician control. You'll build the backend that doctors, nurses, lab technicians, pharmacists and billing teams use every day.Role DetailsPosition: Backend Engineer (Hospital Management Systems)Location: Nagarabhavi, Bangalore (On-site, 5 days a week)Type: Full-timeExperience: 0–2 yearsJoining: Immediate joiners strongly preferredMandatory: Hands-on experience developing a Hospital Management System (HMS), EHR/EMR, LIS, pharmacy or other healthcare software (job, internship or substantial project)About MedOrbitMedOrbit (by AI Nexus Innovations Hub) is a multi-tenant hospital management platform built for Indian healthcare. One codebase serves 24 facility types, from a solo doctor's clinic to a 500-bed super-specialty hospital, pathology labs, imaging centres, dialysis chains, blood banks and retail pharmacies.It covers OPD, IPD, OT, Emergency, NICU, maternity, LIS / RIS / PACS, teleradiology, telemedicine, pharmacy, billing, revenue-cycle management and insurance / TPA. It is ABDM-integrated (ABHA, consent, HIP/HIU, FHIR R4), NHCX-connected for claims, HL7 and DICOM interoperable, and supports NABH/NABL evidence and DPDP compliance.What You'll Do1️⃣ Core HMS Modules→ Build and extend Java / Spring Boot microservices across patient registration, appointments, OPD/IPD workflows, bed management, lab orders, pharmacy inventory, billing and insurance claims→ Design REST APIs and database schemas that work across 24 facility types without forking the codebase→ Implement module licensing and multi-tenant data isolation so each hospital sees only what it has licensed2️⃣ Healthcare Integrations→ Work on ABDM flows: ABHA creation/linking, consent management, HIP/HIU data exchange→ Build and maintain FHIR R4 resources, HL7 messages from lab analysers, and DICOM integration with PACS→ Support NHCX claim submission and TPA workflows3️⃣ AI Integration→ Integrate Python-based AI services (ambient scribe, lab report intelligence, X-ray analysis, claim-denial guard) into the core platform→ Build the APIs, queues and audit trails that let AI outputs appear inside doctor workflows, with clinician approval recorded every time4️⃣ Reliability & Compliance→ Write unit and integration tests, review code, and fix production issues quickly→ Build audit logs, role-based access control, consent tracking and data-erasure features for DPDP and NABH compliance→ Optimise queries and APIs for hospitals with high daily patient volumesTech StackJava, Spring Boot, Spring Security, Hibernate/JPA, PostgreSQL / MySQL, Redis, Kafka / RabbitMQ, Python (AI services), Docker, AWS, Git, CI/CDWhat You BringMust-Have:→ B.Tech / B.E. / M.Tech / MCA in Computer Science or related field (2024–2026 batches welcome)→ Hands-on experience building an HMS, EHR/EMR, LIS, RIS, pharmacy or clinic management system. Be ready to walk us through the modules you built, the database design, and the problems you solved→ Strong fundamentals in Java and Spring Boot→ Good understanding of REST APIs, SQL, joins, indexing and data modelling→ Understanding of hospital workflows: patient registration → consultation → orders → billing → discharge→ Working knowledge of Git, Docker and Linux→ Clear communication – you'll work with doctors and hospital staff, not just engineersNice-to-Have (Bonus Points!):→ Exposure to FHIR, HL7, DICOM, ABDM, LOINC or ICD codes→ Microservices architecture, Kafka / RabbitMQ, Redis caching→ AWS (EC2, S3, RDS, Lambda) and CI/CD pipelines→ Experience with insurance/TPA billing or GST-compliant invoicing→ Basic Python or experience integrating ML/LLM services→ Frontend exposure (React / Angular) for full-stack debuggingHow We WorkSmall team, short decision path, direct access to the founders. Specifications are written down and taken seriously. We ship continuously to a live production platform, and features are validated with real hospital users, not in a conference room.Why Join AI Nexus?✅ Build a live HMS used by real hospitals from Day 1✅ Work on India's healthcare digital stack: ABDM, FHIR, NHCX✅ See how AI agents are built into a production hospital platform✅ Fast-track career growth in a high-potential health-tech startupPlease Include in Your Application→ Primary skills:→ HMS / healthcare software experience (mandatory): modules you built, tech stack, your role; GitHub / demo link:→ Total experience:→ Current CTC / Expected CTC:→ Notice period / How soon can you join?:→ Current location:→ Available for an interview this week? Preferred date and time:→ On-site role, 5 days a week, at our Nagarabhavi office (Map: https://share.google/H9bvX6kY5dka4v7Ob). Can you commute daily? Yes / No📩 Send your resume to: raju@thenexushub.ai🌐 https://www.ainexushub.ai/ | https://medorbit.ai#Hiring #BackendEngineer #Java #SpringBoot #Microservices #HMS #HospitalManagementSystem #HealthTech #EHR #FHIR #HL7 #ABDM #AWS #Bangalore #Nagarabhavi #ImmediateJoiner #StartupJobs