Backend Engineer Healthcare Integrations & Systems

About FluidAI Medical

FluidAI Medical focuses on enhancing post-operative care through the use of clinical data to detect complications early. The company's platform technology integrates with existing wound drains and catheters, offering a monitoring tool designed to support earlier detection of complications and improve care delivery. FluidAI Medical is an equal-opportunity employer with a diverse team.

The Role: Backend Engineer, Healthcare Integrations & Systems

FluidAI Medical is seeking a Backend Engineer specializing in Healthcare Integrations & Systems. This full-time position is based in Riyadh and involves designing and building the integration layer that connects the FluidAI platform to hospital EHRs, laboratory and device systems, and national health data exchanges. The role is remote but requires travel across the Middle East for collaboration with the FluidAI team, hospital IT departments, and clients.

Key Responsibilities

• Design, build, and maintain integration services for clinical data exchange between the FluidAI platform and hospital systems (EHRs, LIS, ADT feeds, device gateways, national health exchanges).
• Implement and maintain HL7 FHIR APIs and resources (*, Patient, Encounter, Observation, Device, DiagnosticReport) and HL7 v2 message interfaces (ADT, ORU, ORM) for data flows.
• Develop secure, observable, and resilient production-grade backend services and APIs (REST and event-driven).
• Manage data mapping and transformation logic between FluidAI's internal data models and external standards, including terminology mapping (LOINC, SNOMED CT, UCUM) and vendor-specific profile variations.
• Develop robust interface engine and integration patterns: message queuing, retries, deduplication, acknowledgement handling, idempotency, and reconciliation.
• Lead the technical aspects of hospital onboarding, including gathering interface requirements, conducting connectivity and message testing, and supporting go-live and hypercare.
• Implement monitoring, alerting, and logging for integration health to ensure early detection and end-to-end tracing of message failures and data gaps.
• Apply healthcare security and privacy best practices, including OAuth2/SMART on FHIR, mutual TLS, VPN connectivity, audit logging, and data minimization, in line with regional regulations (*, Saudi NPHIES/SeHE requirements, HIPAA, PIPEDA).
• Create and maintain technical documentation, including interface specifications, FHIR implementation guides, integration runbooks, and data flow diagrams.
• Collaborate with product, clinical, regulatory, and QA teams to ensure integrations meet clinical workflow needs and medical device software standards (*, IEC 62304, ISO 13485 processes).
• Participate in sprint planning and Agile ceremonies, contributing to roadmap planning and prioritization from an integrations and platform perspective.
• Collaborate with software, hardware, data, and ML teams to expose reliable data services across the technology stack.

Qualifications and Experience

• Strong experience building production APIs and services.
• Deep familiarity with healthcare interoperability standards such as HL7 FHIR and HL7 v2.
• Demonstrated track record of shipping and supporting integrations in live hospital environments.
• Experience with EHR vendor integration (*, Epic, Oracle Health/Cerner, InterSystems) and regional health information exchange requirements is preferred.

Application Process

The application process includes an introductory phone call, a technical and systems design working session, and a final interview, followed by an offer stage. Candidates interested in building integration foundations for real-time patient insights are encouraged to apply.