United States onlyOverview
We are seeking an experienced Lead Software Engineer to design and lead the development of a scalable, high-performance FHIR Repository service capable of handling hundreds of terabytes of healthcare data. This system will form the foundation of our next-generation healthcare data platform — powering interoperability, analytics, and compliance across our product ecosystem.
You will be responsible for the architecture, design, and implementation of core services that store, retrieve, and manage FHIR resources at massive scale. The ideal candidate combines deep technical expertise in database scalability, distributed systems, and Java engineering with strong leadership skills and a passion for solving real-world problems in healthcare data management.
Responsibilities
- Architect and lead the design of scalable and fault-tolerant FHIR Repository supporting high-throughput operations.
- Define and implement data modeling, storage, and indexing strategies optimized for FHIR resource retrieval and updates at petabyte.
- Drive performance, scalability, and cost-efficiency initiatives across the repository and related services.
- Partner with product management, cloud operations, and security teams to ensure compliance with HIPAA, and other healthcare data regulations.
- Evaluate and integrate cloud-native and database technologies (RDS, Aurora, PostgreSQL, sharding strategies, caching layers, etc.) to support growth.
- Lead proof-of-concepts and architectural prototypes to validate design approaches.
- Collaborate with cross-functional stakeholders to ensure the repository integrates seamlessly with APIs, analytics pipelines, and FHIR-based interoperability solutions.
- Complete all responsibilities as outlined in the annual performance review and/or goal setting.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
Qualifications
- 10+ years of experience in software engineering, with at least 3+ years in a technical leadership or architectural role.
- Proven expertise in Java, Spring Boot and related frameworks.
- Strong experience with Relational databases (PostgreSQL, MySQL, or Aurora) including scaling, sharding, performance tuning, and distributed query optimization.
- Experience designing distributed systems, data pipelines, or large-scale storage services.
- Understanding of FHIR standards, RESTful APIs, and healthcare data interoperability principles.
- Knowledge of data partitioning, caching, and data-lifecycle management in high-volume systems.
- Strong foundation in cloud infrastructure (AWS preferred) including monitoring, autoscaling, and resiliency design.
- Excellent analytical, problem-solving, and communication skills.
Preferred Qualifications
- Experience working with healthcare data (FHIR, HL7, EDI).
- Experience with containerized and orchestrated environments (Docker, Kubernetes).
- Exposure to data governance and security requirements in healthcare (HIPAA, HITRUST).
- Experience mentoring engineers and influencing technical direction across teams.
Cognitive/Mental Requirements
- Communicating with others to exchange information.
- Problem-solving and thinking critically.
- Completing tasks independently.
- Interpreting data.
- Making timely decisions in the context of a workflow.
- Maintaining focus.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
- Learning new tasks and completing tasks in situations that have a speed or productivity quota.
- Remembering and adhering to processes and protocols.
- Applying established protocols in a timely manner.
Physical Requirements and Working Conditions
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
- Must be able to provide a dedicated, secure work area.
Base compensation ranges from $122,000 to $170,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of Posting: 11/7/2025.
We anticipate that the application window will close on 12/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
Since this job will be based remotely, all interviews will be conducted virtually.
