Principal Backend Developer – Clinical Applications

Oracle Corporation; United States; On-site; USD 115,000 - 235,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Disability insurance

Life insurance

401(k) Savings plan with company match

Paid time off

Paid holidays

Paid parental leave

Adoption assistance

Employee stock purchase plan

Job summary

Oracle Health is seeking a Principal Backend Developer for Clinical Applications in the United States. This full-time role focuses on backend architecture, scalable cloud-native EHR applications, and overseeing critical provider workflows and messaging capabilities.

The ideal candidate has 7–9+ years of experience in enterprise backend development, strong leadership, and deep knowledge of distributed systems and APIs. Collaboration with product teams and cross-functional groups is essential.

Qualifications

• BS in Computer Science, Software Engineering, or related field.
• 7–9+ years of professional software engineering experience.
• Experience building enterprise-scale backend systems.
• Deep distributed systems, microservices, APIs, scalability, resiliency and performance.
• Experience leading teams and mentoring engineers.
• Strong communication for technical guidance.

Responsibilities

• Design, develop, and maintain cloud-native EHR applications.
• Build scalable backend services and distributed systems.
• Focus on backend architecture, performance, reliability, and scalability.
• Lead design discussions and contribute to long-term platform strategy.
• Mentor junior engineers and conduct code reviews.
• Own end-to-end development lifecycle and production support.

Skills

Java

Python

Distributed systems

Microservices

Cloud-native

Leadership

Mentoring

Communication

Education

Bachelor's degree

Job description

Principal Backend Developer – Clinical Applications

United States

Trending

• Job Identification 337977
• Job Category Product Development
• Posting Date 10/15/2026, 02:10 PM
• Job Type Regular Employee
• Does this position require a security clearance? No
• Years 6 to 10+ years
• Additional Info Visa / work permit sponsorship is not available for this position
• Applicants are required to read, write, and speak the following languages English

Job Description

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.

Responsibilities

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.

• 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.

Qualifications

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 hrs.
• 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

About Us

Only Oracle brings together the data, infrastructure, applications, and expertise to power everything from industry innovations to life-saving care. And with AI embedded across our products and services, we help customers turn that promise into a better future for all. Discover your potential at a company leading the way in AI and cloud solutions that impact billions of lives.

True innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing a workforce that promotes opportunities for all with competitive benefits that support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.

We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing [e-mail] or by calling 1-888-404-2494 in the United States.

Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.