Remote; US
$95-100k plus bonus
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
We are seeking a highly motivated Backend Developer with strong expertise in Python, FastAPI, XML processing to build and enhance a Healthcare Data Quality Platform focused on evaluating, scoring, and onboarding clinical data from CCDA documents.
The successful candidate will work on a modern backend platform, responsible for clinical document parsing, healthcare data quality analysis, secure data ingestion, and integration.
ResponsibilitiesResponsibilities:
- Design, develop, and maintain backend services using Python and FastAPI.
- Build scalable APIs for healthcare data ingestion, processing, scoring, and reporting.
- Develop and maintain REST endpoints supporting file uploads, data validation, and export capabilities.
- Implement processing patterns, thread pools, and dependency injection.
- Create reusable and maintainable code using Python best practices, type hints, and data-class-based models.
- Develop and maintain CCDA parsing and data extraction capabilities.
- Parse healthcare documents using lxml and XPath expressions.
- Extract, analyze, and score clinical information
- Enhance data quality scoring algorithms and clinical coverage assessment logic.
- Implement security and governance best praticies.
- Support healthcare interoperability and clinical data quality initiatives.
Qualifications:
- Bachelor’s degree in computer science, Mathematics or related field, or equivalent practical experience.
- Minimum 4 years of experience in Python backend development including production service designing and deployment.
- Experience owning system architecture decisions: service boundaries, data model design and API contracts.
- FastAPI – routers, Depends() injection, UploadFile handling, StreamingResponse, StaticFiles for SPA serving. Understanding of same-origin deployment.
- Strong hands-on experience parsing XML with lxml.
- Hands on experience in GCP or any other cloud platform.
- Strong SQL experience.
- Experienced in query troubleshooting such as isolating blocks of poor performing code, determining root cause and developing remediation actions.
Knowledge of HIPAA compliance and data privacy standards.
Nice to have Docker and cloud deployment experience.
Nice to have CI/CD pipelines using GitHub Actions, DevOps, or similar tools.
Strong understanding of QA methodologies, test planning, and defect tracking.
Analytical mindset with attention to detail and problem-solving skills.
- Knowledge & experience in US Healthcare Interoperability, HEDIS & handling CCDA / HL7 CDA R2 document structure is preferred.
Design-thinking & excellent verbal and written communication skills.
- Create and deliver best practices, recommendations and technical presentations adapting to different levels of key business and technical stakeholders.
Skills Required
- Bachelor's degree in computer science, mathematics, or a related field, or equivalent practical experience
- At least 4 years of Python backend development experience, including production service design and deployment
- Experience owning system architecture decisions, including service boundaries, data models, and API contracts
- Experience with FastAPI routers, dependency injection, file uploads, streaming responses, static file serving, and same-origin deployment
- Strong hands-on experience parsing XML with lxml
- Hands-on experience with GCP or another cloud platform
- Strong SQL experience
- Experience troubleshooting query performance and developing remediation actions
- Knowledge of HIPAA compliance and data privacy standards
- Strong understanding of QA methodologies, test planning, and defect tracking
- Knowledge and experience with US healthcare interoperability, HEDIS, and CCDA or HL7 CDA R2 document structures
- Docker and cloud deployment experience
- CI/CD pipelines using GitHub Actions, DevOps, or similar tools
- Analytical, problem-solving, communication, presentation, and stakeholder engagement skills
EXL Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about EXL and has not been reviewed or approved by EXL.
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Healthcare Strength — Medical plan options include HSA, HRA, and PPO choices, with additional health-related programs such as disability coverage and an employee assistance program. Feedback suggests these options provide meaningful flexibility and coverage breadth for many roles.
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Leave & Time Off Breadth — Up to 20 days of paid time off, plus federal holidays and paid sick and safe time, are highlighted. Feedback suggests this leave structure is a notable benefit alongside core compensation.
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Retirement Support — A traditional and Roth 401(k) with up to a 3% company match and full vesting after one year is described. Feedback suggests this match and vesting timeline help bolster long-term savings.
EXL Insights
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
