Sr. Full-Stack Backend Developer

Sr. Full-Stack Backend Software Engineer - Healthcare Archive System

Reports to: COO

Location: US-based, preferably Texas (Austin area preferred) but open nationwide

GENERAL SUMMARY:

We are looking for an experienced Backend Software Engineer to join our team and play a key role in building and maintaining a secure, scalable healthcare data archiving platform. In this position, you will design and implement FHIR-compliant REST APIs, manage multi-tenant data architectures, and ensure robust security and HIPAA compliance while handling sensitive healthcare information. Working closely with an international development team, you will lead backend expansion efforts, optimize performance, integrate document processing workflows, and collaborate on technical planning in an Agile environment.

The ideal candidate brings 5–8 years of Java backend expertise (particularly with modern Spring Boot), strong experience in multi-tenant SaaS systems, PostgreSQL optimization, and OAuth2/OIDC authentication. Familiarity with healthcare standards like HL7 FHIR is highly valued, as is the ability to thrive in a distributed, remote-friendly team. This fully US-based role prefers candidates in the Austin, Texas area but is open nationwide, offering the opportunity to make a meaningful impact in healthcare interoperability and data management.

Essential Duties and Responsibilities

• Lead the development of backend expansion and maintenance efforts


• Develop and maintain REST APIs for healthcare data management


• Implement FHIR resource handlers and data validation


• Optimize PostgreSQL queries and schema design


• Build document processing workflows


• Debug production issues and optimize performance


• Write comprehensive unit and integration tests


• Collaborate with international team members across time zones


• Participate in code reviews and technical planning

Required Knowledge, Skills, and Abilities

• 5-8 years of Java backend development experience


• Strong expertise in Spring Boot and Spring ecosystem


• Experience with multi-tenant SaaS architectures


• Solid PostgreSQL and database optimization skills


• Understanding of OAuth2/OIDC authentication flows


• Experience working with distributed, remote teams


• Excellent written and verbal communication skills

Required Technology Skills

Core Backend (Required)

• Java 22 with Spring Boot 3.3


• Spring Framework (Spring Data JPA, Spring Security, Spring Cloud)


• PostgreSQL with multi-tenant architecture


• Flyway database migrations


• Maven build management


• RESTful API design and implementation

Security & Authentication (Required)

• OAuth2/OIDC with Keycloak


• JWT token validation and management


• Role-based access control (RBAC)


• Multi-tenant security isolation

Healthcare Standards (Highly Desired)

• HL7 FHIR resources


• Healthcare interoperability standards


• HIPAA compliance requirements

Integration & Processing (Required)

• RabbitMQ or similar message queue systems


• S3-compatible object storage


• Apache PDFBox for PDF manipulation


• Document processing and conversion

Infrastructure (Highly Desired)

• KVM virtualization architecture


• Proxmox VE or similar hypervisor platforms


• Linux systems administration


• Docker containerization


• Private cloud infrastructure concepts

Development Tools (Required)

• Git version control


• JUnit and integration testing


• CI/CD pipelines


• Agile/Scrum methodologies

Benefits of Working at True North

Our Total Rewards package is crafted to draw in, energize, and keep exceptional people who are driven by curiosity, teamwork, ongoing progress, and personal/professional development. We provide competitive, forward-thinking benefits that recognize outstanding contributions and support a welcoming, diverse, and thriving team environment.

• Comprehensive Health Coverage (medical, dental, vision) — effective the first of the month after 30 days of employment


• Paid Holidays plus Unlimited PTO


• 401(k) with Company Matching Contribution

Our Culture at True North

• We Strive for Excellence : We're committed to high performance in all we do, pushing ourselves and each other to reach new heights.


• We Prioritize People : We lead with empathy—valuing our team members, clients, partners, and the communities we serve above all.


• We Succeed Together : We know the best outcomes come from true collaboration, where supporting and elevating one another fuels both individual growth and shared achievements.

As a remote company, actual compensation will be provided in writing at the time of offer, if extended, and is determined by work location and a range of other relevant factors, including but not limited to: experience, skills, and other job-related factors. Internal equity, market, and organizational factors are also considered.

True North is an equal opportunity employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, sexual orientation, disability, gender identity, protected veteran status, or other protected class. For more information, see the EEOC's " Equal Employment Opportunity is The Law " poster.

Disclaimer

This job description describes the general nature and level of work performed by individuals assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Management reserves the right to modify duties and responsibilities based on business needs.