Principal Developer – Solution Architect (Healthcare EMR/EHR, Ophthalmology)

Location: Remote (India)

Type of Role: Full Time

Working hours - UK Shift

Overview An organization is seeking a hands-on Principal Developer / Solution Architect to help design and build technical solutions at the intersection of healthcare EMR/EHR systems and ophthalmology-specific workflows.

This role sits at a tech lead / solution architect level but must remain fully hands-on — actively writing code, architecting solutions, and directly contributing to development on a day-to-day basis, using AI development tools and LLM-powered workflows to enhance speed and quality.

This is not an oversight-only or purely advisory position; candidates who have moved away from hands-on coding into management-only roles are not a fit. The ideal candidate has direct, hands-on experience with OpenEMR, strong AI/LLM fluency, and understands how ophthalmology practices and EHR/EMR systems integrate, including ophthalmology-specific clinical workflows and data structures.

Key Responsibilities

- Architect and personally build technical solutions integrating with EMR/EHR systems, with a focus on ophthalmology workflows.
- Work directly, hands-on, with OpenEMR (or similar open-source/commercial EMR platforms), including configuration, customization, and integration.
- Design system architecture while remaining actively hands-on in implementation and coding — not delegating core development work.
- Write and review code, contributing directly to the codebase alongside architectural decision-making.
- Use AI development tools and coding assistants (e.g., Claude Code or similar)



as part of the day-to-day development workflow to accelerate coding, debugging, and architecture work.
- Evaluate and integrate LLM-powered features or capabilities into the platform where relevant to ophthalmology triage, diagnosis support, or clinical workflows.
- Collaborate with product, clinical, and engineering stakeholders to translate healthcare and ophthalmology-specific requirements into technical solutions.
- Guide technical direction and best practices at a tech lead level, while remaining a primary hands-on contributor.
- Ensure EMR/EHR integrations meet healthcare data standards and interoperability requirements.
- Troubleshoot and resolve complex technical issues directly, through hands-on debugging and problem-solving.
- Document architecture decisions, integration patterns, and technical designs.

Required Experience & Skills

- Experience at a Solution Architect level, or one level below (e.g., Principal Developer / Tech Lead) — must be actively hands-on in coding and development , not solely in an oversight or advisory capacity.
- Direct, hands-on experience with OpenEMR, including real implementation and integration work.
- Hands-on experience working with EMR/EHR systems in a healthcare setting.
- Hands-on experience with ophthalmology-related EMR/EHR workflows or integrations.




- Strong software architecture and system design skills, combined with a proven, current track record of writing production code .
- Hands-on experience using AI development tools (e.g., Claude Code or similar) in a real development workflow.
- Practical experience working with LLMs — integrating LLM APIs, prompt engineering, or building LLM-powered features within a production application.
- Hands-on experience integrating third-party or custom systems with EMR/EHR platforms.
- Solid understanding of healthcare data standards and interoperability considerations.
- Strong communication skills to work with both technical and clinical/product stakeholders.
- Ability to work independently in a remote environment.

Nice to Have

- Experience with additional EMR/EHR platforms beyond OpenEMR.
- Familiarity with ophthalmology-specific clinical terminology, diagnostic codes, or exam documentation workflows.
- Experience in a healthcare startup or fast-paced product environment.
- Experience with healthcare interoperability standards (e.g., HL7, FHIR).
- Experience applying LLMs or AI/ML models to clinical decision support, triage, or medical imaging use cases.
- Familiarity with responsible AI practices in healthcare (e.g., bias mitigation, explainability, regulatory considerations for AI in clinical settings).

Equal Opportunity Statement: BigRio is an equal-opportunity employer committed to creating a diverse and inclusive workplace. We value and promote diversity and prohibit discrimination based on various factors outlined by federal, state, or local laws. All qualified applicants will receive equal consideration for employment.

📌 Principal Developer – Solution Architect (India)
🏢 BigRio
📍 India