Company: Metric Tree Labs (dedicated engagement with a US healthcare client)
Location: Remote, India
Experience: 5–6 years
Type: Full-time | Openings: 2

About Metric Tree LabsMetric Tree Labs is a Kochi-based product engineering company. We build dedicated remote engineering teams for global clients. Our engineers work as full members of the client's product team while being employed and supported by MTL.

About the ClientOur client is a US-based healthcare technology startup founded by Harvard Business School alumni. They are building a modern healthcare product for the US market that helps hospitals, research sites and pharma companies find and engage patients for clinical trials. The platform connects to electronic health records (EHRs), screens patient data against trial criteria using AI, and supports patient outreach through AI-powered SMS and voice.
The client wants a robust full-stack engineer who will:
- own features end to end, from design discussions through production deployment
- grow with the product

What You'll Do
- Build EHR integrations. Connect to Epic,



Oracle Health (Cerner), eClinicalWorks, athenahealth and OncoEMR using FHIR R4 and SMART on FHIR. This covers:
- OAuth flows and token refresh
- patient data retrieval and bulk exports
- recurring synchronization
- Build reliable data pipelines. Write ingestion workers that handle:
- pagination and API rate limits
- retries and checkpoints
- duplicate records and partial failures
- Model clinical data. Normalize patients, conditions, medications and other FHIR resources into PostgreSQL, preserving source evidence and clinical context.
- Ship product features. Build clean, usable Next.js/React interfaces for patient records, eligibility review, screening and trial workflows.
- Extend AI workflows. Work on document parsing, criteria extraction, patient matching, and AI-assisted SMS/voice screening using LLM APIs.
- Build secure backend APIs. Deliver REST APIs, webhooks, role-based permissions and au

📌 Senior Full-Stack Engineer – Healthcare AI (Kannur)
🏢 Metric Tree Labs
📍 Kannur