Full-Stack & Network Engineer — Deployment, Scale & Health Integrations

- Location: Bengaluru (HSR Layout) — on-site, with travel to hospital sites
- Experience: 3–5 years; at least 3 in health insurance, healthcare IT and HMIS (Hospital Management Information System)
- Focus: deployment and scaling, networking, ABDM (Ayushman Bharat Digital Mission) M1–M3, insurance and HMIS integrations, production support
- Type: Full-time · About O-Health

We build the full stack, hardware and software: voice AI, the clinical platform, outpatient department (OPD) kiosks and terminals, and the O-Health Band clinical-grade wearable.

O-Health (Hanuram Healthtech Pvt. Ltd.) is live in government and private hospitals across more than five Indian states, and is funded by the Gates Foundation. The platform is clinically validated at the All India Institute of Medical Sciences (AIIMS), New Delhi, and holds ABDM Milestone 1 production certification.

The Role

You will own how O-Health runs in production and how it plugs into India's health and insurance systems. That covers deployment and scaling across sites, the networks our kiosks depend on, and integrations with ABDM, hospital HMIS and health insurance.

Our voice AI works in real time, so network quality is product quality. You should be able to ship an integration service, fix a hospital network before morning OPD, and roll out a release safely across states.

This is a hands-on, high-ownership role. You will work directly with the CTO, and what you ship reaches hospital OPDs quickly.

What You'll Own

You will own production end to end — infrastructure, site networks, and the ABDM, insurance and HMIS integrations.

Deployment and scale

- Own production deployments across hospital sites in several states — releases, configuration, rollbacks and go-lives.
- Scale the platform for morning OPD peaks and a growing hospital count: containers, autoscaling, load balancing, queues and caching.
- Scale real-time voice AI serving on servers in India — GPU (graphics processing unit) capacity, response time and cost.
- Build continuous integration and delivery (CI/CD) and infrastructure as code, with staged rollouts to sites and kiosks.
- Set up monitoring, logging and alerting, with uptime targets for OPD hours.
- Run production databases — backups, replication and disaster recovery.
- Keep the platform secure: secrets, encryption, access control, audit trails, and closure of security-audit findings.
- Programming skills like React Native and MySQL with optimisation of TCP/IP layer protocols for productive and secure data transfer.

Networking and field infrastructure

- Design site networks: hospital local area network (LAN) and Wi-Fi integration, virtual LAN (VLAN) segmentation, firewall rules, virtual private network (VPN) tunnels and 4G/5G failover.
- Keep real-time voice streams stable over hospital and mobile networks.
- Get kiosks, tablets and devices working on restricted hospital and government networks — proxies, whitelisting,



outbound-only rules — with hospital IT teams and system integrators.
- Manage the device fleet remotely: provisioning, health monitoring, remote fixes, and sync that tolerates weak connectivity.
- Run site-readiness surveys, network checklists and go-live support for new hospitals.

ABDM integrations: M1, M2, M3

- M1: ABHA (Ayushman Bharat Health Account) creation, verification and linking, including ABHA-based OPD registration — and keeping our M1 certification current.
- M2, Health Information Provider (HIP): care-context linking and consent-based sharing of records as FHIR (Fast Healthcare Interoperability Resources) bundles.
- M3, Health Information User (HIU): consent requests, record retrieval and display for clinicians.
- Take M2 and M3 from sandbox through testing and certification to production, and keep pace as ABDM specifications change.

Insurance and claims integrations

- Integrate with Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), state health insurance schemes, private insurers and third-party administrators (TPAs).
- Integrate with the National Health Claims Exchange (NHCX), run by the National Health Authority (NHA).
- Build claim workflows end to end: eligibility checks, pre-authorisation, claim submission, queries, status and settlement.
- Turn pre-assessment data into claim-ready documentation with correct International Classification of Diseases (ICD-10) coding, to cut queries and rejections.

HMIS and healthcare-stack integrations

- Integrate O-Health with HMIS, electronic medical record (EMR), lab and radiology systems in government and private hospitals.
- Work with whatever interface a site offers: Health Level Seven (HL7) and FHIR, REST or SOAP APIs, database or file-based exchange.
- Handle patient identity across systems — Unique Health Identification (UHID) to ABHA mapping, OPD queue and token flows, and reconciliation.
- Map clinical data correctly to SNOMED CT (Systematized Nomenclature of Medicine — Clinical Terms) and ICD-10.

Full-stack engineering

- Build backend services and APIs for integrations, deployment tooling and operations.
- Build web consoles for hospital administrators and our operations team: integration mappings, consent logs, claim tracking, site and device health.
- Write tests, review code, and document interfaces and runbooks.

Production ownership

- Join the on-call rotation; lead incident response, root-cause analysis and post-mortems.
- Be the final escalation point for field teams and hospital IT.
- Work with clinical, product, AI and hardware teams on anything that touches production.

What You Bring

- 3–5 years of hands-on engineering experience,



with at least 3 years in health insurance, healthcare IT and HMIS.
- Hands-on ABDM integration across M1, M2 and M3 — ideally at least one taken from sandbox to certified production.
- Core HMIS experience: you have built or integrated live hospital workflows — registration, OPD and inpatient (IPD), billing, lab and pharmacy.
- Health insurance integration: government schemes, insurer or TPA systems, pre-authorisation and claims.
- Full-stack depth: backend in Python, Node.js/TypeScript, Java or Go; REST APIs; PostgreSQL or MySQL; a modern web frontend such as React.
- Strong networking fundamentals — IP addressing and routing, DNS, DHCP, NAT, VLANs, firewalls, VPNs, TLS, Wi-Fi and cellular failover — and you debug with packet captures.
- Production operations: Linux, Docker and Kubernetes (or equivalent), CI/CD, infrastructure as code, and at least one major cloud platform.
- Health data standards: HL7 and FHIR in production; working knowledge of SNOMED CT and ICD-10.
- Privacy discipline with health and identity data, and working knowledge of the Digital Personal Data Protection (DPDP) Act.
- On-call experience: you can trace an issue across network, infrastructure, application and integration layers.
- Comfortable on-site in hospitals and with government IT teams; willing to travel to deployment sites.

Good to Have

- NHCX integration live in production.
- Integrations with government HMIS platforms, or experience with interface engines.
- Device fleet operations: Linux or Android kiosks, remote management, over-the-air updates.
- Serving real-time speech or language models in production, including GPU capacity planning.
- Government hospital delivery: security audits, hosting approvals and technical sections of tenders.
- Hindi or another Indian language, for working with hospital staff on site.

What Success Looks Like in 6 Months

By month six, production is documented, repeatable and quieter, and two new integration tracks are live.

- Every live site documented — network, hosting, integrations and runbooks — with monitoring the team trusts.
- A repeatable go-live kit — site survey, network design, device provisioning, monitoring — so new hospitals and kiosk rollouts go live without you on site.
- ABDM M2 and M3 certified and running in production alongside M1.
- At least one insurance or claims integration live in production.
- Fewer repeat incidents: each one closed with a root cause and a permanent fix.

Why O-Health

- Your work runs in real OPDs, in government and private hospitals across more than five states.
- Rare end-to-end ownership: from the network beside a kiosk to GPU servers, ABDM and claims.
- You build on India's national digital health infrastructure as it scales.
- Mission-backed: funded by the Gates Foundation, with a lean team and direct work with the founders.
- Competitive compensation, aligned to experience.

Pay: ₹881,000.00 - ₹2,240,000.00 per year

Benefits

- Provident Fund

Work Location: In person

📌 Full Stack and Network Engineer (ABDM Healthtech) (HSR Layout)
🏢 Hanuram Healthtech
📍 HSR Layout