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Principal Backend Developer - Clinical Applications

Opower

United States · $115k–$235k a year · Posted October 16, 2026

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  • Oracle

About the job

Principal Backend Developer – Clinical Applications Engineering Transform Healthcare Through Modern EHR Technology

Oracle Health is building the next generation of healthcare technology through our Gen2 Electronic Health Record (EHR) platform. We are seeking a highly skilled Principal Software Engineer to join our Clinical Applications Engineering team focused on modernizing provider workflows, inbox management, and clinical messaging capabilities that are central to how clinicians communicate, coordinate care, and manage patient information.

This is a full-stack engineering role with a strong emphasis on backend development, distributed systems, and scalable platform architecture. You will work on mission-critical healthcare applications used by clinicians every day while helping drive Oracle Health's next-generation cloud-native EHR strategy.

We are looking for engineers who thrive in complex technical environments, possess strong system design skills, and demonstrate a deep sense of ownership across the entire software development lifecycle.

What You'll Do

Design and Build Scalable Clinical Applications

Design, develop, and maintain cloud-native EHR applications supporting clinical inbox, messaging, and provider workflow experiences.

Build highly scalable backend services and distributed systems that power critical healthcare workflows.

Develop full-stack solutions while maintaining a primary focus on backend architecture, performance, reliability, and scalability.

Partner with product managers, architects, and cross-functional engineering teams to translate business requirements into technical solutions.

Drive technical design discussions and contribute to long-term platform strategy.

Technical Leadership & Mentorship

Serve as a technical leader within the team, helping guide architecture decisions and engineering best practices.

Mentor junior engineers through code reviews, design reviews, and day-to-day technical guidance.

Lead small engineering initiatives and coordinate delivery across teams when required.

Foster a culture of engineering excellence, accountability, and continuous learning.

End-to-End Ownership

Own services and applications throughout the entire development lifecycle, from requirements gathering through deployment and production support.

Troubleshoot complex production issues and drive root-cause analysis efforts.

Improve observability, reliability, operational readiness, and system performance.

Collaborate closely with TPMs, Product Managers, and stakeholders to ensure requirements are clearly understood and successfully delivered.

Engineering Productivity & AI Enablement

Leverage modern AI-assisted development tools, including coding assistants and prompt-driven engineering workflows, to improve productivity and development efficiency.

Work closely with teams building AI-powered healthcare capabilities while remaining focused on application engineering and platform delivery.

Apply AI tools thoughtfully while maintaining strong software engineering fundamentals, architecture expertise, and independent problem-solving capabilities.

Only Oracle brings together the data, infrastructure, applications, and expertise to power everything from industry innovations to life-saving care. And with AI embedded across our products and services, we help customers turn that promise into a better future for all. Discover your potential at a company leading the way in AI and cloud solutions that impact billions of lives.

True innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing a workforce that promotes opportunities for all with competitive benefits that support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.

We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling 1-888-404-2494 in the United States.

Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Join Oracle Health and help build the future of healthcare technology. This role focuses on developing the next generation of EHR clinical applications, including provider inbox and messaging solutions, within our cloud-native Gen2 platform. We're seeking a strong backend-focused engineer who thrives on solving complex technical challenges, leading through influence, mentoring others, and delivering scalable solutions that directly impact clinicians and patients worldwide. Disclaimer:

Certain U.S. based or U.S. customer or client-facing roles may be required to comply with applicable requirements, such as immunization/occupational health mandates, and/or drug testing requirements.

Range and benefit information provided in this posting are specific to the stated locations only

US: Hiring Range in USD from: $114,600 to $234,600 per annum. May be eligible for bonus, equity, and compensation deferral.

Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.

Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance

The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4

Required Qualifications

Bachelor's degree in Computer Science, Software Engineering, or related field.