Backend Engineer, Platform & Integrations

Remote (work from home), Hyderabad • Full-time • Australian business hours

You will build the engine at the heart of our new product: the services that turn clinical guidelines into the right patient recalls, and the integrations that connect them to the systems clinics already use.

About RxTro

RxTro is a healthcare technology company that has connected medical practices with the people who support them for more than ten years. Every pharmaceutical company in Australia and over 2,000 specialist and allied health organisations use our platform, and we operate in Australia and Canada.

We are now building our next product: a guideline-driven patient recall platform that helps clinics bring the right patients back for the right care at the right time. To build it, we are forming a new engineering team in India through RxTro India Incorporated.

The team

Five people, each owning a whole area: a Principal Engineer, a Backend Engineer, an Experience Engineer, a Platform, Security and FinOps Engineer, and our existing Product Designer. You will work closely with the founder in Sydney and with our teams in Australia.

How we work

We are AI-native. Each engineer directs a set of AI agents that analyse code, draft plans, write implementation and tests, and review changes. People make every decision that matters: what to build, how a clinical guideline is interpreted, the architecture, and what goes to production. No AI-generated change reaches production without a named person approving it.

This is hands-on engineering. The agents take the repetitive work; you own the judgement, the quality and the outcome.

Our stack

C# and .NET, React, Microsoft Azure, Azure DevOps, GitHub and GitHub Actions, and Claude and GitHub Copilot for AI-assisted engineering.

Working with us

• Remote, working from home. We are hiring people based in or near Hyderabad so the team can meet in person when it helps
• Australian business hours: 9:00 am to 5:00 pm Sydney time, which is 3:30 am to 11:30 am IST from October to April, and 4:30 am to 12:30 pm IST from April to October
• Full-time role with RxTro India Incorporated
• Health data is at the heart of what we do, so privacy, security and careful handling of patient information are part of every role
• Background and reference checks are required before you start, because the role involves access to health-data systems

Benefits

• Group health insurance for you and your family
• Provident Fund and gratuity as per Indian law
• Paid annual leave, sick leave and public holidays
• Laptop, plus a monthly internet and home-office allowance
• Annual learning budget for courses and certifications

What you'll own

• The recall and opportunity engine: deciding which patients are due for which care, and why
• Guideline and rules execution, with every rule traceable to its source and approved by a person
• Core services, APIs and data contracts in C# and .NET
• Integrations with clinic systems and communication channels
• Patient identity and matching logic, where accuracy really matters: a wrong match means the wrong patient is contacted
• The tests and evidence that show your services work, with AI agents drafting code and tests under your direction

What you'll bring

• 6+ years building backend systems in production, with strong C# and modern .NET (not only .NET Framework)
• Experience designing APIs and integrations, and working with relational databases such as Azure SQL or MySQL
• A habit of writing well-tested code, including contract and regression tests
• Daily use of AI coding tools such as Claude Code or GitHub Copilot, and the judgement to review their output critically
• Care with sensitive data: you understand why patient information must never end up in logs, tickets or AI prompts

Nice to have

• Rules engines, eligibility logic or clinical or financial calculations
• Healthcare integrations or standards such as HL7 or FHIR
• Record matching or data quality work
• Azure services such as App Service, Functions and Service Bus