Poorvaditya Behre
SWE @Confido Health • AI x Distributed Systems • Worked in Healthcare, E-commerce
Bengaluru
3+ years of work experience
Nov 202511 mosPresent
United States
CORE PLATFORM
• Designed the data & action layer AI voice agents call to run appointment scheduling, prior-auth, payments, refills, patient management & human handoff turning conversation into EHR-backed workflows.
• Built a multi-tenant federated platform with per-client environments, enabling forward-deployed engineers to ship bespoke workflows quickly without impacting the shared platform.
EHR INTEGRATION
• Owned the two-way EHR integration platform for appointments, patients, etc workflows through a unified, capability-driven interface across 30+ EHR systems.
• Built a two-tier rate-limit stealing mechanism over a distributed GCRA limiter so live traffic borrows unused background capacity yet never starves under load.
APPOINTMENT MANAGER
• Architected a high-throughput, DST-safe scheduling engine with multi-tier rules and an atomic Redis/Lua slot-reservation system preventing double-booking under concurrent agent calls.
• Designed a cascade search patient-matching algorithm combining deterministic fuzzy and phonetic lookups with LLM-based resolution & configurable per-field confidence thresholds to resolve ambiguous identities across large multi-tenant datasets.
• Led the zero-downtime migration of the legacy platform to Go via dual writes, parallel sync, traffic mirroring & per-org cutover with instant rollback.
EVENT-DRIVEN
• Architected multi-tenant Temporal sync workflows with resumable cursor-based processing and prioritised replay, allowing failed large-range syncs to resume from the last completed batch instead of restarting.
• Replaced scheduled polling with a Kafka-based event-driven sync architecture using partitioned topics, DLQs, and self-healing deletion reconciliation across pull and push pipelines.
GATEWAY, SECURITY & COMPLIANCE
• Built platform security and compliance infrastructure, including custom Kong plugins for routing/authentication and a HIPAA audit service with AES-256-GCM encryption and partition-based PostgreSQL retention.
Feb 202511 mosDec 2025
United States
• Developed scalable data product pipelines and orchestration workflows for multi-EHR integrations (athena, elation, ecw, pointclickcare) in a multi-tenant platform. Implemented FHIR interopability based transformation, enrichment and ingestion.
• Designed and led migration of existing cloud-native microservices to a hybrid multi-tenant architecture, introducing modular workflows for OnDemand, DataSync, and advanced pre-Lookup functionalities. Reduce redundant EHR API calls by 30%, enhanced system reliability and scalability, and improve query performance by 10%.
Tech Stack: Golang, Python, Temporal, Proto, Redis, Postgres, AWS
May 202410 mosFeb 2025
Indonesia
Fueled by Challenges, Driven by Growth :)
Features rolled out :
• Designed and implemented an extension service for the Buy Now Pay Later (BNPL) system, enabling seamless repayment of loans by providing due date extensions.
• Integrated Indomaret & Alfamart as new payment providers, expanding offline payment options.
• Developed a postpaid payment mechanism via Virtual Account Transfer, enabling upfront payments.
• Led the refactoring of the Payment Service, improving scalability and maintainability by adopting Factory and Strategy Patterns, enabling efficient onboarding of new payment providers with minimum setup configurations.
• Implemented loan repayment feature for BuyNowPayLater(BNPL) service allowing users to select multiple BNPL loans (fully or partially) for repayment using Open Virtual Account (VA) Bank functionalities, increasing flexibility and ensuring timely payments.
Day to Day Responsibilities:
• Responsibility doesn’t limit to features only. I solved more than 50+ P0 and P1 bugs with minimum downtime to make the overall system stable and consistent. This helped me to enhanced my debugging skills and problem solving skills in depth.
• Actively contributed/discussed to high-level and low-level design decisions, ensuring robust and scalable architecture for business requirements.
Tech Stack: Python, Odoo, PostgreSQL, Redis, AWS (Lambda, S3, SQS), Jenkins, Grafana.
May 20231 yr 1 moMay 2024
Pune District, Maharashtra, India
A Journey Well Taken :)
Noccarc - a medical device company at the forefront of healthcare innovation. Noccarc was recognised as LinkedIn Top Startups 2024 in the Pune.
I was a part of the PEG Software Team, which was responsible for developing solutions and architecting various software systems for v730i (smart ventilator).
• Implemented features like product PDF report generation and dealer onboarding workflows in Python, Django, and Django REST for the service app. Initially it was non-production project, I took it as a challenge and made the app production-ready by resolving existing bugs and introducing new features, significantly improving the application. This reduced the onboarding and reporting time significantly.
• Designed and developed an over-the-air update system for ventilator v730i using Python, boto3, and ZeroMQ, enabling remote update retrieval and installation. This solution optimized system performance, reducing CPU usage by 5%.
• Contributed significantly to the development of a robust device management platform backend, responsible for monitoring, updating, release management of ventilator v730i using Node.js, Redis, and PostgreSQL.
• Designed and developed a high-performance data communication system between the UI and embedded backend for the Patient Monitor using C++ 17 and ZeroMQ, capable of handling data at millisecond intervals. Implemented this as a thread-safe independent library, allowing for versatile use in sending and receiving data across various applications.
• Developed HL7 interfacing engine module for converting patient vitals observations from ventilator into standard HL7 mapping.
• Contributed in the development of Bash Scripts for updating OS features and WiFi, IP logging modules using nmcli, enhancing the connectivity and automation capabilities of the systems.
Poorvaditya’s AI Stack
Education
Bachelor of Engineering - BE, Information Technology
International Institute of Information Technology, Pune
20204 yrs2024
Shri Balaji Public School - Jabalpur, India
20191 yr2020
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