Senior Software Engineer, Healthcare Focus

You’ll be a senior IC who leads the design and delivery of our most complex work across integrations and core platforms. Expect 50–70% hands-on coding & design docs, with the remainder on reliability and security. You’ll be the person others call when a feature is hard, an integration is messy, or production is noisy.

What You’ll Do

• Ship integrations: Design, build, and maintain SMART on FHIR + HL7v2 integrations via platforms like Redox, supporting multi-product use cases across Epic/Cerner and other EHR environments.
• Build the platform: Lead design/implementation for our most challenging features. Develop TypeScript services/web apps; own IaC with AWS CDK (TypeScript); raise the bar on observability and performance.
• Reliability & DR: Evolve logging/alerting/runbooks; improve incident response; help design disaster-recovery regions and backup/restore practices.
• Security & compliance: Partner with Security to address vulns, harden infra, and keep HIPAA/SOC2 controls healthy (audit trails, key mgmt, access, etc.).
• Technical leadership: Write great design docs and do deep code reviews.

Requirements

• Senior-level experience building production software with at least some of our stack (AWS, TypeScript, React, GraphQL, MongoDB, RedShift and more)
• EHR integrations & workflows: Hands-on solving healthcare workflow problems with technologies like SMART on FHIR, IDC-10, Redox, HL7v2, OAuth; prior work getting apps live in large health systems (Epic/Cerner).
• AWS: You’ve built/operated services on AWS (e.g., Lambda/Beanstalk/ECS, API Gateway/ALB, S3, CloudWatch, etc) using CDK or Terraform for IaC.
• Systems thinking: You’ve led design for complex features, authored design docs, and improved reliability/observability in production.
• Security mindset: Working knowledge of regulated-data expectations (HIPAA/SOC2) and secure design basics.
• AI Coding: You’re already using the latest AI tooling like Claude Code with MCPs as part of your daily coding workflows.
• 6+ years building production software, with strong TypeScript skills
• Experience working in healthtech companies
• Experience working in early-stage venture-backed startups
• Fluent in English, both written and verbal.
• US-based with ability to work CST/EST Working hours (contractual requirement)

Benefits

• Base salary of $140,000 – $150,000 per year
• Flexible, Unlimited Paid Time Off
• Laptop plus enterprise seats for modern AI coding tools (e.g. Claude Code, etc)
• Thoughtful growth paths for IC (Staff/Principal) and management (EM/Director).
• Great medical, dental, and vision coverage
• 401k options
• Yearly personal development budget that can be used for books, courses, trainings, and more
• Annual company and team events