Senior Software Engineer

We are looking for a Senior Software Engineer to join our core engineering team. You will take ownership of significant features and initiatives, collaborate closely with product and operations stakeholders, and help shape the architecture of our platform. This is a hands‑on role for someone who thrives in a fast‑moving environment, takes pride in clean and maintainable code, and can operate with a high degree of autonomy.

• Lead development of major features and initiatives from architecture through delivery
• Collaborate cross‑functionally with product, QA, and operations to solidify requirements and translate them into durable technical solutions
• Write clean, well‑structured code across the full stack and contribute to ongoing refactoring and technical debt reduction
• Drive and utilize the team’s newly authorized Claude Code in Action Training to accelerate sprint velocity, reduce manual code review burden, and improve code consistency
• Design, implement, and take ownership of critical core systems, including the eConsult Workflow State Machine and the Multi‑tenancy/Organization Scoping enforcement
• Serve as a technical mentor through rigorous code reviews, setting a high standard for quality, and enforcing the Service Layer Pattern for all business logic
• Take an active role in infrastructure, deployments, and release processes

• 5+ years of professional software engineering experience
• Strong backend proficiency in Node.js/Type Script/Express.js (primary) with experience in database migration tools like Knex; familiarity with PHP/Laravel is a plus for legacy services
• Experience building single‑page applications using modern Web Components (Vanilla JS), lit‑html for reactive templating, and utility‑first styling with Tailwind CSS
• Solid SQL skills, including complex query design and schema architecture in PostgreSQL (our primary production database) and SQLite
• Experience with AWS services (S3, EC2, RDS, or similar)
• Comfort working in a Linux server environment
• Ability to lead projects and coordinate across stakeholders without formal authority
• A strong instinct for simplicity — you push back on unnecessary complexity
• Healthcare technology experience is a plus, but not required

• Direct experience utilizing Claude Code or other LLMs for AI‑Assisted Development and unit test generation
• Direct experience with Epic FHIR R4/STU3 (SMART on FHIR) integration, or experience with other transactional services like Twilio and Send Grid
• Familiarity with HIPAA compliance requirements in a SaaS environment
• Experience with CI/CD pipelines (Git Hub Actions, Jenkins)
• Familiarity with our modern development ecosystem, including Vite (build system), Cypress (E2E), and Vitest (unit testing)