Koda Health

Lead design and delivery of complex integrations and core platform features with hands-on coding, reliability, security, and technical leadership. | Senior-level experience with AWS, TypeScript, React, healthcare integrations (SMART on FHIR, HL7v2), security compliance, and strong systems thinking. | 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. 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) 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