$140K - 150K a year
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
This job posting was last updated on 9/5/2025