via Ladders
$120K - 160K a year
Design and build robust backend services and APIs using TypeScript and Node.js, lead technical ownership of key systems, collaborate with cross-functional teams, contribute to frontend React features, and ensure HIPAA-compliant development.
3+ years backend or full stack engineering experience with strong backend focus, proficiency in TypeScript and Node.js, RESTful API and relational database experience, good communication skills, and a relevant technical degree.
SamaCare Overview SamaCare helps to eliminate the administrative barriers that limit patient access to life-changing therapies. Insurance-related administrative hassles for prescription drugs result in worse outcomes for patients, delayed therapy, and over $100B of administrative waste for the US healthcare system. Medical providers are forced to manage these workflows on stone-age technology (fax, calls, and snail mail). SamaCare has built a software platform to help practices streamline those administrative workflows and a two-sided business model that has scaled to hit medical offices serving nearly 2 million patients (and growing rapidly). As a Venture Capital (VC)-funded company, we're building a team to help us scale, so that every patient gets access to the right treatment at the right time. Role Overview As a Senior/Software Engineer at SamaCare, you will help eliminate administrative barriers that prevent patients from accessing life-changing therapies. Our platform streamlines prior authorization and other insurance workflows, enabling providers to deliver care faster and more efficiently. In this role, you'll focus primarily on backend development-designing APIs, integrating partner systems, and scaling our platform infrastructure. You'll work in a TypeScript-based environment across services and occasionally contribute to frontend experiences in React. This is a high-impact position for an engineer who thrives on owning systems end-to-end, enjoys solving complex operational challenges, and wants to build technology that improves real-world healthcare delivery. Senior/Software Engineer Responsibilities: • Design and build robust backend services and APIs using TypeScript and Node.js to support provider tools, payer integrations, and automation workflows • Lead technical ownership of key systems, including authentication, data pipelines, messaging, and audit/logging infrastructure • Collaborate with product, data, and clinical teams to identify high-leverage backend opportunities and deliver secure, scalable solutions • Occasionally contribute to the frontend in React, especially when full stack context is required to ship features • Write clean, testable, well-documented code and help shape backend architecture and system design • Participate in code reviews, observability improvements, incident resolution, and ongoing performance optimization • Uphold best practices in HIPAA-compliant development, data privacy, and PHI protection Senior/Software Engineer Requirements: • 3+ years of experience as a backend or full stack engineer, with a strong backend orientation • Proficiency in TypeScript and Node.js for backend development • Experience designing RESTful APIs and working with relational databases (e.g., PostgreSQL) • Familiarity with asynchronous workflows, job queues, and third-party integrations (e.g., SFTP, RPA, EMR systems) • Strong communication skills and ability to collaborate across product, design, and clinical teams • Bachelor's or Master's degree in Computer Science, Engineering, or a related technical field • Bonus: Experience with AWS, infrastructure-as-code, or healthcare data formats (e.g., HL7, FHIR)
This job posting was last updated on 12/1/2025