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IR

Senior Software Engineer (US)

IRIS•Salt Lake City, Utah•Full-time
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Compensation$90K - 140K a year

Lead design and delivery of complex scalable document management systems, mentor engineers, own large features end-to-end, and champion technical standards. | 5-7 years professional experience with .NET Core, C#, modern UI frameworks, technical leadership in cloud-native distributed systems. | About IRIS IRIS Software Group is one of the UK's largest privately held software companies, trusted by 100,000+ businesses, schools and accountancy firms to keep their operations running. Our software pays 1 in 6 UK employees, supports over 12,000 schools, and is relied on by 91 of the top 100 UK accountancy firms. We're a Great Place to Work® certified employer, recognised for our commitment to well-being, inclusion and development - and we're growing fast. 1. Role Specification Role As a Senior Software Engineer, you'll be a technical leader within your team, responsible for delivering complex full-stack web applications, serving millions of users, driving technical excellence, and mentoring other engineers. You'll work hands-on with cutting-edge UI frameworks, .NET Core backends, and cloud-native technologies while contributing to architectural decisions and ensuring high-quality delivery across containerised, scalable products. You'll join our Document Management team within the Accountancy product line, building systems for managing and securely retrieving client documents that CPA and accounting firms rely on daily - working remote or hybrid from our Salt Lake City office alongside a close-knit engineering team. Main Responsibilities Technical Delivery Design and deliver complex, scalable systems - document processing, storage, and workflow systems - that anticipate edge cases and long-term maintainability Own large features or components end-to-end, from conception through production support Lead technical discussions and influence architecture decisions within owned systems, escalating cross-team impacts to the Engineering Lead Establish architectural patterns and standards others can follow Collaboration & Quality Lead story refinement with Product, providing technical input for estimation and risk Champion TDD/BDD, automated testing, and security reviews - with particular rigour on document integrity and data security Lead troubleshooting for complex issues and production incidents Proactively identify and drive resolution of technical debt Growth & Development Mentor junior and mid-level engineers, raising team capability and technical standards Lead code review standards and conduct complex feature reviews Champion responsible AI adoption within team practices Key Relationships Internal: Engineering Teams, Engineering Lead/Manager, Accountancy Product Management, QA, DevOps, Architecture. External: Professional Services, Customer Support, third-party integration vendors. 2. Qualifications & Experience Technical Skills Strong .NET Core, C#, ASP.NET Core Web APIs, REST, and distributed systems; strong or working proficiency in a modern UI framework (Angular, React, Vue.js, Blazor) Strong SQL/NoSQL and data architecture skills Cloud architecture on Azure (Functions, Queue, Blob Storage, VMs) or AWS (Lambda, SQS/SNS, EC2), with Infrastructure as Code (Terraform, Bicep, or CloudFormation/CDK) and containerisation (Docker/Kubernetes) at production scale Observability (DataDog, App Insights, or CloudWatch) with performance tuning and cost optimisation Clean architecture, SOLID, and domain-driven design principles TDD/BDD-driven testing strategy, profiling/benchmarking, and production troubleshooting at internet-facing scale Application security: vulnerability management and threat modelling Practical use of AI coding tools (Copilot, Claude Code, etc.) in day-to-day engineering Experience Requirements 5–7 years of professional software development experience Proven delivery of complex, multi-system solutions at internet-facing scale, serving millions of users Demonstrated technical leadership through architecture decisions and active mentoring, without formal authority Track record leading technical initiatives spanning multiple sprints or quarters, establishing standards and influencing technology choices Desirable Experience with content or document management systems, ideally within accounting or professional services Experience with e-signature or workflow integrations, and event-driven architectures Knowledge of security/compliance standards (OAuth2, OIDC, RBAC); experience in regulated or audit-heavy domains 3. Competencies Strong analysis and problem-solving for complex technical issues Communicates technical concepts clearly to technical and non-technical stakeholders Leads and influences without formal authority; coaches through mentoring Collaborative, with sound judgement in technical disagreements Learning mindset, adaptable to new tools and industry trends 4. Additional Information Benefits Competitive salary, private medical healthcare, life assurance and pension, generous holiday allowance, senior technical leadership development, conference and community engagement opportunities, and flexible/hybrid working. IRIS is Great Place to Work certified and a Best Workplace for Women. This role will evolve with the needs of the business. IRIS and IRIS Software & Services are trademarks. © IRIS Software Group 2026. Why You’ll Love Working Here Impact: Your work will influence millions globally. Growth: Continuous learning and career development opportunities. Belonging: A culture that celebrates diversity and empowers every individual. Ready to Apply? Click Apply - we’re excited to learn about your unique perspective and experience. If you need adjustments during the process, let us know. We’re committed to making this opportunity accessible to everyone. What to expect from our hiring process Our process is designed to be fair, transparent and straightforward. Stages vary depending on the role — more senior positions may involve additional steps, and some areas include role-specific assessments such as a technical test or case study — but typically you can expect: Application review — we assess your experience and potential Initial call — a short conversation to learn about you and share more about the role Skills assessment — tailored to the position, e.g. case study, coding challenge or portfolio review Final interview — meet the team and explore how you'll make an IMPACT at IRIS We'll always walk you through the specific stages at the start of the process so you can prepare with confidence. If you need any adjustments or accommodations during the process, let us know, we’re committed to making this experience accessible for everyone.

API Design
System Architecture
Mentorship
JavaScript
TypeScript
REST API
Terraform
Observability
Direct Apply
Posted 27 days ago
Jobgether

Staff Software Engineer (GenAI Innovation/ Forward deployed)

Jobgether•Anywhere•Full-time
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Compensation$90K - 150K a year

Lead development of generative AI systems by prototyping and deploying scalable backend solutions and collaborating with multidisciplinary teams. | 6+ years backend/full-stack development experience with Python, AWS, database technologies, and systems-thinking to deliver production applications. | This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Staff Software Engineer (GenAI Innovation / Forward Deployed) based in the United States. As a Staff Software Engineer, you will lead the development of innovative systems that turn emerging generative AI capabilities into practical, scalable business solutions. You’ll work in a forward-deployed environment where experimentation, rapid prototyping, and measurable business impact are central to the role. The position spans backend services, APIs, databases, cloud infrastructure, and web experiences, giving you broad technical ownership from concept through production. You’ll explore frontier AI technologies while applying sound engineering judgment to determine where AI can—and cannot—create meaningful value. Working across a complex, matrixed organization, you’ll partner with multidisciplinary teams to move ideas quickly from experimentation into reliable production systems. You’ll also leverage AI-assisted development tools to accelerate engineering workflows without compromising quality. This is an opportunity to shape how next-generation AI is applied across large-scale media, entertainment, and consumer-facing businesses. \n Accountabilities: Research, prototype, and evaluate emerging generative AI technologies, translating promising capabilities into solutions with measurable business value and return on investment. Assess proposed AI use cases critically, distinguishing genuine AI opportunities from problems that are better solved through conventional technology or process improvements. Lead technical development from concept through deployment, independently taking ownership of applications and collaborating with cross-functional partners as needed. Design and build scalable backend services, business logic, data layers, and APIs using established engineering patterns and organizational standards. Develop and maintain databases and storage solutions across SQL and NoSQL environments. Build end-to-end features spanning web frontends, APIs, backend services, and underlying data systems. Integrate foundation models and agentic AI capabilities into applications using appropriate tooling, instrumentation, retrieval-augmented generation (RAG), and model-selection approaches. Develop automated tests and maintain high standards for reliability, code quality, maintainability, and security—including careful review of AI- or agent-generated code. Deploy applications to cloud environments and troubleshoot application, infrastructure, configuration, and networking issues. Use code-generation and test-generation technologies to accelerate development while maintaining rigorous engineering standards. Collaborate across multidisciplinary and matrixed teams, building alignment through clear communication, technical expertise, and strong interpersonal skills. Translate ambiguous business needs into practical technical requirements, architectures, and scalable implementations. Adapt quickly to changing priorities, incorporate feedback, and continuously improve solutions as new information and technologies emerge. Requirements 6+ years of professional experience in backend or full-stack software development, supported by a strong portfolio of relevant technical work. Demonstrated systems-thinking ability, with experience addressing underlying systemic problems rather than simply treating symptoms. Proven ability to take an application from an initial idea through design, implementation, testing, and production delivery. Strong experience with Python for application development, along with AWS, database technologies, and SQL. Familiarity with the broader Python ecosystem and tools used for software development, testing, build automation, and deployment. Strong understanding of machine learning practices relevant to foundation-model integration, including model selection, RAG patterns, tooling, instrumentation, and evaluation. Exposure to fine-tuning, deep learning, model training, or related AI/ML concepts. Practical experience designing, integrating, and consuming APIs across backend and frontend applications. Experience building scalable technical architectures and communicating architectural concepts clearly to technical and non-technical stakeholders. Familiarity with large language models, AI-generated content, and the evolving ecosystem of LLM application-development tools such as LangChain. Ability to work effectively within secured internal networks and complex cloud environments. Strong analytical and problem-solving skills, particularly when requirements are ambiguous or evolving. Ability to distinguish user preferences from essential technical or business requirements and independently identify appropriate solutions. Excellent communication and collaboration skills, with the ability to navigate complex organizational structures and work effectively across teams. High adaptability and comfort operating in a rapidly changing technology landscape. Strong engineering judgment, curiosity, ownership, and willingness to experiment with emerging technologies. Ability to work with agility, respond constructively to feedback, and adjust priorities as business needs evolve. Benefits Competitive base salary of $130,000–$170,000, with eligibility for a bonus. Fully remote work arrangement within the United States. Medical, dental, and vision insurance. 401(k) retirement savings plan. Paid leave. Tuition reimbursement. Employee discounts and a variety of additional perks and benefits. Opportunity to work at the forefront of generative AI and foundation-model application development. Broad technical ownership spanning AI, backend systems, APIs, databases, cloud infrastructure, and web applications. Opportunity to collaborate with multidisciplinary teams and apply emerging technologies to large-scale, real-world business challenges. Ongoing opportunity to learn, experiment, and influence how AI-enabled products and systems are built and deployed. \n How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1

API Design & Integration
Backend Development
System Architecture
Direct Apply
Posted 27 days ago
Sage Hospitality

Sales and Events Coordinator

Sage Hospitality•Philadelphia, Pennsylvania•Full-time
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Compensation$55K - 70K a year

Manage event logistics and facilitate guest experiences ensuring high service standards. | Strong passion for hospitality, service-oriented mindset, and ability to collaborate within a team. | Why us? Philadelphia is where American independence first took root—a bold, vibrant spirit that still defines the city today. At the center of it all is Logan Square, home to the Logan Hotel, a destination that blends lively urban energy with curated luxury. With its striking art collection, refined service, and bespoke experiences tailored to every guest, the Logan Hotel offers an unparalleled journey into elegance and sophistication Our associates play a vital role in bringing this experience to life. They anticipate guest needs, create personalized moments, and support one another to deliver exceptional hospitality every day. If you have a passion for hospitality, a mindset driven by service, and a desire to make a difference in the lives of others, The Logan Hotel may be the perfect place for you.

Event Coordination
Vendor Management
Customer Service
Direct Apply
Posted 27 days ago
EG

Cybersecurity Full-Stack Developer (100 % remote) (m/f/d)

EWOR GmbH•Anywhere•Full-time
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Compensation$55K - 120K a year

Lead and execute cybersecurity initiatives by architecting scalable solutions and driving rapid implementation from prototype to production. | High-agency builder mindset with domain expertise, end-to-end ownership, and excellent English communication skills. | EWOR is launching cutting-edge new initiatives, and we are looking for exceptional operators and builders to join our new department. We are backed and led by serial entrepreneurs, including Paul Müller (founder of Adjust, €1.2B exit) and Petter Made (founder of SumUp, €8B), who have built high-impact technology and category-defining ventures from the ground up. What We Offer Maximum ownership: Complete autonomy to architect systems, drive strategy, and build from 0 to 1 without corporate red tape. High-growth environment: Complete focus on achieving strong market validation and scalable traction as fast as possible. No PowerPoint presentations, no 7 layers of approval. Good ideas and fast execution are what matter. Elite team: Report directly to the department founder and collaborate with a world-class team of engineers, researchers, and commercial leaders. Competitive compensation & upside: Attractive compensation with equity upside. Tasks You will lead and execute core 0-to-1 initiatives in cutting-edge domains such as Cybersecurity. You will translate high-level strategic vision into concrete execution roadmaps, driving rapid implementation from prototype to production. You will architect scalable solutions and drive critical milestones to position the new department for rapid growth and potentially a spin-off to attract institutional backing. You are based in Europe or the Americas (or open to relocate/remote arrangements). You have a high-agency builder mindset, with proven domain expertise and the drive to take extreme end-to-end ownership. You have excellent verbal and written communication skills in English.

System architecture
Full-stack development
Communication skills
Direct Apply
Posted 27 days ago
Elevance Health

Information Security Sr Advisor - Automation Engineer

Elevance Health•Atlanta, Georgia, Indianapolis, Indiana, Louisville, Kentucky, Mason, Ohio, Grand Prairie, Texas•Full-time
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Compensation$85K - 130K a year

Develop and implement enterprise information security policies and automation solutions for cloud-native services, design secure access and network solutions, and provide technical escalation support. | Bachelor's degree and 8+ years in systems administration and security with experience in access management, network security, and cloud technologies like AWS, Kubernetes, and Docker. | Anticipated End Date: 2026-09-11 Position Title: Information Security Sr Advisor - Automation Engineer Job Description: Location: Atlanta GA, Mason OH, Indianapolis IN, Grand Prairie TX, Louisville KY Hours: Standard Working hours Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position Overview: Develops, recommends, and implements enterprise information security policies, technical standards, guidelines, procedures, and integration solutions necessary to support secure cloud account provisioning, enterprise security platforms, and data at rest protection capabilities in compliance with established company policies, regulatory requirements, and generally accepted information security controls. Responsible for the design, development, and delivery of scalable cloud-native integration services, secure API frameworks, and automation solutions supporting enterprise encryption, access control, and secure transaction/messaging platforms across hybrid and cloud environments. How You Will Make an Impact: Supports system and network architecture initiatives for information and network security technologies Supports the development and execution of risk assessment methodologies to fit business, regulatory, and technical environment considerations Contributes to requirements gathering, system architecture, and software design activities for security products and services Assists with the discovery, evaluation, and response to emerging networking threats and security vulnerabilities Develops security incident response plans and strategies Provides trouble resolution and serves as point of technical escalation on complex problems Creates presentations and seeks IT management approval and acceptance of significant replacements or reconfigurations of major security systems serving the Enterprise May be assigned to project teams for technical consultation to business partners and developers Designs & engineers comprehensive access management and network security technical solutions based on business requirements and defined technology standards; works with architecture to update technology direction & strategy Develops reports supporting strategy and direction for management Capable of serving as technical merger & acquisition lead Acts as a subject matter expert among peers, with manager and senior management Must be capable of providing top-tier support for 5 or more of the information security technology common body of knowledge skill sets: 1) Access Control, 2) Application Security, 3) Business Continuity and Disaster Recovery Planning, 4) Cryptography, 5) Information Security and Risk Management 6) Legal, Regulations, 7) Compliance and Investigations, 8) Operations Security, 9) Physical (Environmental) Security, 10) Security Architecture and Design, 11) Telecommunications and Network Security Designs and develops secure integration services connecting cloud account/project provisioning systems, ServiceNow workflows, middleware platforms, and enterprise security tooling through APIs Builds resilient cloud-native automation services with observability, retry logic, fault tolerance, and secure service-to-service communication across distributed systems Develops and deploys containerized applications leveraging Kubernetes/EKS, CI/CD pipelines, Infrastructure as Code, and DevSecOps best practices Required Qualifications: Requires BS/BA in information Technology or related field of study and a minimum of 8 years experience in systems administration and security aspects of information systems, access management and network security technologies, network communications, computer networking, telecommunications, systems development and management, hardware, software, data, and people; experience with multiple technical and business disciplines required; requires broad-based experience to plan and design highly complex systems; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications: Experience developing integrations and automation services using Python, Java, or Go Experience building and consuming REST APIs and integrating with enterprise security platforms via APIs Experience with AWS cloud technologies including EKS, IAM, and secure cloud-native architectures Must have experience with Docker, Kubernetes, and containerized application deployments Preferred experience with CI/CD pipelines including GitHub Actions, Jenkins, or GitLab CI Preferred experience with Infrastructure as Code tools such as Terraform Strongly preferred experience implementing secure development practices including secrets management, dependency scanning, and code analysis Preferred experience with ServiceNow integrations, workflows, and middleware orchestration platforms Preferred experience with event-driven architectures including Kafka, SNS, and SQS Strongly preferred understanding of distributed systems, resiliency patterns, fault tolerance, and observability practices Must be a team player and participate as a team member in the automation and development process Security Certifications: CISSP and other advanced technical security certifications (e.g. Information Systems Security Architecture Professional, Information Security Engineering Professional, Certification and Accreditation Professional, or equivalent certifications) strongly preferred Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: IFT > IT Security & Compliance Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Information security
Automation engineering
Cloud security
Access control
Network security
Direct Apply
Posted 27 days ago
RLDatix

Software Engineer II

RLDatix•Lehi, Utah•Full-time
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Compensation$55K - 90K a year

Maintain and support production systems, resolve bugs, and collaborate with senior engineers on scoped work. | Professional experience with Python/Django, React, relational databases, AWS, and Git workflows. | RLDatix is on a mission to transform care delivery worldwide, ensuring every patient receives the safest, highest-quality care. Through our innovative Healthcare Operations Platform, we’re connecting data to unlock trusted insights that enable improved decision-making and help deliver safer healthcare for all.    Job Description  RLDatix (RLD) is on a mission to help raise the standard of care…everywhere. Trusted by over 10,000 healthcare organizations around the world, our solutions help improve health and care. Our applications ensure that patients receive the best and safest care while supporting the providers who deliver it.  Joining TeamRLD means being part of a global effort of over 2,000 team members in making a difference in healthcare…every day.  We’re searching for a Lehi, Utah-based Software Engineer to join our R&D team, so that we can keep our production systems healthy and our releases moving. The Software Engineer will focus on maintenance, operational support, and bug resolution, helping the team manage monthly upgrades, service requests, and chore-based work.  You will execute clearly scoped work defined by senior engineers, contributing to a high-performing team that deploys continuously and takes ownership of quality through end-to-end testing of your own work.    How You’ll Spend Your Time    * Resolve bugs, complete monthly upgrades, and handle operational chores using Python (Django) and React to deliver reliable, production-ready work  * Diagnose and troubleshoot routine to moderately complex technical issues using systematic debugging in order to keep production systems stable  * Take full ownership of QA for the work you build or fix before submitting it for peer code review  * Follow established CI/CD and GitHub pull request workflows to contribute to the team’s daily deployment cadence  * Monitor system health and respond to alerts and service requests in order to support production stability and visibility into key application metrics  * Collaborate with senior engineers and the Product Owner to understand task scope and acceptance criteria for work items in Azure DevOps      What Kind of Things We’re Most Interested in You Having    * Professional software engineering experience in Python, with Django familiarity at a minimum (Django experience preferred)  * React familiarity and openness to front-end work, even if your primary strength is back-end  * Proven success writing clean, maintainable, well-tested code and diagnosing moderately complex issues using systematic debugging  * In-depth knowledge of relational databases (MySQL), Django ORM usage, and how to write performant queries  * Experience with AWS services (EC2, RDS, S3), REST APIs, Git-based GitHub workflows, and standard Python and React testing frameworks  * Monitoring and logging awareness is a plus  * Ability to commute to our Lehi, Utah office approximately 2 days a week (higher in-office frequency during an initial onboarding period of around 1 month); no significant travel required  * Sincere interest in building software that improves healthcare outcomes  * Prior experience on a SaaS product team is a nice-to-have, and exposure to regulated industries (healthcare, finance, government) is a plus  * A knack for working collaboratively within an engineering-led Agile team where engineers own quality      By enabling flexibility in how we work and prioritizing employee wellness, we empower our team to do and be their best. Our benefits package includes health, dental, vision, life, disability insurance, 401K, paid time off, and paid holidays.  RLDatix is an equal opportunity employer, and our employment decisions are made without regard to race, color, religion, age, gender, national origin, disability, handicap, marital status or any other status or condition protected by Federal and/or State laws.  As part of RLDatix’s commitment to the inclusion of all qualified individuals, we ensure that persons with disabilities are provided reasonable accommodation in the job application and interview process. If reasonable accommodation is needed to participate in either step, please don’t hesitate to send a note to accessibility@rldatix.com [accessibility@rldatix.com].  Salary offers are based on a wide range of factors including location, relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also taken into consideration.

Python
Django
React
MySQL
AWS
Direct Apply
Posted 27 days ago
Outro Health USA Inc.

Lead Engineer

Outro Health USA Inc.•Anywhere•Full-time
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Compensation$85K - 130K a year

Lead engineering, design, and build systems for clinician tools and patient-facing products while guiding technical direction and mentoring team members. | Strong senior or staff engineer with production system experience in healthcare or regulated industries and deep expertise in the tech stack. | Own a large share of the software today, and grow into leading engineering as Outro scales. About Outro Outro Health is the first company dedicated to helping people feel better by using less medication, not more. Our flagship program helps people safely taper off antidepressants and other psychiatric medications through specialist clinical care and purpose-built software. Our clinical work is led by co-founder Dr. Mark Horowitz, one of the world's foremost experts in deprescribing and author of the field's leading clinical textbook. In our first year, we built a first-of-its-kind care model with real revenue, healthy economics, and research partnerships with leading health systems and universities. Our software helps a small clinical team taper patients safely while reaching far more of them. Our next phase is refining that model and scaling it. More on us: our launch in WIRED and Dr. Horowitz on NPR's Science Friday. The role Outro has effectively had one engineer to date: our founding engineer, who built most of the patient product, clinician tooling, internal systems, and technical foundation. He is now moving into a Product Lead role focused on finding and shaping what we should build. He will still write code—prototyping ideas, launching experiments, and helping teams move quickly when software can unlock progress. We are hiring a Lead Engineer to take primary ownership of engineering. You will be Outro's senior hands-on engineering leader: writing a large share of the production software, making important technical decisions, and ensuring our systems remain coherent, reliable, and built to last. As you hire and lead the engineers who come after you, this role is intended to grow into Head of Engineering. There is no existing team to manage: the role is deeply hands-on today and will remain so as we build a small, excellent engineering organization. What you'll own Near term, you ship. You will design, build, and operate systems across: clinician tools and patient-facing products; medication, symptom, and clinical data; insurance and healthcare integrations; internal operations and research systems; infrastructure, reliability, security, privacy, and compliance. Almost everything we build comes back to one question: what is happening with a patient's medication, how are they responding, and how should we support them? In deprescribing, forms, messages, prescriptions, and notes disagreeing is not merely untidy; it is a patient-safety risk. You will own the systems that make this information coherent, useful, and safe to act on. As we grow, you will increasingly own technical direction, architecture, engineering standards, delivery, and technical compliance—including how we approach HIPAA, SOC 2, access controls, auditability, and sensitive patient data. You will hire and mentor subsequent engineers, introduce useful process without unnecessary bureaucracy, and ultimately lead engineering as a function. How we work together Both the Product Lead and Lead Engineer write code. The distinction is accountability, not a handoff: the Product Lead owns product discovery and rapid experimentation; you own the engineering system those bets live within—its architecture, quality, reliability, and evolution. Sometimes you will build together; sometimes independently. You will help shape ideas early and be a genuine thought partner on product and technical strategy, not simply receive finished specifications. Who you are You are likely a strong Senior or Staff Engineer at an early-stage healthcare or technology company. You want to own engineering as a whole, but still love building and do not want to move into full-time management. You have: shipped and operated substantial production systems; strong judgment across architecture, data modeling, product engineering, and integrations; real product instinct and comfort working through ambiguity; high standards for reliability, especially where software affects patient care; serious experience building with AI tools—and know where they help and where they fail. Healthcare or regulated-industry experience is useful, but not required. Sound judgment, curiosity, and the ability to learn a complex domain quickly matter more. Stack and team We use TypeScript across most of the stack: Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform. You will work closely with our Product Lead, founders, clinicians, operators, and a part-time designer. We intend to stay small, with substantial individual ownership and low bureaucracy. We work Eastern hours. Join us in New York City or work remotely within the US. Compensation and benefits Salary: $165,000–$220,000, based on experience Equity: 0.5–0.75% Health: $1,000 per month through Thatch ($250 more per dependent) to choose your own medical, dental, and vision plan Time off: 20 days of paid vacation, plus holidays Tooling: Claude, Codex, Cursor, and whatever else you need Please apply even if you do not meet every qualification. Nobody does, and we would rather talk.

TypeScript
Node.js
System architecture
Technical leadership
Terraform
Direct Apply
Posted 27 days ago
Duke Health

Patient Service Associate - Cardiology Arringdon

Duke Health•Morrisville, North Carolina•Full-time
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Compensation$55K - 70K a year

Coordinate daily clinic operations including patient check-in/out, scheduling, charge posting, and managing patient records. | At least one year of customer-facing healthcare experience, high school education, basic PC skills, and medical terminology knowledge. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. ONSITE POSITION: Monday - Friday (8:00 AM - 4:30 PM) Summary Coordinate and participate in a variety of duties associated with daily clinic preparation process, patient identification, patient check-in/out, charge posting, cash management and patient appointment scheduling. Position also involves customer service, message distribution, ancillary scheduling and preparation and referrals management. Work Performed Prepare for clinic visits by reviewing next day patients and completing next day preparation activities. Enter pre-visit orders and prepare new patient charts. Pick up X-rays, office c harts, medical records, reports, petty cash and collections bag. File history sheets, ancillary reports and all other required patient record documentation. Return medical records. Attach HIPPA/Medicare documents to the encounter forms. Check-in patient upon arrival in the practice. Identify correct patient information in Maestro Care. Verify patient demographic data. Edit Maestro Care as needed. Accurately identify the appropriate account for patient visit. Present and educate patients on required forms and obtain signature as required by policy and procedure. Completes all Maestro Care check-in files and manage all appropriate alerts. Collect and post co-payments and balances on accounts due. Imprint all patient specific chart documents and requisition/transmittal documents. Copy, file and distribute insurance cards as indicated by procedure. Coordinate all labs/ procedures as requested. Maintain private physician office charts. Prepare encounter forms. Investigate and account for missing encounter forms. Audit encounter forms for completeness and accuracy before batching. Batches encounter forms or charge posting in Maestro Care. Schedule tests and procedures. Complete and distribute ancillary service requisitions. Explain billing to patients according to PRMO credit and collection policies. Determine the amount of cash to be collected based on insurance plan. Check- outpatients. Make return appointments by scheduling patients into the correct appointment type, entering the primary care physician or referring physician and scheduling tests and procedures. Answer telephone, take and deliver messages to physicians, nurses and others. Report obtained medical information from patients and referring physicians accurately, completely and timely. Disseminate messages according to practice communication standards Knowledge, Skills and Abilities Strong verbal and written communication. Basic PC and data entry skills. Knowledge of medical terminology and telephone etiquette. Demonstrated ability to organize and prioritize work, provide oral and written instructions, interact tactfully with customers and establish and maintain effective relationships with others. Must be able to apply specific departmental policies rules and regulations relating to verifying patient information, collecting payments and maintaining records and forms. Education Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education Experience Minimum of one year of work experience in directly communicating and activities. Providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks Degrees, Licensures, Certifications N/A Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Patient registration
Scheduling
Data entry
Direct Apply
Posted 27 days ago
Jobgether

Senior Software Engineer, Docker Desktop, Go/Backend Focus

Jobgether•Anywhere•Full-time
View Job
Compensation$85K - 130K a year

Design and maintain backend platform systems with focus on reliability and observability. | 6+ years backend experience with strong Go skills and collaborative communication. | This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Software Engineer, Docker Desktop, Go/Backend Focus based in United States. This is a high-impact backend and platform engineering role focused on the systems powering a widely used developer desktop experience. You’ll design and build modular services and shared components that support millions of developers and multiple engineering teams. The role combines hands-on Go development with architectural ownership, reliability engineering, telemetry, and platform evolution. You’ll work on user-facing lifecycle systems such as installation, updates, startup, and other foundational capabilities. As a senior engineer, you’ll take ownership of complex, cross-cutting initiatives from problem definition through delivery and iteration. You’ll collaborate with distributed teams, influence technical direction, and help establish engineering practices that enable teams to move faster with confidence. This is an opportunity to shape foundational developer infrastructure while working in a remote-first, highly collaborative engineering environment. \n Accountabilities Design, develop, and maintain core backend and platform systems supporting the desktop application's lifecycle, including installation, updates, startup, and shared services. Build and evolve modular platform components such as settings, feature flags, internal services, and other capabilities consumed by multiple engineering teams. Develop high-quality, well-tested Go software while contributing to engineering standards, maintainability, and technical excellence. Improve platform reliability, performance, observability, and diagnostics through telemetry, system-health metrics, and architectural improvements. Partner with feature teams to ensure shared platform capabilities effectively support product development and evolving technical requirements. Drive initiatives end to end, from defining problems and evaluating solutions through implementation, release, measurement, and iteration. Contribute to architectural discussions and help establish the long-term technical direction of the desktop platform. Identify and resolve complex, cross-cutting technical challenges while considering their impact on both internal teams and end users. Participate in an on-call rotation when required, including occasional evenings, weekends, and holidays to support critical platform systems. Share technical knowledge through design proposals, documentation, internal presentations, pair programming, and collaboration with engineering peers. Requirements 6+ years of professional experience building backend software, with strong and recent hands-on experience using Go (Golang) in production environments. Proven backend or platform engineering expertise, including experience designing modular systems and shared components used by multiple teams. Strong problem-solving skills and the ability to navigate ambiguous requirements, complex systems, and cross-functional technical challenges. Experience with observability, telemetry, diagnostics, or system-health monitoring and an understanding of how these capabilities support reliable production systems. Demonstrated ownership of technical projects from initial problem definition and architecture through implementation, delivery, and ongoing improvement. Strong communication skills, including the ability to write clear technical documentation and collaborate effectively across distributed engineering teams. Bachelor’s degree in Computer Science, Engineering, or a related discipline, or equivalent practical experience. Experience with developer tooling or platform engineering is an advantage. Familiarity with virtualization, networking, containers, CI/CD systems, release pipelines, build systems, desktop environments, or local development tooling is a plus. Comfortable thinking in terms of reusable systems and understanding how architectural decisions affect other teams and end users. Willingness to contribute to a collaborative, remote-first engineering environment and influence technical direction through strong judgment and well-reasoned proposals. Benefits United States compensation range of $160,900 – $260,700, plus equity. Fully remote work for candidates located in the East Coast time zone of Canada or the United States. Flexible working arrangements designed to support autonomy and effective collaboration. Generous paid time off, quarterly wellness days, and a designated end-of-year wellness break. Home-office support to help create a comfortable and productive remote workspace. Technology stipend equivalent to US$100 net per month. Annual learning and development stipend for conferences, courses, certifications, and other professional development. 16 weeks of paid parental leave after six months of employment. Equity eligibility for full-time employees. Comprehensive benefits including medical coverage, retirement benefits, and paid holidays, varying by country. Opportunities to work with globally distributed engineering teams and contribute to widely used developer infrastructure. Dedicated onboarding, mentorship, technical collaboration, and opportunities to lead significant platform initiatives. \n How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1

Backend engineering
API design
System architecture
Direct Apply
Posted 27 days ago
Jobgether

Staff Backend Engineer, Search

Jobgether•Anywhere•Full-time
View Job
Compensation$90K - 150K a year

Design and optimize backend search infrastructure and real-time ingestion pipelines to support AI-powered features. | Bachelor's degree and 7+ years in backend or search engineering with strong OpenSearch/Elasticsearch and distributed systems experience. | This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Staff Backend Engineer, Search based in the United States. As a Staff Backend Engineer, Search, you will help shape the core search infrastructure behind a modern AI-powered productivity platform. You will design, scale, and optimize backend search services built around Postgres and OpenSearch. Your work will directly influence search relevance, speed, freshness, and the quality of next-generation semantic experiences. You will tackle complex distributed systems challenges involving real-time ingestion, indexing, query performance, and search serving at scale. Working closely with AI, backend, and product teams, you will help integrate advanced search capabilities into new product experiences. You will also establish measurement frameworks and engineering practices that continuously improve search quality and reliability. This is a high-impact opportunity for an experienced search engineer to influence architecture and build foundational technology used at significant scale. \n Accountabilities Design, implement, and evolve robust backend search solutions capable of scaling with a rapidly growing user base. Architect and optimize search infrastructure built on technologies such as OpenSearch, Elasticsearch, and Postgres. Improve search relevance, accuracy, latency, and overall result quality to help users quickly find the information they need. Build and optimize real-time indexing and ingestion pipelines so search results remain current and reliable. Develop measurement and evaluation frameworks that provide actionable insight into search quality and guide continuous improvement. Build and enhance vector search capabilities, including semantic search and embedding-based experiences, to support next-generation AI-powered functionality. Optimize query parsing, indexing strategies, relevance tuning, and search-serving performance across high-scale environments. Collaborate with AI, backend engineering, and product teams to integrate search capabilities into new features and workflows. Investigate and resolve complex search-related production issues, ensuring reliability and performance under demanding workloads. Provide technical leadership on search architecture, engineering decisions, and scalable solutions that maintain performance as usage grows. Contribute to the evolution of search technology and help establish engineering practices that improve maintainability, observability, and operational excellence. Requirements Bachelor’s degree in Computer Science or a related technical field. 7+ years of professional experience as a search engineer or in a closely related backend engineering role. Strong hands-on production experience with OpenSearch or Elasticsearch; experience with Solr may also be considered. Proven experience designing and operating high-scale, real-time data ingestion and search-serving systems within backend service environments. Strong understanding of query parsing, indexing, relevance tuning, search optimization, and information retrieval concepts. Demonstrated experience measuring, evaluating, and improving search quality using data-driven approaches. Experience designing search architectures that maintain strong performance and reliability under heavy workloads. Strong software engineering and problem-solving abilities, with the capacity to troubleshoot complex distributed search systems. Experience collaborating effectively with backend engineers, AI/ML specialists, product managers, and other cross-functional stakeholders. Familiarity with search ranking, relevance algorithms, and information retrieval is highly desirable. Hands-on experience with vector embeddings and semantic search implementations is preferred. Experience applying machine learning or natural language processing techniques to improve search relevance is a plus. Experience with TypeScript in backend systems is desirable. Ability to operate at a high technical level while contributing to architectural direction and long-term search strategy. Benefits Estimated base compensation of $250,000–$300,000 USD, with actual compensation determined by factors including location, experience, education, skills, and interview performance. Equity opportunities. 401(k) plan. Health, dental, and vision insurance. Flexible spending and other spending accounts. Life and disability insurance coverage. Paid parental leave. Flexible paid time off. Enhanced employee assistance program. Employee wellness stipend. Professional development stipend. Opportunity to work on AI-native products and advanced search technologies. Collaborative environment with opportunities to work across backend engineering, AI, and product teams. \n How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1

Backend engineering
API design
Distributed systems
Direct Apply
Posted 27 days ago
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