Senior Emr Software Jobs in Texas (NOW HIRING)

Job Description - Senior Software Engineer

Reports To - Engineering Manager

Summary

AxisCare is hiring a full-time, fully remote Senior Software Engineer to help us build, ship, and maintain the market-leading SaaS platform powering the home care industry, and to help us reimagine how software gets made in the age of AI.

We're no longer building the car by hand, so to speak. We're building the factory that makes great cars, with humans in the loop where the human touch matters most. (Read more about how we think AI is changing product development.)

We're looking for engineers who've already internalized this shift. Engineers who push AI tools to their breaking point, then push again three months later when the models improve. Engineers who move from idea to working software in hours instead of weeks, and who bring the judgment to know when the output is actually good.

There will always be a need for people who deeply understand our customers' most important problems, solve them with high-quality software, and run that software reliably in production. That's the work that endures, and that's the work we're hiring for.

What You'll Do

Collaborate with product leaders to spike on possibilities and prototype aggressively, often putting working software in front of stakeholders before the old process would have finished a PRD, then quickly iterate from there.

Mentor junior and mid-level engineers in code design, systems thinking, and driving AI agents effectively: when to trust output, when to throw it out, and how to maintain code quality when the machine is doing the typing.

Write backend business logic, extend our API, integrate with third-party services, build frontend UI, and tackle issues throughout the codebase. All using AI fluently as a force multiplier, not a crutch.

Improve system performance and resilience, upgrade our tech stack, and go after the pipe dreams that used to be too expensive to try.

Own what you ship in production. Home care agencies rely on our software to run their business every day, so we instrument, observe, and debug what we build. We treat reliability as a first-class feature, not an afterthought.

What We're Looking For

A product-minded engineer who deeply interrogates user problems before jumping to solutions. AI makes it dangerously easy to build the wrong thing quickly.

Asystems thinker who looks beyond the element at hand to the broader system and the dynamics at play within it.

AnAI power user with substance. You've moved past "I tried Cursor once." You drive agents to carry out real intent on real codebases, have opinions about where today's models break down drawn from real experience, and have habits for catching those failures before they ship.

Aquality-conscious builder. High-quality software is both valuable to the business now and easy to change later.AI lets us change software quickly, which makes the "easy to change later" part more important than ever.

Astrong writer. Remote work demands it, clear writing is clear thinking, and clear thinking is how you get the biggest impact from AI.

Ateam leadfor 1-2 engineers, but also fully capable of taking substantial features from concept to completion solo.

Experience required:

• 5+ years as a professional software engineer on teams building full stack cloud-native web apps. Ideally with PHP, but any object-oriented language works too.
• React apps in TypeScript
  
• Experience building well-structured, readily comprehensible, easily maintainable software that balances practicality with elegance
  
• MySQL, using both PHP-based ORMs and raw SQL
  
• Designing and building RESTful APIs, and integrating with third-party APIs
  
• Able to work remotely from the Eastern, Central, or Mountain time zones
  
• Qualified to work in the United States or Canada

What We'd Be Excited to Find

• Experience building HIPAA-compliant software
• Experience with EMR/EHR systems used in clinical care
  
• Concrete examples of AI-enabled workflows you've built that meaningfully changed how your team ships. Custom agents, evals, prompt libraries, internal tooling, etc.

Working Conditions

• Manual dexterity required to use desktop computer and peripherals

Compensation and Equipment

• Salary (TBD based on job experience and skill level)
• Medical insurance is covered in full for the employee (Medical, Dental and Vision)
• Company will provide laptop and other needed computer equipment

How to Apply

Apply with a brief resume and either a written or video cover letter.

We review the cover letter before anything else in your application, so this really matters. This is your single biggest opportunity to improve your chances, and video submissions go right to the front of the line.

Prompt:Tell us about something you're proud to have built. Tell us how AI has changed the way you work in the last six to twelve months with specific examples. Tell us why this position is the one you've been hoping to find.

Written:No more than 600 words. We're looking for clarity of thought and strong communication. Use AI if you want, but don't send slop.

Video:1-2 minutes, linked in the "Website, Blog, or Portfolio" section of your application. Doesn't need to be highly produced. We care about how you think and communicate.

We strongly encourage candidates from all backgrounds and every walk of life to apply. Every person on our team brings their own unique perspective, and it's what makes our products better and our work more rewarding. We're eager to support you so that you can ship work you're proud of.

Candidates only. No recruiters, please.

About AxisCare

According to Pew Research, roughly 10,000 baby boomers turn 65 every day, and the American Society on Aging calculated that an American has a 70% chance of needing help with activities of daily living such as dressing, bathing, hygiene, etc. This has led to an unprecedented increase in Home Care agencies in the U.S. and abroad who strive to help those who have difficulty helping themselves, specifically offering non-medical (also referred to as non-skilled) services to seniors in their homes.

AxisCare was started in 2011 by industry leaders to help meet the demand for a more user-friendly and mobile-compatible solution. Our product is a web-based management platform that helps agencies manage CRM and marketing, Caregiver/Client scheduling, billing, payroll and much more. Headquartered in Waco, TX, AxisCare has clients in all 50 states as well as 6 other countries. We are a fast-growing company seeking high-performing individuals looking for a fast-paced, autonomous working environment.