Temporal Software Engineer Jobs in Cary, NC (NOW HIRING)

About Keebler Health
Keebler Health is building the operating system for value-based care. Our mission is to help risk-bearing healthcare organizations thrive in value-based arrangements by unlocking the full power of their data. We empower leading primary care groups, ACOs, and health plans to act on real-time insights that improve outcomes, reduce costs, and fuel sustainable growth.
We're a fast-moving, high-performing team, and we're looking for people who share our bias toward speed, urgency, and excellence. As a member of the team, you won't just write code or stay in your lane-you'll shape critical systems, innovate quickly, and set a high bar for a product that supports the future of U.S. healthcare.
About the role
We are seeking a skilled and motivated Full-Stack Engineer to design, build, and maintain end-to-end healthcare applications that power Value-Based Care workflows. The ideal candidate is comfortable working across the stack-from React-based user interfaces to Python backend services-and has experience building reliable, long-running workflows using tools like Temporal.io. You will play a key role in shaping scalable, resilient systems used daily by healthcare teams.
Key Responsibilities
Full-Stack Application Development

• Design and develop user-facing applications using React and modern front-end tooling.
• Build and maintain backend services using Python, focusing on scalability, reliability, and performance.
• Implement APIs and service integrations that support complex healthcare workflows.
  Collaborate closely with product and design teams to deliver intuitive, high-quality user experiences.

Workflow Orchestration & Backend Systems

• Design and implement durable, fault-tolerant workflows using Temporal.io.
• Model and manage long-running, stateful healthcare processes (e.g., care gaps, quality measures, documentation workflows).
• Ensure system resilience, observability, and graceful failure handling in distributed systems.
• Optimize backend services for performance and cost efficiency.

Healthcare Platform Development

• Work with healthcare data and workflows while adhering to security and compliance requirements (e.g., HIPAA).
• Integrate with healthcare standards and systems such as FHIR and interoperability APIs.
• Partner with clinical and operations stakeholders to translate real-world workflows into robust technical solutions.

DevOps & Production Readiness

• Contribute to production-ready systems with strong testing, monitoring, and deployment practices.
• Collaborate on CI/CD pipelines and infrastructure supporting cloud-based deployments.
• Debug and resolve issues across the stack in production environments.

Collaboration and Impact

• Work cross-functionally with engineers, product managers, designers, and clinicians.
• Communicate technical concepts clearly to both technical and non-technical stakeholders.
• Take ownership of features from concept through production and iteration.

Required Qualifications

• Strong experience building full-stack applications with Python on the backend and React on the frontend.
• Experience designing and consuming RESTful APIs (or GraphQL).
• Familiarity with distributed systems and asynchronous processing.
• Solid understanding of software engineering best practices, including testing, code reviews, and documentation.
• Ability to work independently in a fast-paced startup environment.

Preferred Skills

• Hands-on experience with Temporal.io or similar workflow orchestration systems.
• Experience working in healthcare or regulated environments (HIPAA familiarity a plus).
• Knowledge of healthcare data standards such as FHIR or HL7.
• Experience with cloud platforms (AWS, GCP, or Azure).
• Familiarity with containerization and infrastructure tools (Docker, Kubernetes, Terraform).

When applying
In addition to your resume, also include:

• A highly personalized, bold, and hilarious "Keebler Health-style" introduction that grabs attention - outgoing, fun, and uniquely you (not uniquely ChatGPT). Think: confident, high-energy, slightly irreverent (but still professional), with a smart nod to healthcare, value-based care, and the fact that we're building something real.

Either apply here, or email careers@keebler.health with the role you're applying for, your resume, Keebler Health-style introduction, and a link to your LinkedIn.
What We Offer

• Competitive salary and benefits package.
• Opportunity to work in a fast-paced, mission-driven startup environment.
• Significant ownership and influence over product and technical direction.
• Professional growth and learning opportunities in healthcare and distributed systems.
• Collaborative, supportive team culture.
• Chance to make a meaningful impact on the healthcare industry.