Work From Home Permaculture Design Jobs in Rochester, NY

Ready to build software that changes how healthcare gets managed?

Join Elm & Oak Health as a Software Engineer II and help build our commercial SaaS platform from the ground up - the compliance, audit, provider data, and utilization management tools that client organizations across the industry rely on every day. This is a hands-on, full-lifecycle role on a small, early-stage product team: you'll move fluidly between application code, database design, deployment, and direct client support, working independently on complex features while helping set the engineering standards a growing team will build on. If you want real ownership, a broad technical surface, and the chance to shape a product's foundation rather than just maintain one, this is that opportunity.

For over 50 years, Elm & Oak Health has been a not-for-profit health care services organization focused on improving the health status of individuals and families who rely on government-sponsored health insurance. As one of the largest Care Management Agencies in our region, we've built an outstanding reputation for excellence - earned through quality care management grounded in compassion, empowerment, and teamwork. Join our team and you'll enjoy flexible work arrangements, competitive pay, superior benefits, and a supportive, inclusive culture that gives engineers room to grow and lead.

Health Systems Analyst
Grade 310
This is a full time position, working from home.
The minimum and maximum annual salary that Elm & Oak Health believes in good faith to be accurate for this position at the time of this posting are $92,695 -$119,179. In addition to your salary, Elm & Oak offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

POSITION SUMMARY

The Software Engineer II designs, builds, and supports the organization's commercial software-as-a-service (SaaS) platform for healthcare compliance, audit, provider data, and utilization management. This is a hands-on product engineering role on a small, early-stage team: the incumbent contributes across the full development lifecycle (requirements definition, technical design, coding, testing, release, and production support) for a multi-tenant application delivered to external client organizations.

This is a broad role by design. The Software Engineer II works independently on complex features and moves between application code, database design, deployment, and client support as priorities change, while helping shape the engineering standards a growing product team will rely on. The platform is HIPAA-regulated and multi-tenant, so secure development and protection of client and member data are core accountabilities.

ESSENTIAL JOB DUTIES/FUNCTIONS

% of Time

Essential Function

35%

Design and Develop Product Features

• Develop, enhance, and maintain C#/.NET application code, services, and web interfaces that make up the commercial product.
• Translate product requirements, client feedback, and prospect input into technical designs and working software.
• Build features to a commercial standard of usability, performance, and reliability appropriate for an externally sold product.
• Design and implement functionality that operates correctly and securely across multiple client tenants with differing configurations.
• Write clean, well-structured, and maintainable code consistent with established coding standards and architectural patterns.
• Estimate effort for assigned work, sequence work against release commitments, and communicate progress, risks, and blockers proactively.

Develop the Data Layer and Client Data Onboarding Capabilities

• Design, write, and tune SQL Server objects including tables, views, stored procedures, and functions supporting product features and tenant data separation.
• Implement parameterized data access layers that guard against injections and other common vulnerabilities.
• Build and maintain import, export, and interface routines that bring client source data into the platform and deliver results back out.
• Develop and consume APIs supporting integration with client and partner systems.
• Validate data integrity and implement appropriate handling for null values, empty result sets, duplicate records, and error conditions.
• Develop and maintain database migration scripts and versioning practices that allow schema changes to be deployed safely across tenants.

15%

Ensure Product Quality, Testing, and Release Readiness

• Develop and execute unit, integration, and regression tests for assigned components.
• Participate in peer code review, providing and receiving constructive technical feedback.
• Support user acceptance testing by reproducing reported issues, preparing test data, and validating fixes.
• Use source control, branching, and pull request practices consistent with team standards.
• Prepare and execute builds and deployments to development, test, demonstration, and production environments.
• Track and communicate defects, known limitations, and technical debt for prioritization.

10%

     Support Client Implementation, Demonstration, and Production Environments

• Configure and maintain demonstration and evaluation environments used in sales and prospective client review.
• Support onboarding of new client tenants, including configuration, reference data setup, and initial data loads.
• Diagnose and resolve escalated client-reported defects and performance issues in production.
• Perform root cause analysis and implement durable corrections rather than temporary workarounds.
• Monitor application logs, availability, and performance indicators and escalate hosting or infrastructure issues appropriately.
• Provide after-hours or on-call support for critical production issues as scheduled.      

10%

Protect Application Security, Privacy, and Tenant Data

• Apply secure coding practices and follow organizational policies governing the handling of protected health information.
• Implement and maintain authentication, role-based access control, tenant isolation, and audit logging within the application.
• Ensure product data handling aligns with HIPAA and client contractual and regulatory requirements.
• Prevent exposure of credentials, connection strings, and member-level data in code, logs, demonstration data, and non-production environments.
• Participate in remediation of findings from security assessments, code scans, penetration tests, and client security reviews.
• Complete all required compliance, privacy, and security training.

10%

Contribute to Product Direction and Engineering Practice

• Participate in requirements and design discussions with product leadership, subject matter experts, and client stakeholders.
• Document technical designs, data structures, configuration options, and deployment and release procedures.
• Contribute to product release notes, administrator documentation, and support knowledge base content.
• Recommend and help establish development standards, tooling, and automation appropriate to a growing product team.
• Maintain accurate and current work item records in the team project tracking system.

Total must equal 100% - essential functions should be completed at least 10% of the time

• Attend regularly scheduled department and intradepartmental meetings.
• Work effectively in a small team environment while performing multiple tasks and shifting between priorities.
• Participate in product planning, design, and release readiness discussions.
• Work collaboratively with internal and external staff from diverse healthcare, operational, and technical backgrounds.
• Support product demonstrations and client meetings by providing technical explanations and follow up as requested.
• Maintain current working knowledge of relevant languages, frameworks, cloud services, and development practices.
• Performs other duties as assigned.

PHI MINIMUM NECESSARY USE: This staff position PHI access will be determined based on Minimum Necessary standards. The Minimum Necessary Grid can be found on the Human Resources and Compliance Web pages.

This job description is only a summary of the typical functions of the job, not an exhaustive or compr...