Job Summary:
Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers. They are seeking a Senior Software Engineer to join their Healthcare Interoperability team, responsible for integrating their platform into the workflows of home healthcare providers, focusing on backend system architecture and API development.
Responsibilities:
โข Design and implement Electronic Health Record (EHR) or Electronic Medical Record (EMR) integrations that connect Axle Health's platform into providers' existing tech stacks
โข Architect high-volume backend systems built to support hundreds of thousands of patients reliably and at scale
โข Develop and evolve API integrations across the Axle Health ecosystem, with a focus on performance, security, and maintainability
โข Lead technical design discussions and drive engineering decisions from initial scoping through delivery
โข Collaborate with and provide technical leadership to other engineers, setting a high bar for code quality through thorough and constructive code reviews
โข Mentor junior and mid-level engineers, investing in their growth and helping them develop strong engineering fundamentals
โข Write clear, thorough documentation to scale team knowledge within the Interoperability team and across engineering
Qualifications:
Required:
โข Bachelor's degree
โข 7+ years of professional software engineering experience
โข Expertise building backend systems in Node.js + TypeScript (1-2+ years)
โข Hands-on experience designing and working with SQL databases (PostgreSQL preferred)
โข Demonstrated ability to architect scalable, performant, and secure systems - not just implement within them
โข Strong technical communication skills (able to explain complex decisions clearly to both technical and non-technical stakeholders)
โข Proven ability to conduct rigorous, constructive code reviews that improve both code quality and team capability
โข Experience working in fast paced, high-growth startup environments with a desire to build and a track record of operating with significant autonomy
โข Demonstrated ability to self-learn and quickly adapt to new technologies
Preferred:
โข Experience working with Electronic Health Records (EHRs) and/or healthcare interoperability standards (FHIR, HL7)
โข Background in a domain where data integrity and security are non-negotiable (healthcare, fintech, etc.)
โข Experience working on systems with significant data volume or uptime requirements
โข Working knowledge of CI/CD, DevOps practices, and build systems
โข Familiarity with the Axle Health tech stack: ExpressJS, GraphQL, React, React Native, PostgreSQL, AWS, Datadog
Company:
Scheduling and workforce management software for home health care providers Founded in 2020, the company is headquartered in Claymont, USA, with a team of 11-50 employees. The company is currently Early Stage.