Strong communication skills for conveying technical information to non-technical stakeholders
Proven ability to conduct effective code reviews
Expertise in backend systems using Node + TypeScript (1-2 years)
Hands-on experience with SQL databases
Experience in startup environments
Demonstrated ability to self-learn and adapt to new technologies
Responsibilities
Design and implement Electronic Health Record (EHR) integrations
Architect systems that support large-scale patient management
Develop and evolve API integrations within Axle Health's ecosystem
Collaborate with and lead engineering teams in building secure systems
Mentor junior engineers to support their career growth
Document processes to disseminate knowledge across the team
Benefits
Equity compensation for all employees
Comprehensive medical, dental, and vision insurance
401k retirement plan
Flexible PTO, sick days, and adaptable working hours
Office in Santa Monica with beach views and catered lunches
Opportunities for internal role movement and professional growth
Regular team events and special outings
Full Job Description
About You, the Role
We're looking for a Senior Software Engineer to join our Healthcare Interoperability team; the group responsible for connecting Axle Health's scheduling and workforce management platform directly into the daily workflows of home healthcare providers. This is a high-leverage, high-ownership role: you'll design and build the integrations that make Axle Health indispensable to our customers, and you'll help shape how our team works as we scale.
Our ideal candidate brings deep backend expertise, strong architectural instincts, and a genuine passion for solving complex problems in systems that matter. You've built reliable, high-volume systems before, whether at scale at a growth stage company or from the ground up at a startup, and you know how to lead technical work across a team without losing your connection to the code. If you're energized by meaningful technical challenges and want your work to directly improve care delivery for patients, we want to hear from you.
What you'll do:
Design and implement Electronic Health Record (EHR) or Electronic Medical Record (EMR) integrations that connect Axle Health's platform into providers' existing tech stacks
Architect high-volume backend systems built to support hundreds of thousands of patients reliably and at scale
Develop and evolve API integrations across the Axle Health ecosystem, with a focus on performance, security, and maintainability
Lead technical design discussions and drive engineering decisions from initial scoping through delivery
Collaborate with and provide technical leadership to other engineers, setting a high bar for code quality through thorough and constructive code reviews
Mentor junior and mid-level engineers, investing in their growth and helping them develop strong engineering fundamentals
Write clear, thorough documentation to scale team knowledge within the Interoperability team and across engineering
Required skills and experience:
Bachelor's degree
7+ years of professional software engineering experience
Expertise building backend systems in Node.js + TypeScript (1-2+ years)
Hands-on experience designing and working with SQL databases (PostgreSQL preferred)
Demonstrated ability to architect scalable, performant, and secure systems - not just implement within them
Strong technical communication skills (able to explain complex decisions clearly to both technical and non-technical stakeholders)
Proven ability to conduct rigorous, constructive code reviews that improve both code quality and team capability
Experience working in fast paced, high-growth startup environments with a desire to build and a track record of operating with significant autonomy
Demonstrated ability to self-learn and quickly adapt to new technologies
Nice to have:
Experience working with Electronic Health Records (EHRs) and/or healthcare interoperability standards (FHIR, HL7)
Background in a domain where data integrity and security are non-negotiable (healthcare, fintech, etc.)
Experience working on systems with significant data volume or uptime requirements
Working knowledge of CI/CD, DevOps practices, and build systems
Familiarity with the Axle Health tech stack: ExpressJS, GraphQL, React, React Native, PostgreSQL, AWS, Datadog
