What You'll Own and Deliver (Responsibilities)As a core member of our software engineering team, you will design, build, and scale the services that power Xealth's EHR integrations and clinical workflows. You'll apply solid computer science fundamentals to solve complex problems in distributed systems, data modeling, and API design.
- Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation.
- EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules.
- Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS).
- Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security.
- Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team.
- Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery.
- Cross-Functional Collaboration: Partner with product managers and EHR specialists to translate clinical workflows into elegant, scalable software solutions.
The Expertise You'll Bring (Requirements)We're looking for a software engineer with strong computer science fundamentals. Someone who's comfortable reasoning about systems, data, and code structure at scale, and who's excited to apply those skills in healthcare.
Must Have: - Prior experience in a healthcare startup or health data integration platform with knowledge of FHIR, HL7, patient identity management or clinical data modeling
Core Technical Competencies- Software Engineering Expertise: 3+ years of professional experience building production software systems using NodeJS and Typescript.
- CS Fundamentals: Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems.
- API and Integration Development: Hands-on experience designing and building RESTful or event-driven APIs; exposure to the healthcare domain is a plus.
- Distributed Systems Experience: Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies.
- Troubleshooting and Debugging: Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics.
- Collaboration and Agility: Comfortable working in an agile startup environment, balancing quality with rapid iteration.
Highly Valued Experience (Nice to Have)- Experience implementing secure OAuth2.0/SMART on FHIR authentication flows.
Compensation and Benefits:Xealth offers a multi-tiered approach when constructing a highly competitive compensation package. The compensation package would include a base salary, bonus, and a comprehensive suite of benefits. The base salary compensation range for this position is $155,000 - $180,000, depending on geographic market.
Paid parental leave.
Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
Xealth provides your laptop and offers a home office stipend.
Generous learning & development opportunities for you to grow your skills and career.
401k Match: Xealth offers a dollar-for-dollar match up to 3%.
Flexible time off & 10 standardized holidays.
$500 yearly fitness stipend to spend on staying active.
