Junior Software Engineer

Essen Medical Associates • New York, NY

1d • Hybrid

About The Position

ecares health is a healthcare technology startup spun out of Essen Health Care, a large multispecialty provider group in the Bronx. We're building the care coordination OS that brings concierge medicine to underserved communities. Our platform powers proactive outreach, intelligent care programs, and automated scheduling, helping provider groups ensure no patient falls through the cracks. Through our unique relationship with Essen Health Care, we have access to clinical and operational experts who help drive our product strategy and refine our vision. Our platform is currently live with active users at Essen, and we are finalizing expansion to more practices across New York City in the coming months.

Healthcare is full of absurd complexity: a patient has two tax IDs, three insurance plans, referrals that expire in ways that don't make sense, and an EHR that was built in 1999. A clinical rule that sounds simple ("high-risk diabetes patients should see endocrinology every 90 days") touches eligibility logic, scheduling constraints, provider credentialing, and half a dozen integrations. There are a hundred health tech startups with AI in their names, but few are interested in leveraging LLMs, and other cutting-edge technology, to build the operational infrastructure that makes care coordination work. And none are as committed as we are to the belief that technology is society's strongest lever to improve health at a population level.

Requirements

• 2+ years of professional software engineering experience
• Comfortable working across the stack, backend and frontend
• Strong fundamentals: data structures, system design basics, debugging, writing testable code
• Self-directed and comfortable with focused, independent work
• Thorough. You think through edge cases, write tests, and care about getting it right
• Excited to own features and work with the team to deliver them our users
• Python (FastAPI), React/TypeScript, MSSQL, Redis, Azure (Container Apps, Static Web Apps, DevOps Pipelines), Terraform. The ability to learn and contribute is more important than matching our stack exactly.

Nice To Haves

• Health tech or healthcare experience
• Experience with EHR systems or healthcare data
• Experience working in compliance-heavy or regulated environments
• Familiarity with Azure cloud services
• Background working with underserved communities or in mission-driven organizations

Responsibilities

• Implementing clinical rules that determine which patients need outreach and for what (e.g., a diabetic patient who hasn't seen endocrinology in 6 months)
• Building AI automations that interact with payor and Medicaid systems to understand and leverage insurance benefits on behalf of patients
• Working on EHR integrations that pull patient data, push appointment updates, and keep systems in sync
• Using LLMs to deliver critical patient context to care coordinators so they can educate and engage patients
• Improving infrastructure: API performance, data pipelines, deployment tooling, test coverage
• Pick up work from a prioritized queue, build it well, write tests, submit PRs, and ship.
• Work with principal engineers when the technical approach needs clarification and participate in code review across the team.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees