Senior Software Engineer, Interoperability

Axle Health•Santa Monica, CA

About The Position

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.

Requirements

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 Haves

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

Responsibilities

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

Benefits

Medical, Dental, Vision
401k plan
Flexible PTO and sick days
Commuter benefits
Santa Monica HQ with 180 degree beach views and daily catered lunches
Fast paced work environment geared towards professional growth
Get the chance to move roles within the organization to learn new skills and continue to make an impact
Monthly team events, dinners, & happy hours
Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas
We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them.
All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.