Senior Software Engineer

Essen Medical Associates • Bronx, NY

8d • Hybrid

About The Position

Essen Health Care is hiring a Senior Software Engineer to join its founding engineering team and build its healthcare platform. The engineer will take well-scoped technical work from principal engineers and deliver it end to end, including features, integrations, bug fixes, and infrastructure improvements. The role spans the full stack and provides ownership over the work built.

The platform supports clinical outreach, AI automations involving payor and Medicaid systems, EHR integrations, and tools that provide patient context to care coordinators. The engineer will also contribute to API performance, data pipelines, deployment tooling, and test coverage. Day-to-day work includes selecting tasks from a prioritized queue, writing and testing code, submitting pull requests, shipping changes, clarifying technical approaches with principal engineers, and participating in code reviews.

The position is based in the Bronx, co-located with Essen Health Care staff, on a hybrid schedule of three days on-site and two days remote. The company describes the role as an opportunity to help shape a platform from the ground up, learn healthcare, and work on a small team whose products are used directly by care delivery staff.

Requirements

• At least 5 years of professional software engineering experience.
• Comfort working across the backend and frontend.
• Strong fundamentals in data structures, basic system design, debugging, and writing testable code.
• Self-directed and comfortable with focused, independent work.
• Thorough approach to edge cases, testing, and delivering correct work.
• Interest in owning features and collaborating with the team to deliver them to users.
• Ability to learn and contribute; exact experience with the listed technology stack is not required.

Nice To Haves

• Health technology 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

• Implement clinical rules to identify patients who need outreach and determine the reason for outreach.
• Build AI automations that interact with payor and Medicaid systems to understand and use insurance benefits on behalf of patients.
• Develop EHR integrations that retrieve patient data, submit appointment updates, and keep systems synchronized.
• Use LLMs to provide care coordinators with critical patient context for educating and engaging patients.
• Improve infrastructure, including API performance, data pipelines, deployment tooling, and test coverage.
• Build, test, and ship work from a prioritized queue, including features, integrations, bug fixes, and infrastructure improvements.
• Submit pull requests and participate in code reviews across the team.
• Work with principal engineers to clarify technical approaches when needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed