Senior Software Engineer

Essen Medical Associates • New York, NY

10d • $150,000 - $180,000 • Hybrid

About The Position

Essen Health Care is hiring a Senior Software Engineer to join its founding engineering team. 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 offers ownership over the work built.

The platform supports clinical workflows and care delivery. Example work includes implementing clinical rules for patient outreach, building AI automations that interact with payor and Medicaid systems, integrating EHRs, using LLMs to provide patient context to care coordinators, and improving API performance, data pipelines, deployment tooling, and test coverage. Day-to-day work involves taking items from a prioritized queue, building and testing them, submitting pull requests, shipping, clarifying technical approaches with principal engineers, and participating in code review.

The team is based in the Bronx and works alongside the care coordinators, clinicians, and operators who use the platform. The position follows a hybrid schedule of three days on-site and two days remote. The role is part of a small team building a platform from the ground up, with the opportunity to influence its direction and work directly on tools used by care-delivery teams.

Requirements

• At least 5 years of professional software engineering experience.
• Comfort working across the stack, including backend and frontend development.
• Strong fundamentals in data structures, basic system design, debugging, and writing testable code.
• Self-directed and comfortable with focused, independent work.
• Thorough approach, including considering edge cases, writing tests, and caring about correctness.
• Enthusiasm for owning features and working with the team to deliver them to users.

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 that determine which patients need outreach and why.
• Build AI automations that interact with payor and Medicaid systems to understand and leverage insurance benefits for patients.
• Develop EHR integrations that pull patient data, push appointment updates, and keep systems synchronized.
• Use LLMs to provide critical patient context to care coordinators.
• Improve infrastructure, including API performance, data pipelines, deployment tooling, and test coverage.
• Deliver features, integrations, bug fixes, and infrastructure improvements end to end.
• Build and test assigned work, submit pull requests, and ship changes.
• Work with principal engineers to clarify technical approaches and participate in team code reviews.

What This Job Offers

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