Senior Software Engineer

NexHealth•San Francisco, CA
•Remote

About The Position

NexHealth's mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem. The Practice Engineering (PX) team owns the customer-facing web app, iOS app, and the backend APIs behind them, focusing on making the day easier for front desk staff, office managers, and patients. This is a small, distributed team with minimal process, offering significant opportunities to shape product development and technical direction.

Requirements

  • 5+ years of experience as a software engineer building customer-facing products.
  • Strong modern frontend skills in React and TypeScript.
  • Real backend depth: API design, data modeling, and working with production databases.
  • Genuinely full-stack experience.
  • Experience building and shipping features on iOS alongside web.
  • A track record of owning customer-facing features from problem definition through design, launch, and iteration.
  • Experience partnering closely with product and design as a peer, contributing ideas rather than just implementing specs.
  • A high-ownership, self-directed working style that thrives in a small, remote team with little process.
  • Clear written communication.

Nice To Haves

  • Hands-on experience building with AI or agentic systems.

Responsibilities

  • Build and ship features across our React/TypeScript web app, our iOS app, and the backend services that power scheduling, payments, forms, messaging, and insurance verification.
  • Own features end to end: define the problem, shape the solution with product and design, build it, roll it out, and keep iterating based on how it's actually used.
  • Bring your own point of view on what we should build, looking for friction in how clinics and patients use the product and making the case for fixing it.
  • Find the problems worth solving instead of waiting for well-defined work to arrive.
  • Mentor other engineers and raise the bar on how the team designs, reviews, and ships.
  • Influence decisions beyond your own work, shaping product direction and technical approach across the PX product.

Benefits

  • Full Medical, Dental, and Vision (up to 100% covered)
  • 401K and commuter benefits
  • Flexible PTO
  • High-impact work that directly improves the healthcare experience for millions
  • Stock options
  • Unlimited paid time off policy
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