Senior Software Engineer

Rainfall HealthSan Francisco, CA
Hybrid

About The Position

Rainfall Health is a first of its kind AI-powered platform helping hospitals succeed under CMS’s mandatory TEAM Model. Founded on a multi-generational legacy of expanding medical access, we recently secured $15M in Series A funding lead by Two Bear Capital, who brings their expertise from Sequoia Capital, to bridge the gap between clinical quality and financial performance. Our technology manages the shift toward value-based care for 198,000+ annual procedures, helping health systems capture up to $85M in new revenue. Join us at the intersection of intelligent automation and better patient outcomes. About Role We are seeking a Senior Software Engineer with deep experience in AWS Amplify and modern cloud-native architectures. You will play a key role in designing secure, reliable systems that integrate with healthcare data sources and surface actionable insights to clinical and operational teams. This role is ideal for someone who enjoys solving complex data and workflow challenges in a regulated healthcare environment.

Requirements

  • 5+ years of software engineering experience building production-grade applications.
  • Hands-on experience with AWS Amplify and serverless AWS architectures.
  • Strong experience with modern JavaScript/TypeScript frameworks (e.g., React, Next.js, Vue).
  • Experience building and consuming RESTful and/or GraphQL APIs.
  • Solid understanding of cloud security and best practices for handling sensitive data.

Nice To Haves

  • Experience in digital health, healthcare IT, or healthtech startups.
  • Experience integrating with EHR systems and familiarity with FHIR/HL7 standards.
  • Experience building data visualization tools (e.g., D3, Chart.js, Recharts).
  • Knowledge of healthcare compliance frameworks (HIPAA, HITRUST, SOC 2).
  • Experience with real-time data pipelines or event-driven architectures
  • Background in analytics, population health, or value-based care technology
  • DevOps experience with CI/CD pipelines and infrastructure as code

Responsibilities

  • Design, build, and maintain scalable web applications using AWS Amplify, serverless services, and modern frontend frameworks.
  • Develop robust APIs and backend services using AWS-native tools (e.g., AppSync, Lambda, DynamoDB, RDS).
  • Ensure performance, reliability, and security across distributed cloud systems.
  • Build and maintain integrations with Electronic Health Records (EHRs) like Epic, Cerner, and Meditech.
  • Work with healthcare interoperability standards such as FHIR and HL7.
  • Design data ingestion pipelines that normalize, validate, and securely store clinical data.
  • Develop interactive dashboards and data visualization tools for clinical and operational users.
  • Translate complex healthcare data into intuitive, actionable insights.
  • Work closely with product managers, designers, and clinical stakeholders.
  • Mentor other engineers and promote best practices in code quality and security.
  • Implement best practices for HIPAA-compliant infrastructure and data handling.

Benefits

  • Competitive salary and benefits package
  • Hybrid work environment with flexibility (remote + on-site in the San Francisco Bay Area)
  • Opportunity to shape scalable solutions that improve patient care and financial performance
  • A mission-driven, collaborative team focused on real-world impact
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