Software Engineer, Clinical Data

Xealth•Madison, WI

9d•$155,000 - $180,000•Remote

About The Position

This role offers a unique opportunity to join a software development team to advance our capabilities with EHR integrations. As a core member of our software engineering team, you will design, build, and scale the services that power Xealth’s EHR integrations and clinical workflows. You’ll apply solid computer science fundamentals to solve complex problems in distributed systems, data modeling, and API design.

Requirements

3+ years of professional experience building production software systems using NodeJS and Typescript.
Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems.
Hands-on experience designing and building RESTful or event-driven APIs; exposure to the healthcare domain is a plus.
Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies.
Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics.
Comfortable working in an agile startup environment, balancing quality with rapid iteration.
Must be a U.S. Citizen or Permanent Resident.

Nice To Haves

Prior experience in a healthcare startup or health data integration platform with knowledge of FHIR, HL7, patient identity management or clinical data modeling
Experience implementing secure OAuth2.0/SMART on FHIR authentication flows.

Responsibilities

Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation.
EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules.
Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS).
Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security.
Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team.
Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery.
Cross-Functional Collaboration: Partner with product managers and EHR specialists to translate clinical workflows into elegant, scalable software solutions.

Benefits

Base salary, bonus, and a comprehensive suite of benefits.
Paid parental leave.
Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums.
Employee Assistance Programs.
Laptop provided.
Home office stipend.
Generous learning & development opportunities.
401k Match: dollar-for-dollar match up to 3%.
Flexible time off & 10 standardized holidays.
$500 yearly fitness stipend.