Senior Software Engineer, Healthcare Focus

8+ years building and operating production software Strong TypeScript experience Proven experience with AWS (e.g., Lambda, ECS, CloudWatch) using CDK Experience shipping complex systems with real uptime and security requirements Healthcare experience (SMART on FHIR, HL7v2, Redox, HIPAA, SOC 2, Epic/Cerner) Experience in early-stage, venture-backed startups Strong written communication skills (design docs, RFCs, incident write-ups) Actively using modern AI coding tools (e.g., Claude Code + MCPs) Fluent in English (written and verbal) US-based, able to work CST/EST hours

Own and lead architectural decisions for new systems Write RFCs and design docs, and guide execution Build and evolve backend services and web apps using TypeScript Support and evolve data pipelines Work on AI-powered systems Design, build, and maintain SMART on FHIR and HL7v2 integrations Join customer implementation calls Own and improve deployment pipelines Support multi-region uptime, disaster recovery planning, and backup/restore practices Be hands-on in production support and incident response Lead the migration to capturing 100% of cloud infrastructure in AWS CDK Maintain and harden AWS infrastructure Partner with Security on vulnerability remediation, SLA timelines, and SOC 2 / HIPAA Do deep, thoughtful code reviews Mentor engineers Set standards for shipping, deploying, and operating software at scale