Senior Software Engineer
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Job Description
Senior Software Engineer building TypeScript, React, and AWS systems for myLaurel’s home-based healthcare platform. Developing clinical integrations and reliable tools for clinicians and care coordination teams.
Responsibilities:
- Design and ship secure, reliable features across the stack, from APIs to event-driven services on AWS
- Create fast, accessible React interfaces for clinicians, field responders, and care coordinators
- Back work with comprehensive unit and integration tests
- Review code and provide technical guidance on standards, design, and best practices
- Write architecture decision records (ADRs) and lead multi-phase initiatives from design to rollout
- Build LLM-powered features and work fluently with AI-assisted development tools
- Build and own integrations with health systems and partners, including HL7v2/ADT feeds, FHIR, CCDA, and interoperability platforms
- Evolve data models and pipelines moving clinical and operational data between systems
- Work with Product Management to scope work and co-write technical requirements
- Partner with cross-functional teams to define, design, and ship features
- Bring engineering input early to user and use-case discussions
- Troubleshoot issues and identify areas for improvement
- Share on-call duties to keep platforms reliable
- Own features end to end across React interfaces, backend services, and integrations
Requirements:
- Software development experience in healthcare or another regulated industry (e.g., finance, security)
- Experience handling PHI under HIPAA, including least-privilege access and audit trails
- 7+ years of professional software engineering experience
- Production experience with Node.js
- Production experience with TypeScript
- Production experience with React / React Router / Remix
- Production experience with PostgreSQL and ORMs
- Production experience with API Development
- Production experience with AWS, including serverless (Lambda, SQS/SNS) and infrastructure as code (CDK)
- Clear communication with stakeholders from clinicians and product managers to senior leadership
- Experience in a startup or similar fast-paced environment
- Track record of owning and supporting production systems
- Must be based in the US
- Prolonged periods of sitting at a desk and working on a computer required
- Preferred: Healthcare interoperability (HL7, FHIR, Redox or similar)
- Preferred: Working with ETL/ELT pipelines
- Preferred: Python
- Preferred: SOC2 Standards
- Preferred: Accessibility (WCAG) and component design systems
Benefits:
- Medical insurance
- Dental insurance
- Vision insurance
- Generous Discretionary Time Off (DTO)
- Paid holidays
- 401(k) retirement plan
- Remote-first work arrangement
- Occasional travel for on-sites
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