Senior Staff Software Engineer
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Senior Staff Software Engineer
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NexHealth
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room? 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.
Founded : 2017
Headquarters : San Francisco, CA
Funding : $177M Series C
Employees : 200+
Trusted by tens of thousands of providers and hundreds of health‑tech developers — forging the infrastructure layer that modern healthcare needs
About The Role
On the platform engineering team, you’ll work on some of our most challenging problems, from building an open data lake for health records, to building devOps for our next 100× growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
Build and maintain bidirectional, real‑time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
Drive improvements to our core systems to unlock 100× growth in the number of practices, patients, and developers relying on our platform.
Own cross‑functional projects end to end, from technical design and decomposition to a successful launch and rollout.
Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
10+ years of experience as a software engineer, with a focus on building scalable back‑end systems and platforms.
Deep experience integrating and scaling storage systems, cloud‑native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
Knowledge of common DevOps tools and practices.
Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
Excellent systems‑level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
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
Our Values
Solve the customer’s problems, not yours. When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
Do the things others are not willing to do. As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
Take ownership. Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
Say what’s on your mind, with positive intent. Be direct, proactive, transparent, and frequent in your communication.
Default trust. As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
Think in first principles. We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact
talent@nexhealth.com
to request assistance.
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Senior Staff Software Engineer • San Francisco, California, United States