Senior Software Engineer building scalable TypeScript and AWS systems for exacare ai’s AI operating system for post-acute care. Owning healthcare workflow features from design through production.
Responsibilities
Own product features end-to-end, from understanding workflow problems through technical design, implementation, testing, production rollout, and ongoing support
Connect software architecture, data models, APIs, and integrations to customer, operator, and implementation-team workflows
Design and deliver reliable full-stack features supporting complex healthcare workflows at scale
Use TypeScript, PostgreSQL, and modern cloud tooling on AWS
Build testing, observability, and safe deployment practices into engineering work
Proactively address rollout risks and help resolve production issues
Create shared components, simplify common workflows, and improve integrations or AI-powered capabilities
Collaborate with product, operations, platform, ML, and engineering partners
Contribute to architectural decisions and technical discussions
Support fellow engineers through code reviews, collaboration, and mentorship
Requirements
Bachelor's degree in computer science or similar technical field
5+ years of engineering experience with a focus on building highly scalable distributed systems
Comfortable rapidly learning new technologies and turning a high-level task into a game plan
Demonstrated ability to triage and prioritize production incidents efficiently
Ownership mentality and resourcefulness
Organized, high attention to detail, with emphasis on quality code, automation, validation and testing
Experience with AWS, LLMs, TypeScript, PostgreSQL
Strong ability to translate technical concepts into accessible language for cross-functional teams and stakeholders
Experience with building automated workflows
Experience building applied AI features or working with LLM infrastructure
Experience with healthcare workflows, care-setting variability, or regulated environments
Experience with EHR integrations or health data standards
Experience with operational tooling or onboarding/support-heavy product surfaces
Experience building reusable patterns or frameworks that help teams move faster
Equivalent practical experience may substitute for a bachelor's degree
Benefits
Competitive salary and equity in a high-growth startup
Flexible PTO, take what you need
Medical, dental, and vision coverage
Great startup culture, including ChatGPT premium and company off-sites
High-achieving team, including ex-Amazon engineers and alumni of Bain, BCG, and Goldman Sachs
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