MiSalud is building the platform to integrate health services across North America. We are a high-impact engineering team of 6 currently scaling our backend services web applications and mobile presence. We operate under HIPAA compliance navigating the complex constraints of healthcare to build better systems.
We are looking for Senior Software Engineers who operate as generalists. You will make real architectural decisions and work wherever the highest-impact work is whether thats backend services infrastructure or frontend.
What Actually Matters to Us
AI-Native Workflow: We are actively reshaping how we work around agentic coding tools. AI-assisted development is our daily reality not an experiment. If you prefer to keep AI at arms length this isnt the right fit.
Technical Judgment: AI makes us faster but it doesnt replace craft. You must understand why code works possess strong opinions on system design and be willing to defend them.
Extreme Ownership: As part of a small team you have high autonomy and high accountability. You operate like an owner of the product
What Youll Work With
You dont need to be an expert in everything on day one but you should be excited to master:
AI: Claude Code and Cursor
Backend: Go services gRPC and Protocol Buffers.
Frontend: TypeScript within an Nx monorepo.
Database: PostgreSQL with sqlc for type-safe queries.
Infrastructure: GCP (GKE Cloud SQL) Pulumi and Kubernetes.
Practices: Proto-first API design and automated CI/CD.
Qualifications :
Strong fundamentals in backend development and SQL
Experience with Go or TypeScript (both is a plus willingness to work in both is a must)
Comfort working across the stack you dont need to be an expert in everything but you shouldnt shy away from unfamiliar territory
Experience with or genuine interest in cloud infrastructure and DevOps practices
Healthcare industry experience is a plus but not required we operate under HIPAA compliance and youll learn the constraints as you go
Additional Information :
What We Offer
Hybrid work: One day per week in the office plus an additional day every three weeks. The rest is remote
Competitive base salary paid time off and mental health support
A learning and development budget and a work-life balance that we actually mean
A team small enough that your work visibly moves the product
Diversity & Inclusion
At MiSalud we believe diversity is essential to building better healthcare systems. We are an Equal Opportunity Employer committed to creating a workplace where everyone can thrive.
Remote Work :
No
Employment Type :
Full-time
Join MiSalud Health: Where Passion Meets PurposeDo you believe everyone deserves access to quality healthcare, regardless of language, income, or location? If so, MiSalud Health might be the perfect place for you! Our Nurse Practitioner role is an hourly contract role perfect for a bi ... View more