Software Engineer

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 doctors appointment and fill out a clipboard in the waiting room

NexHealths mission is to accelerate innovation in healthcare by connecting patients providers and 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

This is a rare chance to get in early on a company redefining what healthcare infrastructure looks like. As a Software Engineer I at NexHealth youll work on meaningful real-world problems from day one - not toy features not endless ticket queues. Youll write production code that touches the lives of patients and providers across tens of thousands of practices.

Were looking for engineers who are early in their careers but sharp curious and ready to grow fast. Youll be embedded in a small senior team which means a high learning curve real ownership accelerated mentorship and direct exposure to the kind of systems design and architectural thinking that usually takes years to encounter elsewhere.

This role focuses primarily on back-end development contributing to our core platform - no-permission integrations with the EHRs high throughput data ingestion pipelines scaled storage and low latency data serving that connect healthcares fragmented ecosystem. You dont need to have done this before at scale; you just need the fundamentals the drive to figure it out and learn from the best.

What Youll Do

• Build and ship features across NexHealths core platform including our healthcare integration API and provider-facing SaaS product with guidance from senior engineers.
• Write clean well-tested production-ready code - and learn what that actually means in a fast-moving high-stakes environment.
• Participate in code reviews technical discussions and architecture conversations - we want your questions and your perspective from the start.
• Debug and investigate issues in distributed systems developing the pattern recognition that comes from working on real infrastructure.
• Contribute to indirect integrations with electronic health record (EHR) systems - one of the most technically complex and impactful parts of what we build.
• Collaborate closely with product managers designers and other engineers to scope plan and deliver projects end to end.
• Grow. We invest in our engineers - through mentorship technical stretch assignments and the kind of exposure youd normally have to wait years for.

What Youll Bring

• A degree in Computer Science Software Engineering or a related field - or equivalent practical experience that demonstrates strong CS fundamentals.
• 02 years of professional software engineering experience. Internships co-ops and meaningful open-source contributions count.
• Solid grasp of data structures algorithms and object-oriented or functional programming concepts.
• Proficiency in at least one backend language; experience with Ruby Python Go or Java is a plus. We primarily use Ruby on Rails.
• Comfort working with relational databases - you understand what a query is doing and why it might be slow.
• Ability to communicate clearly in writing and in conversation. You ask good questions and can explain your thinking.
• Intellectual curiosity and a bias toward figuring things out. Healthcare infrastructure is niche and complex - well teach you the domain but you need to want to learn it.

Bonus Points For

• Exposure to cloud platforms (AWS GCP or Azure) or containerization tools like Docker or Kubernetes.
• Experience with API design webhooks or third-party integrations.
• Any background in healthcare technology HL7 or FHIR standards - though definitely not required.
• Prior experience working in a startup or fast-paced product environment.

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 customers problems not yours
  When making decisions think from the perspective of the customer. Its 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 whats 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 to request assistance.