Note: The job is a remote job and is open to candidates in USA. myLaurel is a tech-enabled medical group delivering acute and transitional care to patients at home. The Senior Software Engineer will build and scale secure, reliable full-stack systems, healthcare integrations, and data capabilities that support 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 your work with comprehensive unit and integration tests
- Review code and give 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 our data models and the pipelines that move 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 find areas to improve
- Share on-call duties to keep our platforms reliable
Skills
- Clear communication with stakeholders from clinicians and product managers to senior leadership
- Steady, incremental improvement to the platform week over week
- Flexibility and creativity in solving technical challenges
- Experience in a startup or similar fast-paced environment
- Track record of owning and supporting production systems
- 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, with strong production experience in:
- Node.js
- TypeScript
- React / React Router / Remix
- PostgreSQL and ORMs
- API Development
- AWS, including serverless (Lambda, SQS/SNS) and infrastructure as code (CDK)
- Must be based in the US
- Healthcare interoperability (HL7, FHIR, Redox or similar)
- Working with ETL/ELT pipelines
- Python
- SOC2 Standards
- Accessibility (WCAG) and component design systems
Benefits
- Medical, Dental, and Vision insurance.
- Generous Discretionary Time Off (DTO) and paid holidays.
- 401(k) retirement plan.
- Remote-first company with occasional travel for on-sites.
Company Overview