Key skills
NodeJSTypeScriptAWSDistributed SystemsAPI DevelopmentMicroservicesData StructuresAgilityTroubleshootingCollaborationAINode.jsKubernetesECSIdentity ManagementRESTfulGitHubAgileLeadership
About this role
Xealth is revolutionizing healthcare by leveraging data and automation to empower care providers. They are seeking a Software Engineer to design, build, and scale services that enhance EHR integrations and clinical workflows.
Responsibilities:
- Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation
- EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules
- Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS)
- Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security
- Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team
- Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery
- Cross-Functional Collaboration: Partner with product managers and EHR specialists to translate clinical workflows into elegant, scalable software solutions
Requirements:
- 3+ years of professional experience building production software systems using NodeJS and Typescript
- Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems
- Hands-on experience designing and building RESTful or event-driven APIs; exposure to the healthcare domain is a plus
- Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies
- Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics
- Comfortable working in an agile startup environment, balancing quality with rapid iteration
- Prior experience in a healthcare startup or health data integration platform with knowledge of FHIR, HL7, patient identity management or clinical data modeling
- Experience implementing secure OAuth2.0/SMART on FHIR authentication flows