Senior Software Engineer

AristaMD is a technology-enabled clinical services organization focused on enhancing specialty care delivery for primary care providers. They are looking for a Senior Software Engineer to lead the development of major features, collaborate with cross-functional teams, and ensure the delivery of high-quality, maintainable code.

Responsibilities:

• Lead development of major features and initiatives from architecture through delivery
• Collaborate cross-functionally with product, QA, and operations to solidify requirements and translate them into durable technical solutions
• Write clean, well-structured code across the full stack and contribute to ongoing refactoring and technical debt reduction
• Drive and utilize the team's newly authorized Claude Code in Action Training to accelerate sprint velocity, reduce manual code review burden, and improve code consistency
• Design, implement, and take ownership of critical core systems, including the eConsult Workflow State Machine and the Multi-tenancy/Organization Scoping enforcement
• Serve as a technical mentor through rigorous code reviews, setting a high standard for quality, and enforcing the Service Layer Pattern for all business logic
• Take an active role in infrastructure, deployments, and release processes

Requirements:

• 5+ years of professional software engineering experience
• Strong backend proficiency in Node.js/TypeScript/Express.js (primary) with experience in database migration tools like Knex; familiarity with PHP/Laravel is a plus for legacy services
• Experience building single-page applications using modern Web Components (Vanilla JS), lit-html for reactive templating, and utility-first styling with TailwindCSS
• Solid SQL skills, including complex query design and schema architecture in PostgreSQL (our primary production database) and SQLite
• Experience with AWS services (S3, EC2, RDS, or similar)
• Comfort working in a Linux server environment
• Ability to lead projects and coordinate across stakeholders without formal authority
• A strong instinct for simplicity — you push back on unnecessary complexity
• Healthcare technology experience is a plus, but not required
• Direct experience utilizing Claude Code or other LLMs for AI-Assisted Development and unit test generation
• Direct experience with Epic FHIR R4/STU3 (SMART on FHIR) integration, or experience with other transactional services like Twilio and SendGrid
• Familiarity with HIPAA compliance requirements in a SaaS environment
• Experience with CI/CD pipelines (GitHub Actions, Jenkins)
• Familiarity with our modern development ecosystem, including Vite (build system), Cypress (E2E), and Vitest (unit testing)