Senior Software Engineer

exacare ai is a health tech company building an AI operating system for post-acute care. The Senior Software Engineer will own user-facing product features end-to-end, from workflow discovery and technical design through deployment and ongoing support, while building scalable systems for complex healthcare workflows. The role also involves architectural decision-making, cross-functional collaboration, production readiness, reusable solutions, code reviews, and mentorship.

Responsibilities:

• Own product features end-to-end: Take features from understanding the workflow problem through technical design, implementation, testing, production rollout, and ongoing support, working independently and seeking input when needed
• Bring systems-to-workflow thinking: Connect software architecture, data models, APIs, and integrations to how customers, operators, and implementation teams experience the product
• Build and ship user-facing product: Design and deliver reliable full-stack features that support complex healthcare workflows at scale, using TypeScript, PostgreSQL, and modern cloud tooling on AWS
• Drive quality and production readiness: Build testing, observability, and safe deployment practices into your work, proactively addressing rollout risks and helping resolve production issues
• Build reusable solutions: Identify opportunities to create shared components, simplify common workflows, and improve integrations or AI-powered capabilities across the product
• Collaborate and support your team: Work closely with product, operations, platform, ML, and engineering partners to deliver maintainable solutions, while supporting fellow engineers through code reviews, technical discussions, and mentorship

Requirements:

• Bachelor's degree in computer science or similar technical field
• 5+ years of engineering experience with a focus on building highly scalable distributed systems
• Self-starter – you are comfortable rapidly learning new technologies and turning a high-level task into a game plan
• Demonstrated ability to triage and prioritize production incidents efficiently
• Ownership mentality and resourcefulness
• Organized, high attention to detail, with emphasis on quality code, automation, validation and testing
• Experience with AWS, LLMs, TypeScript, PostgreSQL
• Strong ability to translate technical concepts into accessible language for cross-functional teams and stakeholders
• Experience with building automated workflows
• Experience building applied AI features or working with LLM infrastructure
• Experience with healthcare workflows, care-setting variability, or regulated environments
• Experience with EHR integrations or health data standards
• Experience with operational tooling or onboarding/support-heavy product surfaces
• Experience building reusable patterns or frameworks that help teams move faster
• Bachelor's degree in Computer Science or a related technical field (or equivalent practical experience)