Senior Software Engineer, Integrations

Senior Software Engineer - InteroperabilityAxle Health is hiring a Senior Software Engineer to join our Interoperability team, the group that connects our AI-powered scheduling and workforce management platform to the systems home health organizations already run. Most of those are EHRs and EMRs that weren't built to integrate cleanly: inconsistent APIs, thin documentation, and vendors you have to connect with for answers. Getting data in and out of them reliably is what makes Axle Health part of a clinician's day, and this role owns that work end to end.The person who thrives here wants to own the hard problem.

When a customer reports that something looks wrong, you dig in, figure out where the issue lives, put together a plan, and see it through while keeping the customer and our delivery team informed. You'll scope your own projects, make the technical calls, and drive them from the first conversation through production support without someone mapping out each next step. This is a hands-on individual contributor role on a small team, and the integrations you build carry real weight for our customers and our product.You've done this before.

You've built and maintained integrations with external or legacy systems you didn't control, from design through the production issues that come after launch. You've worked somewhere operations depend on data arriving on time, whether that's healthcare, logistics, field services, or another operations-heavy business, and you've done it at a startup or growth-stage company.What You'll DoIntegration Design and Build: Design and build integrations between Axle Health's platform and EHR and EMR systems, including older systems with inconsistent APIs and limited documentation.End-to-End Ownership: Scope integration projects, make the technical decisions, and carry them from the first conversation through launch and ongoing production support.Customer Issue Resolution: Investigate customer-reported issues, find the root cause across our systems and theirs, and execute a plan to resolve them while keeping the customer and account team informed.Vendor and Partner Coordination: Work directly with EHR vendors' and partners' technical teams to close documentation gaps and get integrations working as intended.Project and Timeline Management: Sequence your integration work, set realistic milestones, and keep Engineering, Professional Services, and Product Management updated on progress and risk.Reliable, High-Volume Systems: Build backend services that handle data for hundreds of thousands of patients, with close attention to data integrity, security, and uptime.Monitoring and Resilience: Build monitoring and failure handling at the edges where external systems are least predictable, so issues surface before customers notice them.Code Quality and Documentation: Hold a high bar in code reviews and write clear documentation so integration knowledge is shared across the team.RequirementsMust Haves7+ years of professional software engineering experience - including end-to-end ownership of integrations with external or legacy systems, from build through production supportTrack record of owning projects with significant autonomy - scoping the work, making the technical calls, and driving to completion without step-by-step directionComfortable investigating customer-reported issues directly and explaining the problem, the plan, and progress to technical and non-technical stakeholdersDemonstrated ability to architect scalable, performant, and secure systemsExperience at a fast-paced startup or growth-stage companyBachelor's degreeNice to HavesBackend expertise in Node.js and TypeScript (1-2+ years) and hands-on experience designing and working with SQL databases - PostgreSQL preferredExperience with EHRs or EMRs and healthcare interoperability standards (FHIR, HL7)Integration experience in logistics, field services, or another operations-heavy domain - EDI, ERP, WMS, POS, or similar systemsBackground in a domain where data integrity and security are non-negotiableExperience building monitoring and alerting for systems with significant data volume or uptime requirementsWorking knowledge of CI/CD, DevOps practices, and build systemsFamiliarity with the Axle Health tech stack: ExpressJS, GraphQL, React, React Native, PostgreSQL, AWS, DatadogTools You May UseExpressJS + TypeScriptPostgreSQLAWSDatadogGit / GitHub / GraphiteDjango + Python3GraphQL + React + React NativeClaude Code and CursorWhat We OfferIn addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end…We are committed to your Ownership:We cultivate an environment where team members feel ownership over the work they do.

Everyone in an organization has big ideas and we want to hear them and implement them.All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.We are committed to your Wellness:Medical, Dental, Vision401k planFlexible PTO and sick daysCommuter benefitsSanta Monica HQ with 180 degree beach views and daily catered lunchesWe are committed to your Growth:Fast paced work environment geared towards professional growthGet the chance to move roles within the organization to learn new skills and continue to make an impactWe are committed to building Community:Monthly team events, dinners, & happy hoursSpecial team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas