Senior Software Engineer, Scribe & Integrations

Olli Health is a Series A funded healthtech startup modernizing home healthcare with advanced AI tools, and they are growing. The Senior Software Engineer on Scribe & Integrations will work on the clinician-facing mobile app and the EHR integration layer, focusing on mobile, backend, and data work to solve real product and business problems for clinicians.

Responsibilities:

• Ship features end-to-end across the Scribe stack (React Native, Bun/Hono, PostgreSQL): design, requirements gathering, building, testing, deploying
• Partner closely with the integrations team to automate interactions with EHRs and our partner home health systems, working with both the pipelines and the messy realities of EHR data
• Work directly with our data pipelines: modify, debug, and extend them
• Take fuzzy product and business problems from customers and the team, and turn them into something shipped and observable
• Work directly with our customers and internal users to identify opportunities, sharpen workflows, and observe our work in daily use
• Help raise the technical bar across the Scribe codebase: testing, observability, mobile release hygiene

Requirements:

• React Native (required): 5+ years production experience shipping a React Native app, including the boring parts (navigation, state, native modules when needed, release pipelines). Strong TypeScript fluency
• Backend & databases: Comfortable building APIs and working with PostgreSQL or comparable databases. Experience with a modern Node-style backend (Hono, Express, Fastify, or similar) is a plus
• Strong fundamentals: Data structures, algorithms, database design, and API design. Fluent shipping across mobile, backend, and data layers
• Hands-on-keyboard senior: Prior experience shipping production software at a startup, with hands-on-keyboard coding chops and room to grow into startup leadership
• Healthcare-data grit: Strong SQL and the patience to dig into a pipeline, an integration, or a SQL query when a clinician's note didn't make it through. Thrives in the messy reality of healthcare data
• Breadth: Comfortable jumping between mobile UI, backend, and a data pipeline in the same day, and not precious about which layer the bug ends up in
• Startup mentality: An enjoyment of that early startup balance between efficiency, scalability, and shipping fast to meet customer needs
• Flexible problem solving: Equally interested in chasing a gnarly mobile bug, redesigning an integration, or building the report a customer asked for yesterday, and wise enough to know which is highest leverage in the moment
• Authorization: Must be authorized to work in the US and CA (no visa sponsorship available)
• Proven success in the Seed/Series A stage fast-paced startups
• Direct experience integrating with EHRs (Epic, Cerner, HCHB, MatrixCare, WellSky, etc.) or similar third-party clinical/legacy systems
• Experience with our stack: AWS, PostgreSQL, Bun, Hono, Drizzle, Expo/React Native, Dagster
• Comfort interacting with ML/NLP and LLM-native data engineering problems
• Experience building or operating data pipelines for analytics or ML-ready datasets
• Experience working with healthcare datasets (e.g. payer claims data, clinical notes, EHR charts, ICD-10 coding, etc.)
• Experience building secure systems with HIPAA compliance as a core principle
• An appreciation for the challenges of building (and building with) LLMs and agentic systems (healthy skepticism a must)