Senior Software Engineer

myLaurel is a tech-enabled medical group delivering acute and transitional care to patients at home. The Senior Software Engineer will design, build, and scale full-stack systems and integrations that support clinicians, field responders, and care coordination teams.

Responsibilities:

• Design and ship secure, reliable features across the stack, from APIs to event-driven services on AWS
• Create fast, accessible React interfaces for clinicians, field responders, and care coordinators
• Back your work with comprehensive unit and integration tests
• Review code and give technical guidance on standards, design, and best practices
• Write architecture decision records (ADRs) and lead multi-phase initiatives from design to rollout
• Build LLM-powered features and work fluently with AI-assisted development tools
• Build and own integrations with health systems and partners, including HL7v2/ADT feeds, FHIR, CCDA, and interoperability platforms
• Evolve our data models and the pipelines that move clinical and operational data between systems
• Work with Product Management to scope work and co-write technical requirements
• Partner with cross-functional teams to define, design, and ship features
• Bring engineering input early to user and use-case discussions
• Troubleshoot issues and find areas to improve
• Share on-call duties to keep our platforms reliable

Requirements:

• Experience in a startup or similar fast-paced environment
• Track record of owning and supporting production systems
• Software development experience in healthcare or another regulated industry (e.g., finance, security)
• Experience handling PHI under HIPAA, including least-privilege access and audit trails
• 7+ years of professional software engineering, with strong production experience in:
• Node.js
• TypeScript
• React / React Router / Remix
• PostgreSQL and ORMs
• API Development
• AWS, including serverless (Lambda, SQS/SNS) and infrastructure as code (CDK)
• Must be based in the US
• Healthcare interoperability (HL7, FHIR, Redox or similar)
• Working with ETL/ELT pipelines
• Python
• SOC2 Standards
• Accessibility (WCAG) and component design systems