Senior Software Engineer

Summary of Position:

The Senior Software Engineer will serve as a technical leader within the EHR engineering team, leading the design, development, and deployment of mission-critical software for patients, clinical staff, and partner organizations. They will set architectural direction, mentor junior and mid-level engineers, and take end-to-end ownership of high-impact projects - collaborating across clinical, operations, and technology teams to deliver secure, scalable, and maintainable systems that improve patient outcomes.

Essential Job Functions:

• Leads full-stack development of highly scalable distributed systems using TypeScript, React, and NextJS, taking technical ownership of projects from conceptualization through production deployment and ongoing support.
• Participates in and facilitates all aspects of agile software development including design, implementation, and deployment.
• Architects end-to-end systems optimized for performance, reliability, and long-term maintainability, including complex data schemas, stored procedures, and query optimization in PostgreSQL and MS SQL Server.
• Leads the design and integration of RESTful APIs, enterprise-grade security and identity architectures using OAuth, and healthcare interoperability standards including FHIR and HL7.
• Establishes and enforces engineering standards for containerized deployments (Docker), code collaboration (Git/Bitbucket), code quality, testing, documentation, and incident response.
• Mentors Software Engineer I and II staff through code reviews, pair programming, and architectural guidance.
• Partners with NEMS Clinical, Operations, and Technology leadership to define roadmaps, translate business needs into technical solutions, and evaluate emerging technologies and frameworks.
• Performs other job duties as required by manager/supervisor.

Qualifications:

• Bachelor's degree in computer science, information technology, or STEM program; advanced degree a plus.
• 5+ years of professional experience building and shipping large-scale software applications in a healthcare or regulated industry environment, with deep proficiency in PostgreSQL, MS SQL Server, React, NextJS, TypeScript, and JavaScript.
• Deep experience designing and integrating RESTful APIs and microservices architectures, including enterprise security and identity patterns using OAuth, SAML, or OpenID Connect.
• Hands-on experience with healthcare interoperability standards including FHIR and HL7; SMART on FHIR experience preferred.
• Demonstrated experience leading technical teams or serving as a technical lead on complex, cross-functional projects.
• Experience with cloud platforms (AWS, Azure, or Google Cloud) and DevOps practices including CI/CD pipeline management, infrastructure-as-code, and containerization; expert-level debugging, performance optimization, and testing.
• In-depth knowledge of HIPAA, privacy, and data security requirements in a healthcare context; experience at an FQHC or community health organization is a strong plus.
• Strong written and verbal communication skills with the ability to present technical decisions to non-technical stakeholders and executive leadership.

Language:

• Must be able to fluently speak, read and write English.
• Fluency in Chinese (Cantonese and/or Mandarin), Vietnamese, Spanish and other languages may be required depending on location.
• Fluency in other languages are an asset.

Status:

This is an FLSA Exempt position.

This is not an OSHA high-risk position.