{"id":3543809,"url":"https://alion.io/job/axle-health-senior-software-engineer-integrations","title":"Senior Software Engineer, Integrations","company":{"id":669653,"name":"Axle Health","domain":"axlehealth.com","url":"https://alion.io/company/axlehealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"B","score":83,"open_postings":3,"ghost_share":0,"stale_share":0.667,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-11-02T06:13:15Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Santa Monica, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":170000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"AWS","optional":true},{"name":"CI/CD","optional":true},{"name":"Claude Code","optional":true},{"name":"Cursor","optional":true},{"name":"Datadog","optional":true},{"name":"Django","optional":true},{"name":"Express","optional":true},{"name":"FHIR","optional":true},{"name":"Git","optional":true},{"name":"GitHub","optional":true},{"name":"GraphQL","optional":true},{"name":"HL7","optional":true},{"name":"JavaScript","optional":true},{"name":"Node JS","optional":true},{"name":"PostgreSQL","optional":true},{"name":"Python","optional":true},{"name":"React Native","optional":true},{"name":"React.js","optional":true},{"name":"SQL","optional":true},{"name":"TypeScript","optional":true}],"status":"live","first_seen_at":"2026-10-30T18:46:06Z","employer_posted_date":"2026-10-30","last_verified_at":"2026-11-02T23:35:51Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"About Us\nAxle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable-at home.\nSome of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching.\nOur platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.\nWe’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.\nAbout You - The Role\nAxle 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.\nThe 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.\nYou'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.\nWhat You'll Do\nIntegration 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.\n\nEnd-to-End Ownership: Scope integration projects, make the technical decisions, and carry them from the first conversation through launch and ongoing production support.\n\nCustomer 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.\n\nVendor and Partner Coordination: Work directly with EHR vendors' and partners' technical teams to close documentation gaps and get integrations working as intended.\n\nProject and Timeline Management: Sequence your integration work, set realistic milestones, and keep Engineering, Professional Services, and Product Management updated on progress and risk.\n\nReliable, High-Volume Systems: Build backend services that handle data for hundreds of thousands of patients, with close attention to data integrity, security, and uptime.\n\nMonitoring and Resilience: Build monitoring and failure handling at the edges where external systems are least predictable, so issues surface before customers notice them.\n\nCode Quality and Documentation: Hold a high bar in code reviews and write clear documentation so integration knowledge is shared across the team.\n\nRequirements\nMust Haves\n7+ years of professional software engineering experience - including end-to-end ownership of integrations with external or legacy systems, from build through production support\n\nTrack record of owning projects with significant autonomy - scoping the work, making the technical calls, and driving to completion without step-by-step direction\n\nComfortable investigating customer-reported issues directly and explaining the problem, the plan, and progress to technical and non-technical stakeholders\n\nDemonstrated ability to architect scalable, performant, and secure systems\n\nExperience at a fast-paced startup or growth-stage company\n\nBachelor's degree\n\nNice to Haves\nBackend expertise in Node.js and TypeScript (1-2+ years) and hands-on experience designing and working with SQL databases - PostgreSQL preferred\n\nExperience with EHRs or EMRs and healthcare interoperability standards (FHIR, HL7)\n\nIntegration experience in logistics, field services, or another operations-heavy domain - EDI, ERP, WMS, POS, or similar systems\n\nBackground in a domain where data integrity and security are non-negotiable\n\nExperience building monitoring and alerting for systems with significant data volume or uptime requirements\n\nWorking knowledge of CI/CD, DevOps practices, and build systems\n\nFamiliarity with the Axle Health tech stack: ExpressJS, GraphQL, React, React Native, PostgreSQL, AWS, Datadog\n\nTools You May Use\nExpressJS + TypeScript\n\nPostgreSQL\n\nAWS\n\nDatadog\n\nGit / GitHub / Graphite\n\nDjango + Python3\n\nGraphQL + React + React Native\n\nClaude Code and Cursor\n\nWhat We Offer\nIn 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…\nWe are committed to your Ownership:\nWe 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.\n\nAll 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.\n\nWe are committed to your Wellness:\nMedical, Dental, Vision\n\n401k plan\n\nFlexible PTO and sick days\n\nCommuter benefits\n\nSanta Monica HQ with 180 degree beach views and daily catered lunches\n\nWe are committed to your Growth:\nFast paced work environment geared towards professional growth\n\nGet the chance to move roles within the organization to learn new skills and continue to make an impact\n\nWe are committed to building Community:\nMonthly team events, dinners, & happy hours\n\nSpecial team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas","description_format":"text","description_chars":6610,"description_truncated":false,"requirements":{"experience_years_min":7,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["HR & Payroll Software","Scheduling & Booking Software"],"lifecycle":[{"event":"open","at":"2026-10-30T20:10:44Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":2,"expected_fill_days":36,"reasons":["conf:0","win:early"],"computed_at":"2026-11-02T06:13:15Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/axle-health-senior-software-engineer-integrations","json_url":"https://alion.io/job/axle-health-senior-software-engineer-integrations.json","meta":{"generated_at":"2026-11-03T02:11:38Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":2919,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-04T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":669653},"rest":"https://alion.io/mcp/rest/get_company?id=669653"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faxle-health-senior-software-engineer-integrations"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faxle-health-senior-software-engineer-integrations"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faxle-health-senior-software-engineer-integrations"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/axle-health-senior-software-engineer-integrations\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faxle-health-senior-software-engineer-integrations"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3543809}},{"tool":"search_jobs","arguments":{"company":"axlehealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3543809},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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