{"id":752299,"url":"https://alion.io/job/axlehealth-senior-software-engineer-interoperability","title":"Senior Software Engineer, Interoperability","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":null},"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":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"SQL","optional":false},{"name":"TypeScript","optional":false},{"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":"Git","optional":true},{"name":"GitHub","optional":true},{"name":"GraphQL","optional":true},{"name":"JavaScript","optional":true},{"name":"Python","optional":true},{"name":"React Native","optional":true},{"name":"React.js","optional":true}],"status":"live","first_seen_at":"2026-04-16T16:51:45Z","employer_posted_date":"2026-04-16","last_verified_at":"2026-10-09T00:15:41Z","board_verified":true,"closed_at":null,"days_open":175,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":174},"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\nWe're looking for a Senior Software Engineer to join our Healthcare Interoperability team; the group responsible for connecting Axle Health's scheduling and workforce management platform directly into the daily workflows of home healthcare providers. This is a high-leverage, high-ownership role: you'll design and build the integrations that make Axle Health indispensable to our customers, and you'll help shape how our team works as we scale.\nOur ideal candidate brings deep backend expertise, strong architectural instincts, and a genuine passion for solving complex problems in systems that matter. You've built reliable, high-volume systems before, whether at scale at a growth stage company or from the ground up at a startup, and you know how to lead technical work across a team without losing your connection to the code. If you're energized by meaningful technical challenges and want your work to directly improve care delivery for patients, we want to hear from you.\nWhat you'll do:\nDesign and implement Electronic Health Record (EHR) or Electronic Medical Record (EMR) integrations that connect Axle Health's platform into providers' existing tech stacks\n\nArchitect high-volume backend systems built to support hundreds of thousands of patients reliably and at scale\n\nDevelop and evolve API integrations across the Axle Health ecosystem, with a focus on performance, security, and maintainability\n\nLead technical design discussions and drive engineering decisions from initial scoping through delivery\n\nCollaborate with and provide technical leadership to other engineers, setting a high bar for code quality through thorough and constructive code reviews\n\nMentor junior and mid-level engineers, investing in their growth and helping them develop strong engineering fundamentals\n\nWrite clear, thorough documentation to scale team knowledge within the Interoperability team and across engineering\n\nRequired skills and experience:\nBachelor's degree\n\n7+ years of professional software engineering experience\n\nExpertise building backend systems in Node.js + TypeScript (1-2+ years)\n\nHands-on experience designing and working with SQL databases (PostgreSQL preferred)\n\nDemonstrated ability to architect scalable, performant, and secure systems - not just implement within them\n\nStrong technical communication skills (able to explain complex decisions clearly to both technical and non-technical stakeholders)\n\nProven ability to conduct rigorous, constructive code reviews that improve both code quality and team capability\n\nExperience working in fast paced, high-growth startup environments with a desire to build and a track record of operating with significant autonomy\n\nDemonstrated ability to self-learn and quickly adapt to new technologies\n\nNice to have:\nExperience working with Electronic Health Records (EHRs) and/or healthcare interoperability standards (FHIR, HL7)\n\nBackground in a domain where data integrity and security are non-negotiable (healthcare, fintech, etc.)\n\nExperience working on 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\nGraphQL + React + React Native\n\nPostgresSQL\n\nAWS\n\nDatadog\n\nGit / Github / Graphite\n\nDjango + Python3\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":5518,"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":["Practice Management Software"],"lifecycle":[{"event":"open","at":"2026-09-11T16:06:36Z"}],"visa":[],"liveness":{"score":9,"band":"cold","label":"Long shot","p_open":1,"p_active":0.337,"p_room":0.28,"age_days":174,"expected_fill_days":40,"reasons":["conf:1","win:tail","crowd:"],"computed_at":"2026-10-08T05:49:30Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/axlehealth-senior-software-engineer-interoperability","json_url":"https://alion.io/job/axlehealth-senior-software-engineer-interoperability.json","meta":{"generated_at":"2026-10-09T02:34:41Z","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","counted_by":"address","units_charged":1,"used_today":667,"day_limit":5000,"remaining_today":4333,"minute_limit":60,"resets_at":"2026-10-10T00:00:00Z"}},"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%2Faxlehealth-senior-software-engineer-interoperability"},{"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%2Faxlehealth-senior-software-engineer-interoperability"},{"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%2Faxlehealth-senior-software-engineer-interoperability"},{"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/axlehealth-senior-software-engineer-interoperability\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faxlehealth-senior-software-engineer-interoperability"}]}