Junior Software Engineer

Company Overview

Join us for an enriching journey with Outset, a trailblazing medical device company that is revolutionizing the field of dialysis. Our focus is to create one high performing team, obsessed with progress, in an atmosphere that is brimming with transformative opportunities. The heart of our mission is pioneering a groundbreaking technology that redefines the landscape of dialysis, streamlining complexity and cost, because patients deserve “better” now, not some day.  

At Outset we’re revolutionizing an industry and changing lives. We’re impacting what the future of dialysis looks like by creating a first-of-its-kind technology in order to reduce the cost and complexity of dialysis. FDA cleared for use across care settings, from the hospital to the clinic to the home, the Tablo® Hemodialysis System harnesses modern technology for a new holistic approach to dialysis care. We’re giving providers time back to focus on patient care. And we’re giving patients the power to take control of their life and get back to enjoying the things they love.

Company Overview

Outset is a medical technology company pioneering a first-of-its-kind technology to reduce the cost and complexity of dialysis. The Tablo Hemodialysis System, FDA cleared for use from the hospital to the home, represents a significant technological advancement that transforms the dialysis experience for patients and operationally simplifies it for providers. Tablo serves as a single enterprise solution that can be utilized across the continuum of care, allowing dialysis to be delivered anytime, anywhere and by anyone.  The integration of water purification and on-demand dialysate production enables Tablo to serve as a dialysis clinic on wheels, with 2-way wireless data transmission and a proprietary data analytics platform powering a new holistic approach to dialysis care.

Position Overview

Outset is seeking a Junior Software Engineer to join our Cloud Infrastructure & Platform team. In this role, you will contribute to building, operating, and evolving the mission-critical backend systems that power Tablo devices and Outset's application ecosystem. You will work on brownfield systems - adding new capabilities, refining existing features, building tooling, and supporting cloud operations alongside an experienced, highly efficient team.

We are looking for someone who learns fast, thrives across multiple contexts, and communicates clearly. If you are intellectually curious, take ownership of what you pick up, and have already shown you can adapt quickly to new challenges - this is a great place to grow.

Candidate attributes and abilities:

- You learn quickly and embrace unfamiliar territory - you pick up new technologies, systems, and requirements without needing a full playbook handed to you.

- You can hold multiple goals and contexts in parallel without losing clarity on what matters most right now.

- You communicate clearly and proactively - written and verbal - with teammates and across teams. You've been told this before.

- You have a strong ownership mindset: when you pick something up, you see it through and follow up.

- You have a practical appreciation for software quality, best practices, and clean engineering.

- You are comfortable working on existing systems - you understand before you change, and you improve without breaking.

Essential Job Functions and Responsibilities

- Develop and enhance features on existing backend services and cloud infrastructure.

- Support operations: monitor, triage, and resolve platform and service incidents.

- Build internal tooling and automation to improve team efficiency and system reliability.

- Work across multiple services and systems with varying contexts, priorities, and timelines.

- Collaborate with teammates on design, implementation, and code review.

- Participate in on-call support rotation and contribute to operational runbooks.

- Apply AI-assisted and spec-driven development practices where they accelerate quality delivery.

- Can work remote anywhere in Mexico. Infrequent travel to our office in Tijuana and/or San Jose as needed.

Required Qualifications

- Minimum 2 years of hands-on software engineering experience - internship experience counts.

- No specific degree requirement - demonstrated skill and track record matter more than credentials.

- Experience with Java (Spring Boot, Maven) or a comparable backend language and framework.

- Working knowledge of at least a few AWS services (e.g., EC2, ECR, ECS, Lambda, S3, DynamoDB, Cognito, SNS, SQS, CloudWatch, CloudTrail, CodePipeline, CodeArtifact).

- Familiarity with containerization and CI/CD pipelines (Docker, Jenkins, or equivalent).

- Demonstrable communication skills - proven ability to express ideas clearly and manage competing priorities across teams.

- Proven track record of fast learning - evidence of independently picking up new tools, systems, or domains and delivering on them.

Desired Qualifications

- Experience with PostgreSQL or another relational database.

- Familiarity with Kafka or distributed messaging systems.

- Exposure to static analysis tooling (SonarQube or equivalent).

- Awareness of AI-spec-driven or AI-assisted development workflows.

- Familiarity with microservice architecture patterns and distributed systems concepts.

- Experience contributing to brownfield codebases - understanding existing systems, refactoring, and extending them safely.

Company Culture

At Outset, we believe every person matters. Every Outsetter, every patient, every caregiver. Because we are here to create a revolution, and we believe in doing that by innovating everywhere with intelligent speed. Our team expects nothing less than our best display of strengths and skills, and we find joy in working together for a common goal. At Outset, we believe that curiosity, ingenuity and conviction in the power of technology will transform the lives of dialysis patients and providers. 

We are fueled by the opportunity to give people their lives back. And we believe that it begins with YOU, our future Outsetter. At Outset, we’ve designed a professional world that our employees are honored and impassioned to belong to, one that offers challenge, the ability to collaborate with great people, and opportunities to build skill and expertise in a fulfilling career. 

An opportunity at Outset Medical won’t just be about finding a job. Our culture revolves around the principles of moving farther, faster, together, so working here feels like a masterclass in peak performance, for individuals and teams. 

Privacy is important to us. Please review our Applicant Privacy Notice.  

Important Notice

We have been made aware of fraudulent activities where individuals are impersonating our company and offering fake job opportunities. Please note, Outset Medical will never request payment or gift cards during the hiring process, nor will we ask you to purchase your own equipment. Anyone reaching out to you with an email address ending in @outsetmedical.cc, is not a legitimate Outset representative. For legitimate opportunities, always apply directly through our official careers page. If you are unsure about the authenticity of a communication, contact us immediately at [email protected].

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT  

Outset Medical is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind on the basis of race, color, national origin, religion, gender, gender identity, sexual orientation, disability, genetic information, pregnancy, age, or any other protected status set forth in federal, state, or local laws. This policy applies to all employment practices within our organization.