Senior Software Engineer, Backend

Job Summary:

Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers. They are seeking a Senior Software Engineer focused on Backend systems to design and implement high leverage, high performance technical processes and systems that integrate with users daily workflows.

Responsibilities:

• Design and develop platform capabilities enabling integrations with Electronic Health Record (EHR) systems.

• Lead efforts to optimize service orchestration, data flow, and performance.

• Drive high standards for security, testability, observability, and deployment automation.

• Architect high volume systems that will support hundreds of thousands of patients.

• Design and maintain modern, developer-friendly APIs and SDKs and documentation.

• Collaborate with and lead other engineers to build performant, scaleable, and secure systems.

Qualifications:

Required:

• Bachelors degree

• 5-7+ years of software engineering experience

• Expertise building backend systems in Python (1-2 years) and Node + TypeScript (1-2 years)

• Hands-on experience designing relational database schemas and migrations for scalability, extensibility, performance, and stability

• Experience managing customer-facing APIs through versioning, deprecation cycles, and customer migration paths

• Proven ability to diagnose and fix performance bottlenecks in database-backed applications

• Working knowledge of CI/CD, DevOps, and build systems

• Strong communication skills to explain technical decisions to non-technical stakeholders

• Experience working in high growth, fast paced startup environments

Preferred:

• Experience working with Electronic Health Records (EHRs) and/or healthcare interoperability standards (FHIR / HL7)

• Experience building systems managing HIPAA compliant data or similar compliance driven industries with data security requirements

• Experience building scalable, observable distributed systems

• Experience building ETL pipelines to extract from multiple source systems and load into cloud-based data warehouses (e.g., Snowflake, Redshift, BigQuery) to support analytics and reporting needs across the organization.

Company:

Scheduling and workforce management software for home health care providers Founded in 2020, the company is headquartered in Claymont, USA, with a team of 11-50 employees. The company is currently Early Stage.