NexHealth
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Senior Software Engineer, Security
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We're hiring a Senior Software Engineer, Security to own application security across our product platform — APIs, integrations, payments infrastructure, and the developer ecosystem built on top of our Synchronizer.
This is a hands-on engineering role, not a compliance or audit function. You'll write code, design secure systems, review architecture, and embed security into the way we build — working directly alongside product engineering teams from the earliest stages of design. Data is at the center of everything we do, which means the security bar here is high and the work is meaningful. Moreover as a health tech company, we have the highest levels of responsibility towards safeguarding patient and customer data across all the facilities and services NexHealth provides.
You'll report to engineering leadership and work closely with both product and platform teams.
What You’ll Do
- Design and build secure systems across our APIs, EHR integrations, payments infrastructure, and SaaS products
- Lead threat modeling and security design reviews for new features — embedded in the development process, not bolted on at the end
- Identify and remediate vulnerabilities in application code, dependencies, and infrastructure
- Improve authentication, authorization, and access control systems across our platform (OAuth, RBAC, service-to-service auth)
- Integrate and maintain security tooling in our CI/CD pipelines — SAST, DAST, dependency scanning
- Contribute to secure coding standards, internal libraries, and developer-facing security frameworks
- Support HIPAA and SOC 2 compliance through strong system design and documentation
- Help raise the security bar across the engineering org through code reviews, education, and pairing with developers
What You’ll Bring
- 5+ years of software engineering experience, with 1–3+ years focused on application or product security
- Experience building and securing backend systems in Python, Go, Java, or similar languages
- Solid understanding of common vulnerabilities and mitigations (OWASP Top 10 and beyond)
- Hands-on experience securing APIs and implementing authentication/authorization systems (OAuth 2.0, JWT, RBAC)
- Experience working in cloud environments — we run on AWS and Google Cloud
- Familiarity with security tooling: SAST, DAST, dependency scanning
- Bachelor's degree in Computer Science, Engineering, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Software Engineer, Security
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We're hiring a Senior Software Engineer, Security to own application security across our product platform — APIs, integrations, payments infrastructure, and the developer ecosystem built on top of our Synchronizer.
This is a hands-on engineering role, not a compliance or audit function. You'll write code, design secure systems, review architecture, and embed security into the way we build — working directly alongside product engineering teams from the earliest stages of design. Data is at the center of everything we do, which means the security bar here is high and the work is meaningful. Moreover as a health tech company, we have the highest levels of responsibility towards safeguarding patient and customer data across all the facilities and services NexHealth provides.
You'll report to engineering leadership and work closely with both product and platform teams.
What You’ll Do
- Design and build secure systems across our APIs, EHR integrations, payments infrastructure, and SaaS products
- Lead threat modeling and security design reviews for new features — embedded in the development process, not bolted on at the end
- Identify and remediate vulnerabilities in application code, dependencies, and infrastructure
- Improve authentication, authorization, and access control systems across our platform (OAuth, RBAC, service-to-service auth)
- Integrate and maintain security tooling in our CI/CD pipelines — SAST, DAST, dependency scanning
- Contribute to secure coding standards, internal libraries, and developer-facing security frameworks
- Support HIPAA and SOC 2 compliance through strong system design and documentation
- Help raise the security bar across the engineering org through code reviews, education, and pairing with developers
What You’ll Bring
- 5+ years of software engineering experience, with 1–3+ years focused on application or product security
- Experience building and securing backend systems in Python, Go, Java, or similar languages
- Solid understanding of common vulnerabilities and mitigations (OWASP Top 10 and beyond)
- Hands-on experience securing APIs and implementing authentication/authorization systems (OAuth 2.0, JWT, RBAC)
- Experience working in cloud environments — we run on AWS and Google Cloud
- Familiarity with security tooling: SAST, DAST, dependency scanning
- Bachelor's degree in Computer Science, Engineering, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
You’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 8+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Staff Software Engineer, Platform
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
On the platform engineering team, you’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 8+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Staff Software Engineer, Fullstack
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
On our product-focused engineering teams at NexHealth, you’ll build insanely great software that attracts new patients, improves the relationship between patients and their doctors, and helps our customers’ businesses thrive. We enable amazing patient experiences while making it easier and more efficient for doctors to provide personalized care. We also work on some of the cutting edge problems enabling developers to innovate with open and accessible healthcare data.
What You’ll Do
- Work in diverse product areas to solve challenges like booking healthcare appointments online with real-time availability, collecting patient information with customizable forms, and processing millions of dollars of payments.
- Design, architect, and build delightful and scalable software to solve our customer’s problems.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 8+ years of experience as a software engineer, with a focus on building customer-facing products.
- A history of sustained contribution over time.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent product-level thinking. You can understand all the different aspects of how customer journeys and data flows touch each part.
- Ability and desire to solve high impact problems with any tool necessary, even if it requires stepping out of your comfort zone.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About The Role
As our Staff Data Engineer, you will own and evolve the foundational data systems that power NexHealth’s analytics and unlock the next generation of customer-facing insights. This is a hands-on, high-ownership role that combines architectural influence with deep execution. We need to expand our data capabilities for scale and improve our daily operations and enable self-service. You will drive the transformation of our data infrastructure.
You will design data pipelines, refactor the warehouse architecture, and lay down the modeling foundations that enable trusted analytics across the company. This work directly supports our mission to become the API for healthcare. With access to a rich and growing corpus of medical data, you will help NexHealth become a leader in data strategy, intelligence, and customer enablement.
This role is ideal for a Staff-level engineer who has seen and built great data platforms, is not afraid of legacy, and thrives in environments where the vision is clear, the systems are evolving, and the company is depending on data to unlock its next stage of growth.
What You’ll Do
- Own the Data Platform
- Lead the architectural evolution of our data warehouse, modeling layer, and pipeline structure
- Refactor core data models to support fast, self-serve access and shared understanding across teams
- Build reliable ingestion and transformation systems that abstract over messy or fragmented inputs
- Take responsibility for the structure, reliability, and extensibility of our warehouse and modeling layers
- Replace brittle vendor-based pipelines with scalable, maintainable ingestion and transformation infrastructure
- Build in observability, alerting, and validation to ensure the platform can scale with confidence
- Drive Strategic Data Initiatives
- Collaborate closely with Staff-level analysts, engineers, and data consumers to unblock their workflows and enable data insights.
- Partner with software engineers to anticipate and manage upstream schema changes and database shifts
- Define and enforce clear data contracts and interface boundaries
- Shape how the company can eventually leverage data science, customer segmentation, and industry-wide insights
What You’ll Bring
- 7+ years of experience in data engineering or software engineering with a focus on building scalable, well-tested systems
- Advanced fluency in SQL and Python with strong instincts around modular modeling, optimization, and abstraction
- Experience building on top of a modern managed data warehouse such as Snowflake, BigQuery, or Redshift
- Proven history of taking ambiguous, fragmented data systems and turning them into reliable, documented, high-trust platforms
- Ability to operate independently at a Staff level with a high sense of ownership
- A background in strong engineering cultures or top-tier product environments where quality, velocity, and ownership coexist
- Passion for clarity, simplicity, and helping teams move faster without cutting corners
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Staff Software Engineer
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
On the platform engineering team, you’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 10+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Software Engineer, Platform
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
On the platform engineering team, you’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Software Engineer, Fullstack
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
On our product-focused engineering teams at NexHealth, you’ll build insanely great software that attracts new patients, improves the relationship between patients and their doctors, and helps our customers’ businesses thrive. We enable amazing patient experiences while making it easier and more efficient for doctors to provide personalized care. We also work on some of the cutting edge problems enabling developers to innovate with open and accessible healthcare data.
What You’ll Do
- Work in diverse product areas to solve challenges like booking healthcare appointments online with real-time availability, collecting patient information with customizable forms, and processing millions of dollars of payments.
- Design, architect, and build delightful and scalable software to solve our customer’s problems.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 5+ years of experience as a software engineer, with a focus on building customer-facing products.
- A history of sustained contribution over time.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent product-level thinking. You can understand all the different aspects of how customer journeys and data flows touch each part.
- Ability and desire to solve high impact problems with any tool necessary, even if it
- requires stepping out of your comfort zone.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Software Engineer, Fullstack
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
On our product-focused engineering teams at NexHealth, you’ll build insanely great software that attracts new patients, improves the relationship between patients and their doctors, and helps our customers’ businesses thrive. We enable amazing patient experiences while making it easier and more efficient for doctors to provide personalized care. We also work on some of the cutting edge problems enabling developers to innovate with open and accessible healthcare data.
What You’ll Do
- Work in diverse product areas to solve challenges like booking healthcare appointments online with real-time availability, collecting patient information with customizable forms, and processing millions of dollars of payments.
- Design, architect, and build delightful and scalable software to solve our customer’s problems.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 5+ years of experience as a software engineer, with a focus on building customer-facing products.
- A history of sustained contribution over time.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent product-level thinking. You can understand all the different aspects of how customer journeys and data flows touch each part.
- Ability and desire to solve high impact problems with any tool necessary, even if it
- requires stepping out of your comfort zone.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Manager, Software Engineering
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We are looking for a Senior Engineering Manager – Software to lead and scale our engineering teams responsible for building customer-facing applications and developer infrastructure. This is a high-impact role for an experienced engineering leader who excels at balancing technical depth, product intuition, organizational leadership, and cross-functional collaboration.
You will work closely with Product, Design, Operations, and other Engineering leaders to define and execute on our roadmap, while scaling the team and raising the bar on engineering excellence. You’ll be instrumental in influencing the direction of the product and ensuring the architecture supports NexHealth’s growth and innovation goals.
What You'll Do
- Strategic Leadership: Drive the long-term vision and technical strategy for critical areas of NexHealth’s platform.
- Team Development: Hire, grow, and retain top engineering talent; mentor emerging leaders; and foster a culture of excellence, ownership, and innovation.
- Execution Excellence: Own the delivery of complex initiatives across multiple teams, ensuring clear alignment between product goals and technical execution.
- Cross-functional Collaboration: Partner with Product, Design, and Go-to-Market teams to deliver best-in-class customer experiences.
- Technical Oversight: Guide system architecture, scalability, and maintainability across product domains; champion best practices in code quality, testing, reliability, and security.
- Org & Culture Building: Shape organizational structures, career paths, and team processes to promote high performance and strong engineering culture.
What You’ll Bring
- 7+ years of experience leading engineering teams, including managing managers or larger organizations
- Exceptional people leadership skills with a proven track record of coaching and developing engineers and managers
- Deep experience delivering complex, customer-facing software at scale
- Strong judgment in balancing product velocity with long-term technical quality
- Demonstrated ability to define and drive both technical and organizational roadmaps
- Excellent cross-functional collaboration skills, able to partner fluidly with Product, Sales, Customer Success, and other teams
- A builder mindset with experience scaling teams and systems in fast-paced environments
- Strong ownership and initiative in ambiguous, evolving contexts
- Bias for action grounded in data-driven decision making
- First-principles thinking applied to technical and organizational challenges
- Deep care for people development, team health, and culture
- Alignment with NexHealth’s core values and mission
- BS/MS in Computer Science or a related field, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior Manager, Software Engineering
Share this job
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We are looking for a Senior Engineering Manager – Software to lead and scale our engineering teams responsible for building customer-facing applications and developer infrastructure. This is a high-impact role for an experienced engineering leader who excels at balancing technical depth, product intuition, organizational leadership, and cross-functional collaboration.
You will work closely with Product, Design, Operations, and other Engineering leaders to define and execute on our roadmap, while scaling the team and raising the bar on engineering excellence. You’ll be instrumental in influencing the direction of the product and ensuring the architecture supports NexHealth’s growth and innovation goals.
What You'll Do
- Strategic Leadership: Drive the long-term vision and technical strategy for critical areas of NexHealth’s platform.
- Team Development: Hire, grow, and retain top engineering talent; mentor emerging leaders; and foster a culture of excellence, ownership, and innovation.
- Execution Excellence: Own the delivery of complex initiatives across multiple teams, ensuring clear alignment between product goals and technical execution.
- Cross-functional Collaboration: Partner with Product, Design, and Go-to-Market teams to deliver best-in-class customer experiences.
- Technical Oversight: Guide system architecture, scalability, and maintainability across product domains; champion best practices in code quality, testing, reliability, and security.
- Org & Culture Building: Shape organizational structures, career paths, and team processes to promote high performance and strong engineering culture.
What You’ll Bring
- 7+ years of experience leading engineering teams, including managing managers or larger organizations
- Exceptional people leadership skills with a proven track record of coaching and developing engineers and managers
- Deep experience delivering complex, customer-facing software at scale
- Strong judgment in balancing product velocity with long-term technical quality
- Demonstrated ability to define and drive both technical and organizational roadmaps
- Excellent cross-functional collaboration skills, able to partner fluidly with Product, Sales, Customer Success, and other teams
- A builder mindset with experience scaling teams and systems in fast-paced environments
- Strong ownership and initiative in ambiguous, evolving contexts
- Bias for action grounded in data-driven decision making
- First-principles thinking applied to technical and organizational challenges
- Deep care for people development, team health, and culture
- Alignment with NexHealth’s core values and mission
- BS/MS in Computer Science or a related field, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Senior IT Systems Engineer
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth is looking for a Staff IT Systems Engineer to play a key role in securing and managing critical business applications while optimizing employee lifecycle operations. This position blends technical expertise with a strong focus on security and process automation to enhance efficiency, improve user experience, and scale with the growth of our organization.
What You’ll Do
- Develop and maintain scalable and automated IAM (Identity and Access Management) systems with self-service capabilities
- Automate and manage employee onboarding and offboarding workflows for seamless access provisioning and de-provisioning
- Oversee network, device lifecycle management and Audio Visual (AV) conferencing solutions
- Implement proactive monitoring of IT systems for optimal performance and security
- Drive corporate security initiatives, including deploying Zero Trust Access and managing EDR (Endpoint Detection and Response)
- Support compliance efforts by providing evidence and documentation from an IT perspective
What You’ll Bring
- 8+ years of experience administering enterprise IT systems and SaaS applications
- Strong knowledge of IAM, MDM, Mac OS and device lifecycle management best practices
- Deep, practical Jira administration experience
- Ability to automate and streamline workflows
- Strong problem-solving and documentation skills
- Detail-oriented with a focus on continuous process improvement
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Platform Engineering Manager - DataLake
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We are seeking an experienced Engineering Manager to help build and scale our foundational platforms – platforms the healthcare database of the future that no one has yet built.
Your team will tackle some of the most complex and high-impact technical challenges in healthcare: how to ingest, store, and serve intrinsically graph-like data at global scale, and how to ensure that entities only see the data dimensions they are authorized to access. You’ll think from first principles, prototype and productionize novel solutions, and develop a truly heterogeneous data lake that stores the world’s multi-modal healthcare data.
This is an excellent opportunity for a hands-on leader who thrives in a fast-paced environment and is passionate about solving hard, unsolved challenges. No prior experience in health tech is required.
What You’ll Do
- Hire and develop world-class engineers to build an exceptional team
- Support engineers’ career growth through clear feedback, mentorship, and leadership development
- Establish and uphold high technical standards through sound processes (e.g., architecture reviews, testing) and strong engineering culture
- Partner with engineering and product leadership to define and execute long-term platform roadmaps
- Drive execution and collaborate across teams to deliver complex, cross-functional initiatives
What You’ll Bring
- 4+ years leading high-performing engineering teams with a proven track record of innovation
- 10+ years of total industry experience in software engineering
- Exceptional people leadership skills with experience coaching and developing engineers
- Deep experience delivering large-scale, foundational infrastructure systems
- Strong judgment balancing engineering velocity with long-term technical quality
- Excellent collaboration skills with the ability to partner effectively across Product, Sales, and Customer Success
- Demonstrated success defining and driving technical and organizational roadmaps
- A builder mindset with experience scaling teams and systems in fast-paced environments
- Strong ownership and initiative in ambiguous, evolving contexts
- Bias for action and data-driven decision making
- First-principles thinking applied to technical and organizational challenges
- Deep care for people development and team health
- Alignment with NexHealth’s values and mission
- BS/MS in Computer Science or a related field, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Engineering Manager - Synchronizer Core
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We are seeking an experienced Engineering Manager to lead the development of the Sync Core. Synchronizer provides native, real-time, bidirectional synchronization between numerous EHR systems of record and NexHealth’s harmonized central database. This foundation enables healthcare innovators to focus on improving patient experiences and outcomes—while we handle the underlying infrastructure.
This work represents step two in our three-step master plan. You’ll play a critical role in increasing engineering quality and execution velocity across the organization, making it easier and faster to build and extend Synchronizers. You’ll partner with multiple engineering teams and product managers to define the next-generation Synchronizer API offering.
This is an excellent opportunity for a hands-on leader who thrives in fast-paced environments and enjoys solving novel systems challenges. No prior healthcare experience required.
What You’ll Do
- Build and develop a high-performing team: Hire exceptional engineers and support their long-term growth through mentorship, coaching, and leadership development.
- Raise the bar on engineering excellence: Uphold strong technical standards through processes like architecture reviews, testing, and code quality practices.
- Drive platform strategy: Partner with engineering and product leadership to shape and execute long-term platform roadmaps, including the next-generation Synchronizer API.
- Lead cross-team execution: Coordinate closely across multiple engineering groups to deliver complex, cross-cutting, high-impact initiatives.
- Foster a strong engineering culture: Promote ownership, innovation, reliability, and continuous improvement as core expectations for the team
What You’ll Bring
- 5+ years of experience leading engineering teams, including managing managers
- A proven track record of coaching, developing, and supporting both engineers and managers
- Deep experience delivering complex, large-scale infrastructure or distributed systems
- Strong judgment in balancing engineering velocity with long-term technical quality
- Excellent collaboration skills with the ability to partner effectively across Product, Sales, Customer Success, and cross-functional stakeholders
- Demonstrated ability to define and drive technical and organizational roadmaps with measurable impact
- A builder mindset with a history of scaling teams and systems in fast-paced, high-growth environments
- Strong ownership and initiative, especially in ambiguous and evolving contexts
The ability to act as a change agent, helping guide our transformation into an API-first organization - A bias for action and data-driven decision making
- First-principles thinking applied to both technical and organizational challenges
- Deep care for people development, team health, and long-term success
- Alignment with NexHealth’s mission and core values
- BS/MS in Computer Science or a related field, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
Engineering Manager, Business Systems & Tools
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About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
You’ll build and lead our Business Systems engineering team - a core pillar that links Product, Engineering, Sales, Customer Success, and Support. This team powers seamless experiences for our 190 employees and over 14,000 provider practices by owning our BackOffice Rails app, Salesforce CRM, Intercom support platform, and our middleware. Success means recruiting and mentoring top engineers, fully automating the customer journey from first-touch through continued support, and surfacing real-time insights that enable every team to move faster and smarter.
What You’ll Do
- Lead and grow your team. Recruit and hire top-tier talent. Set the technical bar for the team and hold them accountable.
- Technical and systems ownership. Drive and review the systems architecture and code solutions. Scale our middleware solutions to enable systems expansion.
- Deliver cross-systems initiatives. Automate our GTM motions to manual onboarding, billing and handoffs. Partner with Product, CS, and Sales to translate needs into robust solutions.
What You’ll Bring
- 5+ years of experience as a software engineer, with 2+ years managing or technically leading small teams.
- Proven track record of hiring and coaching senior engineers
- Deep experience in integrating SaaS Platforms (Salesforce, Hubspot, Intercom, Stripe) into custom apps
- Expert in large scale production applications and their supporting technologies (we use Ruby on Rails, Sidekiq, PostgreSql (RDS/Aurora), AWS cloud infrastructure)
- Strong systems thinker that thrives in ambiguous high-leverage projects.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, engineering, and our GTM teams.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
You’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Ready to apply?
Apply to NexHealth