Senior Software Engineer, Clinical Data Integration at Xealth

Seattle, Washington, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, TechnologyIndustries

Requirements

5+ years of professional experience building production software systems using modern programming languages (e.g. TypeScript, JavaScript, Python, Java, Go)
Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems
Hands-on experience designing and building RESTful or event-driven APIs; exposure to healthcare APIs such as FHIR, HL7 v2, or Epic Interconnect is a plus
Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies
Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics
Familiarity with EHR systems (Epic, Cerner, etc.) and clinical data standards
(Nice to Have) Advanced FHIR knowledge (profiling, validation, IGs)
(Nice to Have) Experience implementing secure OAuth2.0/SMART on FHIR authentication flows
(Nice to Have) Familiarity with patient identity management and clinical data modeling
(Nice to Have) Prior experience in a healthcare startup or health data integration platform

Responsibilities

Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation
EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules
Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS)
Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security
Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team
Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery

Skills

Key technologies and capabilities for this role

TypeScriptNode.jsHL7 v2FHIRAWSKubernetesECSmicroservicesdistributed systemsAPI designdata modelingHIPAAEHR integrationsEpicCerner

Questions & Answers

Common questions about this position

What experience level is required for this Senior Software Engineer role?

The role requires 5+ years of professional experience building production software systems using modern programming languages.

What are the key technical skills needed for this position?

Candidates need strong computer science fundamentals including algorithms, data structures, object-oriented design, concurrency, and distributed systems, plus experience with TypeScript/Node.js, API design, and healthcare standards like HL7 v2 and FHIR.

What is the company culture like at Xealth?

Xealth has a detail-oriented, highly skilled, collaborative, and passionate team that values shared ownership, agility, impact, and self-starters who maintain high standards.

Is this role remote or does it require office work?

This information is not specified in the job description.

What makes a strong candidate for this role?

A strong candidate has strong CS fundamentals, experience reasoning about systems at scale, excitement for healthcare applications, and is a collaborative self-starter with expertise in backend services, EHR integrations, and distributed systems.

Xealth

Digital prescribing and analytics platform for healthcare

About Xealth

Xealth provides a digital prescribing and analytics platform designed for healthcare providers, including physicians and care teams. This platform enables medical professionals to prescribe digital health content, applications, and services just like traditional medications, which helps to enhance patient education and engagement. By extending the interaction between patients and physicians beyond the examination room, Xealth aims to improve patient outcomes and streamline care processes. The company operates on a subscription-based model, where healthcare institutions pay for access to the platform. This model not only generates revenue but also allows healthcare providers to gain insights into patient engagement and treatment effectiveness through the platform's analytics capabilities. Xealth differentiates itself from competitors by focusing on integrating digital health solutions into the existing healthcare workflow, making it easier for providers to adopt and utilize these tools.

Seattle, WashingtonHeadquarters

2017Year Founded

$51.1MTotal Funding

SERIES_BCompany Stage

Enterprise Software, HealthcareIndustries

51-200Employees

Benefits

Full health benefits

401K match

Stock options

Flexible work hours

Flexible time off policy

Generous family leave

Commuter benefits (Seattle employees only)

Onsite gym (Seattle employees only)

Fitness reimbursement

Risks

Competition from major EHR providers like Epic and Cerner threatens Xealth's market share.

Rapid technological advancements require Xealth to continuously update its platform to stay relevant.

Data privacy concerns and regulatory scrutiny could impact Xealth's expansion and operations.

Differentiation

Xealth integrates digital health tools directly into EHR workflows for seamless clinician use.

The platform offers analytics capabilities, providing insights into patient engagement and treatment efficacy.

Xealth's subscription model supports healthcare institutions in improving patient outcomes and streamlining care.

Upsides

Xealth raised $24M to expand digital health services, enhancing its market position.

Partnerships with large healthcare providers, like Banner Health, boost Xealth's credibility and reach.

The rise of value-based care models aligns with Xealth's capabilities to improve patient outcomes.

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