The Role
Maintain and extend a Laravel backend supporting EHR integrations, coding rules, onboarding workflows, healthcare data labeling pipelines, and machine learning data services. Build integrations with eClinicalWorks, Epic, and athenahealth using HL7v2, FHIR, and Cloud Fax. Implement reliable, auditable services that protect PHI and meet HIPAA, SOC 2, and HITRUST standards.
Summary Generated by Built In
Backend Web Application Engineer
Role description
What you will do
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Compensation
The backend engineer maintains and extends the Laravel application behind SynAIpse: EHR integrations, the deterministic coding rule engine, and the data pipelines that feed our machine learning systems.
You work alongside the founders, working across EHR integrations including eClinicalWorks, Epic, and athenahealth and shaping the architecture as we expand to new specialties.
- Extend our Laravel application to support EHR integrations (eClinicalWorks, Epic, athenahealth), extending via HL7v2, FHIR, and Cloud Fax.
- Iterate on our deterministic coding rule engine, including NCCI edits and payer-specific requirements.
- Build a self-service onboarding flow so new practices can provision their own integrations without us doing it manually.
- Build the data labeling interfaces and pipelines that turn coder and user input into training data for our models.
- Implement services that meet HIPAA, SOC 2, and HITRUST standards.
- 4+ years with Laravel or an equivalent MVC framework.
- Deployed systems that required 24/7 stability and availability.
- Strong written and verbal communication — able to translate technical detail for non-technical audiences.
- Implemented logging and auditing controls for access to and disclosure of Protected Health Information (PHI) under HIPAA.
- Direct experience with one or more EHR APIs.
- Worked with HL7v2 or FHIR resources.
- Worked on revenue cycle management, medical billing, or other healthcare projects.
- Competitive base salary commensurate with experience.
- Meaningful founding-stage equity.
- Health, dental, and vision insurance.
- Remote-first with optional hybrid at 1819 Innovation Hub, Cincinnati.
Skills Required
- 4+ years of experience with Laravel or an equivalent MVC framework
- Experience deploying systems requiring 24/7 stability and availability
- Strong written and verbal communication skills, including translating technical details for non-technical audiences
- Experience implementing logging and auditing controls for access to and disclosure of Protected Health Information under HIPAA
- Direct experience with one or more EHR APIs
- Experience working with HL7v2 or FHIR resources
- Experience in revenue cycle management, medical billing, or other healthcare projects
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The Company
What We Do
Synaipse is a physician-led healthcare technology company building an automation layer for independent medical practices. Its platform centralizes and shares verified provider records and automates administrative workflows, beginning with physician credentialing and privileging for healthcare teams. The company seeks to reduce credentialing paperwork, prior-authorization work, insurance appeals, and chart chasing, helping clinicians reclaim time for patient care and preserve practice autonomy.
