SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI platform interprets the nuances behind every patient story and makes clinically-sound recommendations for revenue cycle teams — helping hospitals recover earned revenue, improve quality metrics, reduce denials, and streamline revenue cycle operations. As a Smartian, you’ll help build technology that makes healthcare more accurate, sustainable, and effective for everyone. Learn more at smarterdx.com/careers.
Role
We are looking for a backend-oriented Senior Software Engineer to help us advance our clinical AI by designing and building core systems that handle, process, and analyze clinical data at scale. The ideal candidate for this role has a track record of delivering complex features in incrementally valuable releases and with a high bar for quality. While this role focuses on backend systems, strong candidates are able to deliver across the stack.
**This role is fully remote within the US**
What You’ll Do
- Design, build and launch new backend services, capabilities and improve the overall quality of SmarterDx’s apps
- Collaborate across disciplines to understand our users and iterate on new ideas
- Protect patients’ privacy and security through secure coding practices
- Research and advocate for improved techniques, processes, and designs within the team
- Support SmarterDx’s apps in production
What You Bring
- 5+ years of development experience with a focus on backend and cloud-based solutions
- Expertise in Python
- Experience working with Postgres or a similar relational database
- Experience building cloud-native distributed systems and working with event-driven architectures
- Experience working with data scientists to plan, build, and iterate on deliverables
- Experience working in a security-conscious environment
- Excellent communication and team collaboration skills
- Bachelor’s or Master’s in Computer Science, Engineering, or a related field, or equivalent experience
Nice To Haves
- Experience at a scale-up, or rapid growth, technology company
- Experience in the health tech domain, particularly in hospital billing systems
- Experience working with Kubernetes
- Experience working with Airflow and tools that handle ELT pipelines
- Experience with Snowflake and dbt
- Experience with full stack ownership and development (Javascript/React)
Our Stack
Python, React, Kubernetes, Postgres, AWS, Terraform, ElasticSearch/OpenSearch, Airflow, Snowflake
Compensation
$190K to $230K base salary
#LI-DNI
- Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
- Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
- Remote-First Team – Work from anywhere in the U.S.
- Unlimited PTO & 10 Holidays – So you can relax and recharge.
- 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
- Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
- Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.
Skills Required
- 5+ years development experience focused on backend and cloud-based solutions
- Expertise in Python
- Experience with Postgres or a similar relational database
- Experience building cloud-native distributed systems
- Experience with event-driven architectures
- Experience working with data scientists to plan, build, and iterate on deliverables
- Experience working in a security-conscious environment and protecting patient privacy
- Excellent communication and team collaboration skills
- Bachelor's or Master's in Computer Science, Engineering, or related field, or equivalent experience
- Experience at a scale-up or rapid growth technology company
- Experience in health tech, particularly hospital billing systems
- Experience with Kubernetes
- Experience with Airflow and ELT pipeline tools
- Experience with Snowflake and dbt
- Experience with full-stack development (JavaScript/React)
What We Do
Hospitals are under more pressure than ever, yet every day they continue to provide extraordinary care to their communities. At SmarterDx, we're building frontier clinical AI that helps health systems capture the full complexity of patient cases. This isn't AI for AI's sake. Every product we build helps hospitals recover earned revenue, improve quality, reduce denials, and operate more sustainably. Together, we've helped deliver more than $1 billion in value to health systems across the country. If you want your work to have a measurable, meaningful impact on healthcare, consider growing your career with SmarterDx.
Why Work With Us
We're founded by physicians and powered by experts in medicine, machine learning, engineering, and product. Our remote-first team tackles incredibly complex challenges at the intersection of healthcare, AI, and data. If you're energized by solving difficult problems with talented, curious teammates, you'll fit right in.
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