Senior Software Engineer: Clinical Data Platform · Wellsheet at Elsevier
About Wellsheet at Elsevier: Wellsheet is a clinical decision support platform used by more than 20,000 providers across 100+ hospitals. We embed directly in the EHR (Epic, Cerner, Athena) and put AI-generated clinical context in front of clinicians at the bedside. In 2026 Wellsheet became part of Elsevier's Clinical Solutions group, and we're now building the next generation of our product: a new clinical AI experience shipping to our first hospital clients in early 2027, backed by an integration platform we've run in production for years. We're a small, all-senior engineering team. You'll own real surface area from your first weeks, work directly with the people who built the system, and ship software that clinicians use during patient care. No healthcare background is required. We train the clinical and interoperability domain; we hire for engineering judgment.
About the team The Platform squad runs the machinery underneath everything clinicians see: real-time EHR sync across Epic, Cerner, and Athena, FHIR ingestion for 100+ hospitals, and vocabulary normalization across 125+ clinical terminologies. The squad is led directly by the technical leader behind Wellsheet's platform. Its next major build, which you'll help kick off, is the platform API that other Elsevier clinical products and internal teams will consume. The squad also owns the internal tooling for managing the platform and the health of the stack itself, from framework upgrades to developer tooling.
Our stack today is Ruby on Rails with Sidekiq on AWS (ECS, Aurora PostgreSQL), with a TypeScript frontend where our tools need one. The work is mostly backend, but internal tools need real interfaces, and this squad builds its own. We don't require prior experience in any of the stack.
About the role You will build the platform API alongside the squad lead: own endpoints, contracts, and the extraction work that turns internal seams into a real interface. You will also be building the internal tooling for managing the platform, frontends included: vocabulary mapping, data quality, hospital onboarding, and the operational views that let a small team run 100+hospitals
Responsibilities
- Owning platform subsystems end to end: ingestion pipelines, sync reliability, normalization.
- Keeping the stack healthy: major framework and dependency upgrades, developer tooling, and the CI that keeps a small team fast.
- Taking of loosely specified problems ("this vendor's FHIR implementation does something strange under load") through diagnosis, design, and durable fixes.
- Keeping correctness and observability strong as the platform takes on new consumers.
- Pair with the engineer who built our sync and normalization systems and take ownership of one production pipeline, including its on-call. Your first shipped work will be a piece of the platform API or the internal tooling around it. By month three you'll own a platform surface that other teams depend on.
Requirements
- Current development skills with Ruby on Rails with Sidekiq on AWS (ECS, Aurora PostgreSQL), with a TypeScript frontend.
- Possess backend fundamentals: queues, retries, transactions, and the failure modes between them.
- Have real depth in SQL and relational data modeling, and the instinct to check the query plan.
- Possess End-to-end ownership of production systems, including the unglamorous parts.
- Have a debugging temperament: patient, methodical, happy in logs.
- AI-assisted development as a default: coding agents and spec-driven development are already part of how you work
Elsevier is a renowned global information analytics company that primarily focuses on providing scientific, technical, and medical (STM) research content, tools, and services. It is one of the largest publishers of academic journals and scholarly literature in the world.
Elsevier operates in various domains, including science, technology, medicine, social sciences, and more. They publish a vast number of peer-reviewed journals covering a wide range of disciplines. These journals act as platforms for researchers and academics to share their findings and contribute to the advancement of knowledge in their respective fields.
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Skills Required
- Current development skills with Ruby on Rails with Sidekiq on AWS (ECS, Aurora PostgreSQL), with a TypeScript frontend.
- Backend fundamentals: queues, retries, transactions, and understanding their failure modes.
- Real depth in SQL and relational data modeling and the instinct to check query plans.
- End-to-end ownership of production systems, including on-call and operational responsibilities.
- Strong debugging temperament: patient, methodical, comfortable working in logs.
- Experience with AI-assisted development workflows (coding agents, spec-driven development).
RELX Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about RELX and has not been reviewed or approved by RELX.
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Retirement Support — Retirement support is positioned as a meaningful part of total rewards through a 401(k) plan with matching contributions, alongside other financial protections such as life and disability coverage. Tuition reimbursement and share purchase access further broaden the financial value of the package beyond base salary.
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Leave & Time Off Breadth — Leave and time off breadth appears strong, with generous vacation allowances, mental health days, and options like sabbaticals and tiered PTO by tenure. Parental and caregiving leaves are described in detail, reinforcing time-away benefits as a standout component of the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing and lifestyle benefits are supported by offerings such as mental health support (e.g., app access), EAP resources, gym-related perks, and wellness incentives. Flexible working hours and related work-life supports add to the perceived day-to-day value of benefits.
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What We Do
RELX is a global provider of information-based analytics for professional and business customers across industries. We help scientists make new discoveries, doctors and nurses improve the lives of patients and lawyers win cases. We prevent online fraud and money laundering, and help insurance companies evaluate and predict risk. Our events enable customers to learn about markets, source products and complete transactions. In short, we enable our customers to make better decisions, get better results and be more productive. We do this by leveraging a deep understanding of our customers to create innovative solutions which combine content and data with analytics and technology in global platforms. RELX serves customers in more than 180 countries and has offices in about 40 countries. It employs approximately 30,000 people of whom almost half are in North America. We operate in four major market segments: Scientific, Technical & Medical; Risk & Business Analytics; Legal; and Exhibitions.
