HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.
Build technology that helps people receive the care they need — where they need it most: at home.
We’re looking for a Senior Software Engineer to help scale our platform, drive feature delivery, and support both legacy modernization and new product growth. You’ll work across our Rails, AWS, and Kubernetes-based stack to power critical workflows that improve lives every day.
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is a remote opportunity with candidates located within the EST or CST time zones within the United States.
Essential Job Duties
- Write clean, scalable, and maintainable code to build software solutions that enable users to access and manage in-home care services.
- Design, build, and maintain reliable, high-performance Ruby on Rails services.
- Support and enhance existing products and applications, balancing new feature development with legacy system modernization.
- Own end-to-end development of features that directly drive revenue and scale the platform.
- Optimize database queries and API performance to ensure speed, efficiency, and availability.
- Contribute to architectural improvements and participate in technical design discussions.
- Participate in a shared on-call rotation to maintain system health, with strong team support.
- Continuously improve code quality, testing, and deployment practices.
Other Job Duties
- Other duties as assigned by supervisor or HHAeXchange leader.
Travel Requirements
- Travel 10-25%, including overnight travel
Required Education, Experience, Certifications and Skills
- 5+ years of experience building production-grade Ruby on Rails applications.
- Strong proficiency with relational databases such as MySQL and PostgreSQL.
- Solid understanding of object-oriented programming (OOP) and software design principles.
- Proficient in Test-Driven Development (TDD) and writing maintainable, well-tested code.
- Experience working with cloud infrastructure, particularly AWS services (e.g., ECS, EKS, Lambda, S3, CloudWatch).
- Hands-on experience with CI/CD pipelines and Git-based workflows (e.g. GitHub Actions, Jenkins, CircleCI).
- Bachelor's degree in computer science, Software Engineering, or a related field — or equivalent practical experience.
- Strong skills in debugging, troubleshooting, and performance optimization.
- Comfortable working in Agile development environments
- Excellent written and verbal communication skills
- Experience scaling multi-tenant SaaS platforms
- Experience supporting both legacy systems and greenfield product development
- Exposure to GraphQL APIs and domain-driven design (DDD)
- Familiarity with observability and performance tools like Datadog, New Relic, or Scout APM
- Experience with containerization (Docker) and Kubernetes-based orchestration (EKS/ECS)
- Knowledge of job queue processing (e.g., Resque, Sidekiq)
- Minimal travel of up to 2–3 days per quarter may be required (domestic or international)
- Remote-first work environment with collaborative, supportive culture
Required Qualifications:
Preferred Qualifications:
Other Details:
Skills Required
- 5+ years of experience building production-grade Ruby on Rails applications
- Strong proficiency with relational databases such as MySQL and PostgreSQL
- Solid understanding of object-oriented programming and software design principles
- Proficient in Test-Driven Development (TDD) and writing maintainable, well-tested code
- Experience working with AWS services (ECS, EKS, Lambda, S3, CloudWatch)
- Hands-on experience with CI/CD pipelines and Git-based workflows (GitHub Actions, Jenkins, CircleCI)
- Bachelor's degree in Computer Science, Software Engineering, or equivalent practical experience
- Strong skills in debugging, troubleshooting, and performance optimization
- Comfortable working in Agile development environments
- Participate in a shared on-call rotation to maintain system health
- Excellent written and verbal communication skills
- Experience scaling multi-tenant SaaS platforms
- Experience supporting both legacy systems and greenfield product development
- Exposure to GraphQL APIs and domain-driven design (DDD)
- Familiarity with observability and performance tools like Datadog, New Relic, or Scout APM
- Experience with containerization (Docker) and Kubernetes-based orchestration
- Knowledge of job queue processing (Resque, Sidekiq)
What We Do
At HHAeXchange, we believe that healthcare should be simple, effective, and transparent. Since 2008, HHAeXchange has been at the forefront of delivering better homecare by helping payers and providers achieve operational efficiency, increase compliance, and improve patient outcomes. Today, HHAeXchange is the premiere homecare management software for the Medicaid LTSS population. Our acquisition of Annkissam, a leading provider of enterprise software for self-direction services, allows us to deliver the most complete, end-to-end homecare management solution in the market. We act as the single source of truth in connecting providers, payers, and members through our intuitive web-based platform, enabling unparalleled communication, transparency, and visibility.
