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.
We are seeking a Senior Software Engineer to contribute to the design, development, and ongoing enhancement of our caregiver platform. This role requires a strong backend engineer who can build scalable, secure, and reliable solutions, collaborate effectively with cross-functional teams, and help deliver high-quality software products within healthcare domain.
The ideal candidate combines hands-on technical expertise with a passion for solving complex problems, applying engineering best practices, and continuously improving system performance, security, and maintainability. This individual will contribute to technical design discussions, mentor junior engineers, and help drive the delivery of innovative and compliant healthcare solutions.
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is a fully remote opportunity for candidates located in the EST or CST time zones within the US only.
Essential Job Duties
- Develop, maintain, and enhance backend services, APIs, and integrations supporting caregiver platform capabilities.
- Contribute to the design and implementation of scalable, secure, reliable, and high-performing technical solutions.
- Participate in architecture, design, and code reviews to ensure adherence to engineering standards, security best practices, and quality requirements.
- Collaborate with Product Managers, architects, and other stakeholders to translate business requirements into technical solutions.
- Troubleshoot and resolve complex production issues, perform root cause analysis, and implement preventative improvements.
- Contribute to platform modernization initiatives, including cloud-native architectures, microservices, and automation practices.
- Implement secure coding practices and support compliance with healthcare regulations, privacy requirements, and organizational security standards.
- Monitor and optimize system performance, reliability, scalability, and operational health.
- Mentor junior engineers and share technical knowledge to promote engineering best practices across the team.
- Stay current with emerging technologies, healthcare industry trends, and software engineering best practices to continuously improve platform capabilities.
Other Job Duties
- Other duties as assigned by supervisor or HHAeXchange leader.
Travel Requirements
- Travel up to 10%, including overnight travel
Required Education, Experience, Certifications and Skills
- Bachelor's or master's degree in Computer Science, Engineering, or a related field, or equivalent significant industry experience.
- 5+ years of professional software engineering experience, with strong expertise in backend application development within a product-focused organization.
- Experience designing, building, and delivering large-scale, high-performance, and highly available backend services and distributed systems.
- 2+ years of experience in the healthcare domain, with strong understanding of healthcare systems, data privacy, and regulatory compliance requirements.
- Strong hands-on experience with cloud platforms (AWS), including microservices, serverless architectures, and cloud-native design patterns.
- Proficiency in C#/.NET and Python, with a track record of building and operating high-volume, production-grade API and services.
- Solid understanding of data storage technologies, including relational databases (PostgreSQL, SQL Server) and NoSQL systems, with the ability to diagnose and resolve performance and scalability bottlenecks.
- Experience with frontend technologies such as Angular is preferred.
- Experience with containerization and orchestration technologies such as Docker and Kubernetes.
- Strong understanding of application security, identity and access management, and secure coding practices, with experience building compliant systems (HIPAA, OWASP).
- Experience using AI-assisted development tools (e.g., Cursor AI, GitHub Copilot) to improve engineering productivity and code quality.
- Exposure to AI/ML-enabled solutions, particularly within healthcare or patient-care workflows, is preferred.
- Excellent troubleshooting and debugging skills across complex, distributed systems.
- Experience working in Agile environments and driving DevOps practices, including CI/CD, observability, and operational excellence.
- Demonstrated ability to mentor engineers, participate in design discussions, and promote engineering best practices within the team.
- Strong analytical and problem-solving skills, capable of delivering pragmatic, scalable, and innovative solutions.
- Excellent verbal and written communication skills, able to clearly articulate complex technical concepts to both technical and non-technical stakeholders.
- Curiosity and ownership mindset, with a passion for understanding complex codebases and continuously improving system design and quality.
Skills Required
- Bachelor's or master's degree in Computer Science, Engineering, or related field, or equivalent industry experience.
- 5+ years of professional software engineering experience with backend application development.
- Experience designing, building, and delivering large-scale, high-performance, highly available backend services and distributed systems.
- 2+ years of experience in the healthcare domain with knowledge of data privacy and regulatory compliance.
- Hands-on experience with cloud platforms (AWS), including microservices and serverless architectures.
- Proficiency in C#/.NET and Python.
- Experience with relational databases (PostgreSQL, SQL Server) and NoSQL systems; ability to diagnose performance and scalability bottlenecks.
- Experience with containerization and orchestration technologies such as Docker and Kubernetes.
- Strong understanding of application security, identity and access management, and secure coding practices; experience building HIPAA-compliant systems and familiarity with OWASP.
- Experience using AI-assisted development tools (e.g., Cursor AI, GitHub Copilot) to improve engineering productivity and code quality.
- Experience working in Agile environments and driving DevOps practices, including CI/CD and observability.
- Excellent troubleshooting and debugging skills across complex, distributed systems.
- Demonstrated ability to mentor junior engineers and participate in design discussions.
- Experience with frontend technologies such as Angular.
- Exposure to AI/ML-enabled solutions within healthcare or patient-care workflows.
- Excellent verbal and written communication skills.
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.
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