The Senior Software Engineer will serve as a technical leader within the EHR engineering team, leading the design, development, and deployment of mission-critical software for patients, clinical staff, and partner organizations. They will set architectural direction, mentor junior and mid-level engineers, and take end-to-end ownership of high-impact projects- collaborating across clinical, operations, and technology teams to deliver secure, scalable, and maintainable systems that improve patient outcomes.
Leads full-stack development of highly scalable distributed systems using TypeScript, React, and NextJS, taking technical ownership of projects from conceptualization through production deployment and ongoing support.
Participates in and facilitates all aspects of agile software development including design, implementation, and deployment.
Architects end-to-end systems optimized for performance, reliability, and long-term maintainability, including complex data schemas, stored procedures, and query optimization in PostgreSQL and MS SQL Server.
Leads the design and integration of RESTful APIs, enterprise-grade security and identity architectures using OAuth, and healthcare interoperability standards including FHIR and HL7.
Establishes and enforces engineering standards for containerized deployments (Docker), code collaboration (Git/Bitbucket), code quality, testing, documentation, and incident response.
Mentors Software Engineer I and II staff through code reviews, pair programming, and architectural guidance.
Partners with NEMS Clinical, Operations, and Technology leadership to define roadmaps, translate business needs into technical solutions, and evaluate emerging technologies and frameworks.
Performs other job duties as required by manager/supervisor.
Bachelor's degree in computer science, information technology, or STEM program; advanced degree a plus.
5+ years of professional experience building and shipping large-scale software applications in a healthcare or regulated industry environment, with deep proficiency in PostgreSQL, MS SQL Server, React, NextJS, TypeScript, and JavaScript.
Deep experience designing and integrating RESTful APIs and microservices architectures, including enterprise security and identity patterns using OAuth, SAML, or OpenID Connect.
Hands-on experience with healthcare interoperability standards including FHIR and HL7; SMART on FHIR experience preferred.
Demonstrated experience leading technical teams or serving as a technical lead on complex, cross-functional projects.
Experience with cloud platforms (AWS, Azure, or Google Cloud) and DevOps practices including CI/CD pipeline management, infrastructure-as-code, and containerization; expert-level debugging, performance optimization, and testing.
In-depth knowledge of HIPAA, privacy, and data security requirements in a healthcare context; experience at an FQHC or community health organization is a strong plus.
Strong written and verbal communication skills with the ability to present technical decisions to non-technical stakeholders and executive leadership.
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
