Performance Home Medical, established in 1995, is dedicated to enhancing lives through trusted respiratory and sleep therapy solutions. Our concierge-level care ensures every patient receives the support needed to breathe and sleep with comfort and confidence.
Performance Home Medical operates 24 branches across Washington, Oregon, Idaho, and Texas. As we continue to grow nationwide, we are excited to announce an opportunity for a Software Engineer - Cloud & Integration to join our team. This role requires on-site presence and offers a dynamic, collaborative work environment within De Novo and acquisition markets.
Position Summary:
The Software Engineer - Cloud & Integration designs, builds, and maintains cloud-based integrations, automations, and data workflows that support our clinical, billing, and operational teams. This includes developing Azure Functions, integrating with the Brightree API, building internal Python SDK components, and supporting Snowflake data pipelines. You’ll also leverage modern AI tools (Claude, Copilot, etc.) to accelerate development and architecture planning.
Job Duties and Responsibilities include the following. Other duties may be assigned.
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Develop and maintain Python-based Azure Functions for API integrations, automation, and backend processing
- Build and enhance internal SDK modules for interacting with Brightree Web Services API and other healthcare APIs
- Create and maintain Snowflake SQL queries, data models, and pipelines
- Use VS Code, GitHub, and modern CI/CD practices to manage code quality and deployments
- Implement secure credential management using Azure services (Key Vault, Managed Identity)
- Collaborate with operations, billing, and clinical teams to translate business needs into technical solutions
- Use AI tools (Claude, Copilot, etc.) to generate code, validate architecture, and accelerate development workflows
- Support automation initiatives using Microsoft Power Automate where appropriate
- Troubleshoot production issues, optimize performance, and ensure reliability of integrations
- Maintain documentation for APIs, workflows, and internal libraries
QUALIFICATION REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: High school diploma or equivalent required; additional education preferred. 2+ years of professional software development experience.
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Strong proficiency in Python
- Hands-on experience with Azure Functions and Azure cloud services
- Proficiency with VS Code, GitHub, and modern development workflows
- Experience with SQL (Snowflake preferred)
- Familiarity with Brightree API, healthcare APIs, or similar integration-heavy environments
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Experience using AI-assisted development tools (Claude, Copilot, etc.)
- Understanding of REST APIs, authentication flows, and secure integration patterns
- Ability to work independently and communicate clearly with non-technical stakeholders
Preferred Background:
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Experience with Microsoft Power Automate
- Experience with C++
- Background in healthcare, DME/HME, or clinical operations
- Experience building modular SDKs or reusable internal libraries
- Knowledge of HIPAA-compliant development practices
Language Ability: Read, analyze, and interpret complex documents. Respond effectively to sensitive inquiries.
Mathematical Ability: Comprehend and apply principles of algebra, and statistics.
Reasoning Ability:
- Ability to make real‑time operational decisions with limited or incomplete information.
- Ability to interpret workflows, documentation requirements, and payer guidelines.
- Sound judgment when balancing service levels, quality, and compliance.
Computer Skills: Expert in Microsoft Office (Excel, Word, PowerPoint, Outlook, Chrome, SharePoint). Python, Azure Functions and Azure cloud services, VS Code, GitHub, and modern development workflows, Advanced SQL (Snowflake preferred), AI-assisted development tools (Claude, Copilot, etc.), REST APIs, authentication flows, and other HME technology and tools.
Certificates and Licenses: None
Travel Requirements: Traveling as needed within region/territory. Have reliable means of transportation. Meet requirements of our Motor Vehicle policy.
Core Company Values: Our values are more than just words we put on the wall. They shape our conversations, our decisions, our priorities, and our behavior. Though employees in different roles may express these ideals differently, we do expect all employees to truly reflect these values in their words and actions. We will recruit, hire, onboard, train, support, and promote based on these values. Employees live these values at work, and they help their peers do the same.
- Be Responsive - Make concise and timely responsiveness a priority and a part of our culture.
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Accountability - Take responsibility for our own actions and hold each other responsible for commitments.
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Teamwork - Consistently work collaboratively towards common goals and objectives creating a positive working environment.
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Clinical Excellence - Deliver the highest level of disease management and support for patients and their providers.
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Employee Focused - We prioritize employee well-being, development, and satisfaction.
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Integrity - Consistently uphold honesty, ethics, and principles in all actions and decisions.
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Strive to Win - At PHM, we show resilience determination and passion for long term goals and success.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually unpredictable.
Physical Demands:
While performing the duties of this Job, the employee is regularly required to sit; use hands to type finger, handle, or feel. The employee is frequently required to stand and walk. The employee is occasionally required to reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds.
The above job description is not intended to be an all-inclusive list of duties and standards of the position and can be modified as needed. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.
