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Senior Software Engineer, Clinical Data Integration

Seattle, WA or Madison, WI

Our Mission & Culture

At Xealth, we're revolutionizing healthcare by leveraging data and automation to empower care providers (building on EHRs such as Epic and Cerner) to seamlessly prescribe, deliver, and monitor digital health for patients. We are a detail-oriented team, committed to maintaining the highest standards while moving with agility and impact.

We are a highly skilled, collaborative, and passionate group, applying our expertise to improve health outcomes for millions. We believe in shared ownership and are looking for a team player who is a self-starter and self-driven to pioneer the next generation of intelligent, automated cloud infrastructure.

This role offers a unique opportunity to join a software development team to advance our capabilities with EHR integrations.

What You'll Own and Deliver (Responsibilities)

As a core member of our software engineering team, you will design, build, and scale the services that power Xealth’s EHR integrations and clinical workflows. You’ll apply solid computer science fundamentals to solve complex problems in distributed systems, data modeling, and API design.

  • Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation.
  • EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules.
  • Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS).
  • Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security.
  • Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team.
  • Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery.

The Expertise You'll Bring (Requirements)

We’re looking for a software engineer with strong computer science fundamentals. Someone who’s comfortable reasoning about systems, data, and code structure at scale, and who’s excited to apply those skills in healthcare.

Core Technical Competencies

  • Software Engineering Expertise: 5+ years of professional experience building production software systems using modern programming languages (e.g. TypeScript, JavaScript, Python, Java, Go).
  • CS Fundamentals: Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems.
  • API and Integration Development: Hands-on experience designing and building RESTful or event-driven APIs; exposure to healthcare APIs such as FHIR, HL7 v2, or Epic Interconnect is a plus.
  • Distributed Systems Experience: Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies.
  • Troubleshooting and Debugging: Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics.
  • EHR/Healthcare Experience: Familiarity with EHR systems (Epic, Cerner, etc.) and clinical data standards.

Highly Valued Experience (Nice to Have)

  • Advanced FHIR knowledge (profiling, validation, IGs).
  • Experience implementing secure OAuth2.0/SMART on FHIR authentication flows.
  • Familiarity with patient identity management and clinical data modeling.
  • Prior experience in a healthcare startup or health data integration platform.

About Xealth

  • Xealth created the leading digital health platform helping health systems deliver connected, personalized care at scale. Embedded in the EHR, it enables clinicians to prescribe, automate, and measure the impact of digital tools--including apps, services, and wearable data--within existing workflows. Now part of Samsung's connected care vision, Xealth enhances decision-making, reduces friction, and supports enterprise-wide digital health strategies. Trusted by more than 500 hospitals and 70+ solution partners, Xealth provides a scalable foundation for delivering connected, personalized, and preventative care--empowering health systems to drive outcomes, engagement, and operational efficiency while advancing digital transformation.
  • Xealth has been named to the World's Best Digital Health Companies list by Newsweek, awarded gold in the Digital Health awards in 2024 and twice in 2023. In 2023 Xealth was also listed as one of BuiltIn's Best Places to Work, and one of Fierce Healthcare's Fierce 15 of 2023.

Benefits:

:baby_bottle: Paid parental leave.
:gift_heart: Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
:computer: Xealth provides your laptop and offers a home office stipend.
:books: Generous learning & development opportunities for you to grow your skills and career.
:bank: 401k Match: Xealth offers a dollar-for-dollar match up to 3%.
:desert_island: Flexible time off & 10 standardized holidays.
:bike: $500 yearly fitness stipend to spend on staying active.

Xealth is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures.

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