Senior Software Engineer, Backend jobs in United States
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Axle Health · 13 hours ago

Senior Software Engineer, Backend

Axle Health is a company that builds scheduling and workforce management software for in-home healthcare providers. They are seeking a Senior Software Engineer focused on Backend systems to design and implement technical processes and systems that enhance their logistics platform.

Health CareHome Health Care
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H1B Sponsor Likelynote
Hiring Manager
Andii Lee
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Responsibilities

Design and develop platform capabilities enabling integrations with Electronic Health Record (EHR) systems
Lead efforts to optimize service orchestration, data flow, and performance
Drive high standards for security, testability, observability, and deployment automation
Architect high volume systems that will support hundreds of thousands of patients
Design and maintain modern, developer-friendly APIs and SDKs and documentation
Collaborate with and lead other engineers to build performant, scaleable, and secure systems

Qualification

PythonNode + TypeScriptAPI managementDatabase designCI/CDDevOpsAWSExperience in startupsMonitoring toolsCommunicationTeam collaboration

Required

Bachelor's degree
5-7+ years of software engineering experience
Expertise building backend systems in Python (1-2 years) and Node + TypeScript (1-2 years)
Hands-on experience designing relational database schemas and migrations for scalability, extensibility, performance, and stability
Experience managing customer-facing APIs through versioning, deprecation cycles, and customer migration paths
Proven ability to diagnose and fix performance bottlenecks in database-backed applications
Working knowledge of CI/CD, DevOps, and build systems
Strong communication skills to explain technical decisions to non-technical stakeholders
Experience working in high growth, fast paced startup environments

Preferred

Experience working with Electronic Health Records (EHRs) and/or healthcare interoperability standards (FHIR / HL7)
Experience building systems managing HIPAA compliant data or similar compliance driven industries with data security requirements
Experience building scalable, observable distributed systems
Experience building ETL pipelines to extract from multiple source systems and load into cloud-based data warehouses (e.g., Snowflake, Redshift, BigQuery) to support analytics and reporting needs across the organization

Benefits

Comprehensive Medical, Dental, Vision
401k plan
Flexible PTO, sick days, and working hours
Santa Monica HQ with 180 degree beach views and daily catered lunches
Fast paced work environment geared towards professional growth
Get the chance to move roles within the organization to learn new skills and continue to make an impact
Monthly team events, dinners, & happy hours
Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas

Company

Axle Health

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Scheduling and workforce management software for home health care providers

H1B Sponsorship

Axle Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2021 (1)

Funding

Current Stage
Early Stage
Total Funding
$14.4M
Key Investors
F-PrimePear VCY Combinator
2025-05-22Series A· $10M
2024-02-22Seed· $1.6M
2021-08-07Seed· $2.6M

Leadership Team

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Adam Stansell
CEO
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Company data provided by crunchbase