Synkwise · 6 hours ago
Senior Full-Stack Engineer
Camas, WA
Full-time
Hybrid
Senior Level
6+ years expSynkwise is one of the fastest-growing eMAR platforms in the country, trusted by thousands of long-term care facilities nationwide. They are seeking a Senior Full-Stack Engineer to own complex healthcare integrations that connect various systems and help define how automation and AI reshape healthcare operations.
ComplianceElectronic Health Record (EHR)Health CareInformation TechnologyMedicalSoftware
Hiring Manager
Claud Covaci
Responsibilities
Design, build, and maintain HL7 v2.x, FHIR (R4+), and REST-based integrations across EHR, eMAR, pharmacy, and third-party healthcare systems
Own end-to-end integration workflows including medication orders, MAR, ADT, demographics, vitals, pharmacy fulfillment, audit trails, and compliance events
Implement event-driven architectures using webhooks, message queues, and background processing
Troubleshoot complex data-flow, mapping, and interoperability issues across external vendors and internal systems
Lead integration architecture decisions with emphasis on security, performance, reliability, and auditability
Build and enhance modern, responsive frontend interfaces used daily by caregivers and clinical staff
Translate complex clinical and integration data into clear, intuitive UI workflows that reduce error and cognitive load
Collaborate closely with Product Design to implement polished UX using component-driven architecture
Develop frontend features across dashboards, medication administration workflows, task management, alerts, and documentation tools
Ensure frontend experiences remain performant, accessible, and mobile-friendly in real-world care environments
Partner closely with Product, Nursing, Compliance, and Engineering to translate clinical requirements into end-to-end technical solutions
Contribute to AI-enabled workflows including automation triggers, validation logic, anomaly detection, and intelligent routing
Build and maintain shared schemas, APIs, contracts, and documentation across frontend and backend systems
Qualification
Required
6+ years of professional software engineering experience, with deep specialization in healthcare integrations
Strong hands-on experience with HL7 v2.x (ORM, ORU, ADT, RXA, etc.)
Strong hands-on experience with FHIR resources, profiles, and APIs
Strong hands-on experience with EHR / eMAR platforms (senior living, assisted living, LTC strongly preferred)
Experience integrating with pharmacy systems, medication management, or medication administration workflows
Solid understanding of HIPAA, healthcare compliance, and data security best practices
Proficiency in modern backend technologies (Node.js, Python, Java, or similar)
Experience with REST APIs, message queues, background workers, and distributed systems
Strong debugging instincts with ability to trace issues across systems you don't fully control
Comfortable working in fast-moving SaaS environments where product and compliance evolve together
Preferred
Experience in Senior Living, Assisted Living, Memory Care, or Home Care platforms
Familiarity with AI-assisted workflows, rule engines, or automation frameworks
Experience with pharmacy vendors, lab systems, or health device integrations
Prior ownership of large-scale or multi-tenant healthcare integrations
Company
Synkwise
SAAS startup equipping residential Long Term Care Facilities with tools to improve care management and regulatory compliance.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Claud Covaci
CEO, Co-Founder
Company data provided by crunchbase