Papa · 11 hours ago
Staff Backend Software Engineer (Elixir) - Community
San Francisco Bay Area
Full-time
Hybrid
Lead/Staff
10+ years expPapa is a new kind of care built on human connection, focusing on providing vital social support to older adults. The Staff Backend Software Engineer will build the technical foundation for virtual care delivery, leading critical technical decisions and establishing engineering practices to ensure system reliability and performance.
Hospital & Health Care
Responsibilities
Build the technical foundation for virtual care delivery. You'll design and implement the core platform that connects our EHR, care management systems, billing infrastructure, and patient communication tools. This means creating robust integrations, establishing data flows, and ensuring HIPAA-compliant architecture that can scale as we grow to thousands of patients
Enable operational intelligence and automation. You'll build the data infrastructure and tooling that allows our clinical team to make informed decisions, automate care workflows, and track patient outcomes in real-time. This includes everything from patient dashboards to automated patient outreach triggers to clinical decision support
Lead critical technical decisions. You'll evaluate build vs. buy trade-offs, recommend technology choices, and architect solutions that balance immediate needs with long-term scalability. You'll partner with the GM and Papa's engineering leadership to shape our technical roadmap and determine when to leverage vendor tools versus building custom solutions
Establish engineering practices. As the first engineer, you'll define code standards, testing expectations, deployment processes, and technical documentation practices, leveraging best practices from the Papa core engineering team
Own system reliability and performance. You'll be responsible for production stability, monitoring, and continuous improvement of our platform. This means building resilient systems for healthcare-critical workflows where reliability isn't optional - claim submissions, patient data accuracy, and care coordination all need to work consistently
Qualification
Required
10+ years of software development experience
Expert-level proficiency in Elixir
Experience building and shipping high quality work and achieving high reliability
Experience improving quality through thoughtful code reviews, appropriate testing, proper rollout, and monitoring
Passionate about improving healthcare access and outcomes
Product mindset - You think like a founder, balancing technical excellence with business outcomes, revenue, and patient impact. You see gaps as opportunities and help define what we build, not just how
Strategic technical leadership - You lead large, complex projects with clear business impact. You influence senior leaders on engineering strategy and make compelling recommendations on build vs. buy decisions, strategic technical investments, and any relevant engineering decisions
Deep backend expertise - Expert-level proficiency in Elixir with deep knowledge of distributed systems, API design, and building scalable architectures that solve problems long-term
System design and reliability - You build resilient, well-tested systems with proper monitoring, rollout practices, and production stability for healthcare-critical workloads
High autonomy and ownership - You thrive in ambiguous environments, educate non-technical stakeholders, and own outcomes without needing detailed requirements or constant direction
Startup adaptability - You're highly communicative across operational and clinical teams, move fast when needed, and understand when to ship quickly versus architect for scale
Continuous improvement mindset - You proactively identify areas for improvement in systems and processes without being asked, and drive initiatives to address them
Preferred
Experience with healthcare technology including data standards (FHIR, HL7, X12), EHR/vendor integrations, HIPAA-compliant systems for protected health information, and healthcare-specific APIs (clearinghouses, billing platforms)
Experience with Phoenix LiveView
Benefits
Competitive salary and equity package
Medical, dental and vision insurance coverage
HSA/FSA
401(k) plan with a match up to 4%
Flexible PTO
Parental leave and caregiver leave
Company
Papa
Papa is an end-to-end human care network supporting the social needs of older adults, other underserved populations, and families.
501-1000 employees
H1B Sponsorship
Papa 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 (1)
2023 (2)
2022 (6)
2021 (4)
Funding
Current Stage
Late StageLeadership Team
Andrew Parker
Founder & CEO
Craig Ogg
CTO
Company data provided by crunchbase