Remote Senior Software Engineer - Healthcare Integrations

United States Digital Space LLC; United States; Remote; USD 81,000 - 116,000; Full time

Benefits offered by this job

VSOP program equity

Job summary

United States Digital Space LLC is hiring a (Senior) Software Engineer to scale Luna from hundreds to hundreds of thousands of medical practitioners. You will build integrations with practice management systems, shape architecture for scalable integration surfaces, and ensure reliability with strong data consistency and observability.

You’ll work hands-on shipping production integrations, define technical standards, and establish processes for development, maintenance, and incident handling in a

Qualifications

• Strong hands-on programming experience in Python, TypeScript and/or Rust.
• Proven experience building and running software in production.
• Strong understanding of integration patterns, distributed systems, and failure modes.
• Comfort operating in messy environments (inconsistent behavior, missing docs, etc.).
• Clear communication under pressure (during incidents, vendor issues, competing priorities).
• Excited to work in a fast-paced environment.
• Prior work on healthcare software or practice management systems.
• Familiarity with healthcare workflows, terminology, or data standards (e.g. FHIR).
• Fluent German (spoken and written).
• Experience in startups or scale-ups.

Responsibilities

• Design and implement read/write integrations into third-party practice management systems.
• Design infrastructure that scales to hundreds of thousands of individual practice servers.
• Engineer reliability into the system: data consistency, idempotency, retries, error handling, observability.
• Triage integration failures in production, communicate impact clearly, and harden the system so the same class of failure doesn’t repeat.

Skills

Python

TypeScript

Rust

Production experience

Integration patterns

Distributed systems

Failure modes

Communication under pressure

Adaptability

Healthcare software

FHIR

German

Startup experience

Job description

United States Digital Space LLC is hiring a (Senior) Software Engineer to scale Luna from hundreds to hundreds of thousands of medical practitioners. You will build integrations with practice management systems, shape architecture for scalable integration surfaces, and ensure reliability with strong data consistency and observability.

You’ll work hands-on shipping production integrations, define technical standards, and establish processes for development, maintenance, and incident handling in a