Senior Full-Stack Engineer, Patient Journeys | Hybrid Austin

athenahealth; Austin (TX); Hybrid; USD 113,000 - 193,000; Full time

Job summary

athenahealth is seeking a Senior Full Stack Developer in Austin, TX, working in a hybrid model to design and build modern web and service-layer capabilities supporting patient communication experiences. You will work across React, TypeScript, Java 21, Spring Boot, Kafka, PostgreSQL, and HAPI FHIR within a small, cross-functional team.

You will collaborate with product, design, architecture, and quality engineering, delivering scalable backend services, service APIs, and secure handling of

Qualifications

• Bachelor’s degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience.
• 4 to 8 years of software development experience building production applications.
• Experience developing modern front-end applications with React and TypeScript.
• Experience building production-grade backend services with Java and Spring Boot.
• Experience with Kafka or similar event streaming / messaging systems.
• Experience working with PostgreSQL or similar relational databases.
• Experience integrating with healthcare interoperability standards or APIs, including HAPI FHIR.
• Experience using build tooling such as Gradle.
• Experience working with a design system, including Forge or similar reusable component libraries.
• Experience designing and delivering full stack features in a collaborative product engineering environment.
• Experience writing automated tests and supporting code quality, reliability, and maintainability.
• Understanding of secure software development practices in regulated or data-sensitive environments.
• Familiarity with API design, service-to-service communication, and operational debugging.
• Experience working on systems that require clear documentation and cross-functional coordination.

Responsibilities

• Develop and maintain full stack features using React, TypeScript, Java 21, Spring Boot, Kafka, PostgreSQL, HAPI FHIR, Gradle, and athenahealth’s Forge design system.
• Build user-facing experiences and service APIs that support patient communication workflows across SMS, secure web chat, and voice-enabled experiences.
• Design and implement scalable backend services, event-driven workflows, and integrations that support reliable conversation handling and data exchange.
• Collaborate with product, design, architecture, and quality engineering to translate requirements into well-structured technical solutions.
• Write clean, testable, well-documented code and participate in code reviews, design reviews, and troubleshooting.
• Improve application performance, reliability, observability, and maintainability across the full stack.
• Support secure handling of healthcare data and apply sound engineering practices for privacy, access control, and compliance requirements.
• Use AI tools and AI-assisted workflows to improve engineering productivity, evaluate outputs critically, and apply judgment when incorporating AI-generated suggestions into code, design, or troubleshooting.
• Contribute to technical discussions and help identify practical implementation patterns for new product capabilities and platform enhancements.
• Support production issue investigation and root-cause analysis when needed.
• Participate in release planning, deployment readiness, and post-release validation.
• Help refine engineering standards, coding conventions, and reusable patterns.
• Contribute to documentation for technical design, APIs, and system behavior.
• Assist with mentoring peers through code reviews, pairing, and knowledge sharing.
• Participate in cross-functional discussions to help clarify requirements and implementation tradeoffs.
• Support continuous improvement of engineering processes, tooling, and developer experience.

Education

Bachelor’s degree in Computer Science, Software Engineering, or a related field

Tools

React

TypeScript

Java

Spring Boot

Kafka

PostgreSQL

HAPI FHIR

Gradle

Forge design system

Job description

athenahealth is seeking a Senior Full Stack Developer in Austin, TX, working in a hybrid model to design and build modern web and service-layer capabilities supporting patient communication experiences. You will work across React, TypeScript, Java 21, Spring Boot, Kafka, PostgreSQL, and HAPI FHIR within a small, cross-functional team.

You will collaborate with product, design, architecture, and quality engineering, delivering scalable backend services, service APIs, and secure handling of