Senior Software Engineer

exacare ai; New York (NY); On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

Equity in startup company

Flexible PTO

Medical, dental, and vision coverage

ChatGPT premium access

Company off-sites

Job summary

Exacare ai is a leading health tech company focused on building an AI operating system for post-acute care. We transform messy referral packets into clear clinical insights to help teams make faster, safer placement decisions.

We’re seeking a high-ownership senior software engineer to own a full‑cycle software development process from design to deployment and maintenance, delivering production-ready systems and reliable services.

Qualifications

• Bachelor's degree in computer science or a related technical field.

Responsibilities

• Ship user-facing features end-to-end, including React screens, REST endpoints, and background services each sprint.
• Own the code you write with clean TypeScript, well-tuned SQL, and automated tests for zero-downtime releases.
• Turn workflow pain points into product wins by understanding admissions journeys and translating into intuitive UI and reliable backend logic.
• Build internal tools such as dashboards, feature-flag systems, and dev-ops automations to speed up shipping with confidence.
• Invent the future of admissions by prototyping and launching new capabilities for post-acute facilities.

Skills

Distributed systems

TypeScript

AWS

PostgreSQL

LLMs

React

REST APIs

Communication

Education

Bachelor's degree in computer science

Tools

SQL

Job description

Exacare ai is a leading health tech company on a mission to build the AI operating system for post-acute care. Our platform turns messy, unstructured referral packets into clear clinical insights and next steps, so teams can make faster, safer placement decisions with less administrative burden. Today, exacare ai powers more than 2,000 facilities, and is growing rapidly.

We recently raised a $30M Series A led by Insight Partners, and are bringing world‑class talent together to transform healthcare. If you like building, learning, and want to make a real impact, come join us!

About the Role

Organizations switch to exacare because their admission processes are broken. They rely on multiple outdated platforms and error‑prone manual work to admit residents. This fragmentation wastes time and leads to suboptimal care and business outcomes. We are seeking a high‑ownership senior software engineer to own a full‑cycle software development process from design to implementation and maintenance.

What You’ll Do

• Ship user‑facing features end‑to‑end. Partner with our amazing engineering team to scope, build, and release production‑ready React screens, REST endpoints, and background services every sprint.
• Own the code you write. Produce clean TypeScript, well‑tuned SQL, and thorough automated tests, delivering zero‑downtime releases that raise our quality bar.
• Turn workflow pain points into product wins. Immerse yourself in the admissions journey and translate insights into intuitive UI flows and dependable backend logic that delight customers.
• Build internal tools that multiply velocity. Create dashboards, feature‑flag systems, and dev‑ops automations that let the whole team ship faster with total confidence.
• Invent the future of admissions. Prototype, iterate, and launch bold new capabilities that redefine how post‑acute facilities fill beds and get paid.

What You’ll Bring

• Bachelor's degree in computer science or similar technical field
• 5+ years of engineering experience with a focus on building highly scalable distributed systems
• Self‑starter – you are comfortable rapidly learning new technologies and turning a high‑level task into a game plan
• Demonstrated ability to triage and prioritize production incidents efficiently
• Ownership mentality and resourcefulness
• Organized, high attention to detail, with emphasis on quality code, automation, validation and testing
• Experience with AWS, LLMs, TypeScript, PostgreSQL
• Strong ability to translate technical concepts into accessible language for cross‑functional teams and stakeholders
• Experience with building automated workflows

Benefits and Perks

• Competitive salary and equity in a high‑growth startup
• Flexible PTO, take what you need
• Medical, dental, and vision coverage
• Great startup culture, including ChatGPT premium and company off‑sites
• High‑achieving team, including ex‑Amazon engineers and alumni of Bain, BCG, and Goldman Sachs

Only the best belong here

We are unapologetic about talent. This should be the best team you have ever been on. Protecting that standard is how we honor each other’s time, ambition, and craft.

We work even harder to keep our partners than we did to earn them initially

The work does not stop when a customer first onboards to our platform. It deepens over time. We partner with operators, listening and learning about real problems, and translate that into solutions that help them succeed in practice. We earn trust through consistent delivery.

We keep the patient downstream of every decision

At the end of the day, this is about the patient. We get there by deeply respecting and reflecting on our purpose: to develop software that aids teams in delivering better care.

Raise the bar on ownership

We grow because people here go beyond the minimum. We invest extra effort, care, and ownership into what we build.

The world is moving fast. We move faster.

This is a race. We work hard, we move early, and we stay ahead of problems and competitors. If we slow down, someone else will pass us.

We say what’s true, early, and we keep communication direct and clean so the team can move.

Bring good vibes and win together

We win as a team. We bring energy, support each other, and make the workplace somewhere people are excited to show up.