Senior Software Engineer

Synapse Health; Oregon; Hybrid; USD 160,000 - 185,000; Full time

Benefits offered by this job

Career growth opportunities

Flexible PTO

Medical, dental, vision & STD/LTD

401(k) with employer match

Job summary

Synapse Health in the United States is seeking a Senior Software Engineer to own backend systems in a fast-moving, high-impact environment. You will take ambiguous problems from concept to production, building reliable software in a regulated healthcare setting while balancing speed, simplicity, and long-term maintainability.

You'll mentor teammates, contribute to architecture discussions, and drive automation and tooling to reduce toil.

Qualifications

• Bachelor's degree in Computer Science, Engineering, Information Systems, or equivalent practical experience.
• 5+ years building backend systems with OO languages (C#, Java, Python, Go).
• Experience designing, building, and operating backend services, APIs, or distributed systems.
• Experience with relational databases and ORMs (EF, Hibernate, SQLAlchemy) and data modeling.

Responsibilities

• Own backend services and technical solutions from design through production support.
• Tackle ambiguous challenges, design pragmatic solutions, and break down complex work into high-quality deliverables.
• Debug complex technical issues, improve system reliability, and address engineering pain points.
• Leverage modern tooling and AI-assisted development to improve productivity and quality.
• Build automation and internal tooling to reduce developer toil and accelerate velocity.
• Collaborate in architecture discussions and design reviews across teams.
• Mentor fellow engineers and promote thoughtful engineering practices.

Skills

Backend development

C#/.NET

Java

Python

Go

Cloud platforms (Azure/AWS/GCP)

Containers & CI/CD

AI-assisted tooling

Education

Bachelor's degree in CS/Engineering or related field

Tools

Entity Framework

Hibernate

SQLAlchemy

Azure

AWS

GCP

Job description

Who We Are

At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced. Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters . Learn more at SynapseHealth.com and on Synapse Health's LinkedIn .

What We Need

We're looking for a Senior Software Engineer who wants to own meaningful backend systems in a fast-moving, high-impact environment. This role goes beyond implementation. You'll take ambiguous problems from concept to production, build reliable and secure software in a regulated healthcare environment, and make thoughtful technical tradeoffs that balance speed, simplicity, and long-term maintainability. We're especially interested in engineers who exercise sound judgment, approach problems pragmatically, and choose the right tools and patterns for the problem at hand rather than defaulting to familiar approaches. If you're energized by autonomy, technical ownership, and building software that directly impacts patients and partners, we'd love to talk.

What You Will Do

• Own backend services and technical solutions from design through production support.
• Tackle ambiguous challenges, design pragmatic solutions, and break down complex work into high-quality deliverables for yourself and others.
• Debug complex technical issues, improve system reliability, and proactively address engineering pain points.
• Leverage modern engineering tooling, including AI-assisted development workflows, to improve productivity, problem solving, and software quality.
• Build automation and internal tooling that reduce developer toil and accelerate engineering velocity.
• Collaborate in architecture discussions, design reviews, and technical decision-making across teams.
• Mentor fellow engineers, share knowledge, and advocate for thoughtful engineering practices and continuous improvement.

What You Have

• Bachelor's degree in Computer Science, Engineering, Information Systems, or a related field, or equivalent practical experience.
• 5+ years building backend systems with object-oriented languages such as C#, Java, Python, Go or similar. Our production environment is primarily C#/.NET, but prior deep .NET experience is not required. Strong engineers with solid object-oriented fundamentals, sound technical judgment, and openness to working in C# are encouraged to apply.
• Experience designing, building, and operating backend services, APIs, or distributed systems in production environments.
• Strong understanding of data modeling, relational database design, query optimization, and working with ORMs (e.g., Entity Framework, Hibernate, SQLAlchemy, or similar).
• Experience writing automated tests and building reliable software with strong attention to correctness, maintainability, and edge cases.
• Experience debugging complex technical issues and working through production challenges in real-world systems.
• Exposure to cloud platforms such as Azure, AWS, or GCP
• Familiarity with containerization, CI/CD workflows, observability, or deployment pipelines
• Experience using modern engineering tooling, including AI-assisted development workflows

What Sets You Apart

• Diligent Execution: You think through consequences before shipping code. You prioritize correctness, security, and precision, and you take responsibility for outcomes without deflection.
• Pragmatic Judgment: You build the right solution for the real problem. You avoid over-engineering, favor incremental delivery, and make sound tradeoffs that balance speed, simplicity, and long-term maintainability.
• Proactive Ownership: You act early instead of reacting late. You take initiative in ambiguous situations, elevate risks appropriately, and drive problems to resolution without waiting for direction.
• Collaborative Impact: You engage stakeholders to align on solutions, contribute meaningfully in design and code reviews, and elevate the engineers around you through thoughtful feedback and shared accountability.

Compensation

The base salary range for this position is $160,000 - $185,000+ annually. This range reflects the anticipated compensation at the time of posting. Final compensation will be based on factors such as relevant experience, demonstrated skills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process.

What Sets Us Apart

• Professional growth opportunities with compelling career paths
• Healthy work-life balance supported by flexible paid time off (PTO)
• Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members
• 401(k) savings plan with employer matching contributions

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.