Senior Software Engineer

RXinsider LTD.

San Francisco (CA)

Hybrid

USD 180,000 - 250,000

Full time

14 days+

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Benefits offered by this job

Healthcare Coverage

401(k) with Company Match

Equity

Unlimited PTO

Daily Lunch Stipend

Wellness Stipend

Commuter Benefits

Parental Leave

Job summary

Plenful is seeking a Senior Software Engineer to design and build the systems powering our automations platform. You will own major backend components and collaborate with DevOps, ML/AI, Customer Success, and UX teams.

In this role, you’ll contribute to the core infrastructure, workflow orchestration, and external integrations while shaping reliable, scalable software used by healthcare operators nationwide.

Qualifications

7+ years of professional software engineering experience.
Experience with distributed systems, workflow orchestration, automated systems at scale.
Strong database expertise: SQL, schema design, performance optimization.
Solid CS fundamentals: data structures, algorithms, system design.
Experience with large-scale data pipelines.
Ability to take ownership of projects and drive results.
Effective collaboration across engineering, DevOps, ML, and UX teams.

Responsibilities

Take ownership of complex backend projects from design through deployment.
Contribute to architectural discussions and drive reliability & maintainability.
Reduce technical debt and improve operational efficiency.
Mentor junior engineers through code reviews and discussions.
Participate in incident response and postmortems to prevent recurrences.

Skills

7+ years software engineering

Distributed systems

Database expertise

CS fundamentals

Large-scale data pipelines

Ownership / accountability

Cross-functional collaboration

Job description

About Plenful

Plenful is on a mission to transform healthcare operations from the inside out. Fresh off our $50M Series B and backed by Notable Capital, Bessemer Venture Partners, TQ Ventures, Susa/Kivu Ventures, and other leading investors, we’re building the category-defining AI workflow automation platform that healthcare teams rely on to operate smarter, faster, and more efficiently. Our technology empowers healthcare operators across hospital and health systems, pharmacies and payors to eliminate manual work, reduce administrative burden, and improve compliance, all while unlocking critical revenue to fund programs for their in-need patient populations.

Built by healthcare operators for healthcare operators, Plenful is driven by a deep understanding of the challenges facing today’s care teams. We’re passionate about equipping healthcare workers with world‑class tools that deliver real, measurable impact, and we’re proud to serve 90+ leading health systems across the country. If you’re excited to help shape the future of healthcare, we’d love to meet you.

About The Role

We're looking for a Senior Software Engineer to design and build the systems that power our automations platform. You'll take ownership of major components driving the processing of automated workflows, and work closely with DevOps, ML/AI, Customer Success, and UX teams.

What You'll Do

Core Infrastructure & Workflow Orchestration

Contribute to the design and evolution of our workflow automation system, which runs across serverless and containerized environments and processes millions of tasks each month

Implement scheduling, queuing, rate limiting, and retry logic for reliable and fair resource allocation

Build components for state tracking, error handling, timeouts, and cleanup across distributed tasks

Collaborate with DevOps to enhance observability, structured logging, tracing, and deployment automation

External Integrations & Data Pipelines

Build and maintain integrations with SFTP, email, databases, spreadsheets, and REST APIs, including credential management and failure recovery

Develop and operate file processing pipelines handling high data volumes across diverse formats (PDF, Excel, CSV, JSON)

Work with healthcare data formats (HL7, X12, EDI) and collaborate with ML/AI teams on data pipelines for model training and inference

Create and maintain webhook handlers, polling services, and event‑driven workflows

Technical Impact & Collaboration

Take ownership of complex backend projects from design through deployment

Participate in architectural discussions, propose improvements, and help drive high reliability and maintainability standards

Contribute to reducing technical debt and improving operational efficiency

Mentor junior engineers through code reviews and technical discussions

Participate in incident response and postmortems with a focus on prevention and system resilience

You May Be a Fit If

You have 7+ years of professional software engineering experience

You have experience with distributed systems, workflow orchestration, automated systems, and event‑driven pipelines at scale

You bring strong database expertise: SQL, schema design, and performance optimization

You have solid computer science fundamentals (data structures, algorithms, system design)

You have experience with large‑scale data pipelines

You're able to take ownership of projects and collaborate effectively across engineering, DevOps, ML, and UX teams

You have proven experience improving reliability, performance, and maintainability in production systems

You communicate clearly, both in technical discussions and documentation

Why You'll Love Working Here

Mission-Driven, World-Class Team — Join an exceptional group of professionals aligned around a meaningful mission and committed to making an impact

Opportunities for Growth — Strengthen your expertise through collaboration with experienced, high-performing leaders across the organization

Flexible Hybrid Work Environment — We're remote-first, with meaningful office presence in San Francisco and New York. R&D roles follow a hybrid model, with two days per week in our San Francisco office

Benefits & Perks