Senior Software Engineer

Xealth, LLC.; Washington; On-site; USD 155,000 - 180,000; Full time

Benefits offered by this job

Medical coverage

Dental & Vision

401k match

Home office stipend

Fitness stipend

Parental leave

Learning & development

Disability accommodations

Job summary

Xealth, LLC. in the United States is seeking a software engineer to design, build, and scale services powering EHR integrations and clinical workflows. You will apply CS fundamentals to distributed systems, data modeling, and API design.

Work with product managers and EHR specialists to translate clinical workflows into scalable software solutions. This role emphasizes security, data quality, and AI-enabled product development within a healthcare context.

Qualifications

• Strong CS fundamentals: algorithms, data structures, concurrency, distributed systems.
• Experience designing and building RESTful or event-driven APIs; healthcare APIs a plus.
• Experience building scalable distributed systems using modern languages.
• Familiarity with EHR systems and clinical data standards is beneficial.

Responsibilities

• Architect and implement EHR integration services using HL7 v2, FHIR, and EHR APIs.
• Ensure data quality, validation, monitoring, and HIPAA-compliant security.
• Develop AI-enabled healthcare products to improve care quality and delivery.
• Collaborate with product managers and EHR specialists to translate workflows into scalable software.
• Lead code reviews, system design discussions, and key architectural decisions.

Skills

EHR integration

APIs

Distributed systems

AWS/Kubernetes

Security

AI in healthcare

Tools

Typescript

NodeJS

AWS

Job description

Our Mission & Culture

At Xealth, we're revolutionizing healthcare by leveraging data and automation to empower care providers (building on EHRs such as Epic and Cerner) to seamlessly prescribe, deliver, and monitor digital health for patients. We are a detail-oriented team, committed to maintaining the highest standards while moving with agility and impact.

We are a highly skilled, collaborative, and passionate group, applying our expertise to improve health outcomes for millions. We believe in shared ownership and are looking for a team player who is a self-starter and self-driven to pioneer the next generation of intelligent, automated cloud infrastructure.

This role offers a unique opportunity to join a software development team to advance our capabilities with EHR integrations.

What You'll Own and Deliver (Responsibilities)

As a core member of our software engineering team, you will design, build, and scale the services that power Xealth’s EHR integrations and clinical workflows. You’ll apply solid computer science fundamentals to solve complex problems in distributed systems, data modeling, and API design.

• EHR Integration Engineering: Architect and implement integration services leveraging HL7 v2, FHIR, and EHR-specific APIs. Move beyond simple data exchange to design scalable abstraction layers and reusable modules.
• Data Quality and Security: Implement rigorous validation, monitoring, and observability to ensure data accuracy, integrity, and HIPAA-compliant security.
• Develop Products with AI: Use AI to design, build and maintain products to increase quality and accelerate delivery.
• Build AI Enabled Products: Build AI-enabled healthcare products improve quality of care and patients experiences.
• Cross-Functional Collaboration: Partner with product managers and EHR specialists to translate clinical workflows into elegant, scalable software solutions.
• Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team.

The Expertise You'll Bring (Requirements)

We’re looking for a software engineer with strong computer science fundamentals — someone who’s comfortable reasoning about systems, data, and code structure at scale, and who’s excited to apply those skills in healthcare.

Core Technical Competencies

• Communication, Collaboration and Agility: Comfortable working in an agile startup environment, balancing quality with rapid iteration with exceptional communication. Must be an exceptional communicator and problem solver.
• CS Fundamentals: Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems.
• Software Engineering Expertise: Professional experiences building critical and highly scalable distributed systems using modern programming languages.
• API and Integration Development: Hands-on experience designing and building RESTful or event-driven APIs; exposure to healthcare APIs such as FHIR, HL7 v2, or Epic Interconnect is a plus.
• Distributed Systems Experience: Experience designing and scaling microservices or cloud-native applications using AWS, Kubernetes, or similar technologies.
• Troubleshooting and Debugging: Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics.

Highly Valued Experience (Nice to Have)

• Familiarity with EHR systems (Epic, Cerner, etc.) and clinical data standards.
• Typescript, NodeJS and AWS experiences.
• Experience implementing secure OAuth2.0/SMART on FHIR authentication flows.
• Previous experience in healthcare with familiarity with patient identity management and clinical data modeling.
• Experiences using AI to develop products as well as building AI-native products.

About Xealth

• Xealth created the leading digital health platform helping health systems deliver connected, personalized care at scale. Embedded in the EHR, it enables clinicians to prescribe, automate, and measure the impact of digital tools--including apps, services, and wearable data--within existing workflows. Now part of Samsung's connected care vision, Xealth enhances decision-making, reduces friction, and supports enterprise-wide digital health strategies. Trusted by more than 500 hospitals and 70+ solution partners, Xealth provides a scalable foundation for delivering connected, personalized, and preventative care--empowering health systems to drive outcomes, engagement, and operational efficiency while advancing digital transformation.

• As a market-leading digital health platform recognized for excellence and culture, some of our recent accolades include: Newsweek’s World’s Best Digital Health Companies (2024-2026), consecutive Gold Digital Health Awards, and we were named a BuiltIn Best Place to Work for 2025 and 2026.

Compensation and Benefits:

Xealth offers a multi-tiered approach when constructing a highly competitive compensation package. The compensation package would include a base salary, bonus, and a comprehensive suite of benefits. The base salary compensation range for this position is $155,000 - $180,000, depending on geographic market.

Paid parental leave.
Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
Xealth provides your laptop and offers a home office stipend.
Generous learning & development opportunities for you to grow your skills and career.
401k Match: Xealth offers a dollar-for-dollar match up to 5%.
Flexible time off & 10 standardized holidays.
$500 yearly fitness stipend to spend on staying active.
Xealth is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures.

Please note - you MUST be a U.S. Citizen or Permanent Resident to be hired