Senior Software Engineer, Full Stack (TypeScript, React, AWS)

Xealth; Seattle (WA); On-site; USD 145,000 - 200,000; Full time

Benefits offered by this job

Paid parental leave

Medical, dental, and vision benefits

Laptop provided

Home office stipend

401k match

Job summary

Xealth is seeking a software engineer to design, build, and scale backend services powering EHR integrations and clinical workflows. You will work across distributed systems, APIs, and front-end interfaces to deliver robust healthcare software.

Join a collaborative team focused on high-quality, scalable cloud infrastructure. In this role you’ll collaborate with DevOps, utilize AI-assisted coding tools, and contribute to patient engagement and provider-facing applications.

Qualifications

• 3-5 years of professional experience building production software systems using TypeScript/JavaScript.
• Strong CS fundamentals incl. algorithms, data structures, concurrency and distributed systems.
• Experience designing and building RESTful or event-driven APIs with Node.js/Nest/Express.

Responsibilities

• Design and develop core backend services powering Xealth’s EHR integrations and clinical workflows.
• Scale services and APIs, ensure reliability, and optimize performance in distributed systems.
• Collaborate with DevOps to deploy and operate microservices in AWS using Kubernetes/ECS.
• Leverage automation and AI-assisted coding tools to improve delivery and quality.

Skills

TypeScript/JavaScript

Distributed systems

API design

Frontend with React

Code reviews/leadership

Tools

AWS

Kubernetes

Nest/Express

React

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 build out a self-optimizing cloud platform in a mission-driven environment.

What You'll Own and Deliver (Responsibilities)

As a core member of our software engineering team, you will design, build, and scale the services and applications 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.

• Design and Develop Core Services: Build robust, maintainable backend services in TypeScript/Node.js and other modern technologies that power our EHR integrations and clinical workflow automation.
• Distributed Systems and Cloud Architecture: Collaborate with DevOps engineers to deploy and operate microservices in AWS using containerization and orchestration tools (e.g., Kubernetes, ECS).
• Technical Leadership: Contribute to code reviews, system design discussions, and technical decisions that raise the engineering bar across the team.
• Automation and AI in Development: Use AI-assisted coding tools like GitHub Copilot to streamline development, increase quality, and accelerate delivery.
• Patient Engagement Services: Design, build, and scale key services handling patient notifications, click tracking, and other critical user engagement workflows.
• Provider and Patient facing applications: Own the development and enhancement of our provider- and patient-facing applications, building intuitive and scalable user interfaces with React.
• Integrate Patient Education Vendors: Develop and maintain reliable, scalable integrations with third-party patient education content providers and partners.

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

• Software Engineering Expertise: 3-5 years of professional experience building production software systems using TypeScript/JavaScript.
• CS Fundamentals: Deep understanding of algorithms, data structures, object-oriented design, concurrency, and distributed systems.
• API and Integration Development: Hands‑on experience designing and building RESTful or event‑driven APIs with Node.js/Nest/Express.
• Troubleshooting and Debugging: Proficient in diagnosing complex issues across distributed services using logs, traces, and performance metrics.
• Collaboration and Agility: Comfortable working in an agile startup environment, balancing quality with rapid iteration.
• Front‑End Development: Demonstrated ability to build, test, and deploy modern, scalable web applications using React and TypeScript, with expertise in the unique engineering and performance challenges of both mobile and desktop web platforms.

Highly Valued Experience (Nice to Have)

• Prior experience in a healthcare startup or health data integration platform.
• Familiarity with high-throughput messaging platforms or services built for mass-scale user communication.
• Experience with AWS or another cloud vendor, e.g. GCP, Azure
• Experience building applications with Tailwind.css

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 & 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 $145,000 - $200,000, 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 3%.
• 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

Xealth is open to hiring in the following states - Arizona, California, Idaho, Massachusetts, Minnesota, Missouri, New Jersey, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.

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