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Staff Backend Software Engineer (Elixir) - Community

San Francisco💼 Full-time🗓 2026-07-21 → 2026-07-31

Core

Building the technical foundation for a virtual care platform connecting EHRs, care management systems, and patient communication tools for seniors.

Role type

Staff Backend Software Engineer (Elixir)

Builds

Core platform connecting EHR, care management systems, billing infrastructure, and patient communication tools; data infrastructure for operational intelligence and automation.

Domain

Healthcare technology / Virtual care

Deliverable

production ML models | product features | infrastructure

Required skills

Elixir, Ruby, Python, distributed systems, API design, system design, healthcare data standards (FHIR, HL7, X12), HIPAA compliance, production stability, code reviews, testing strategies.

Preferred skills

Startup adaptability, product mindset, strategic technical leadership, high autonomy, continuous improvement.

Technologies

Elixir, Ruby, Python, FHIR, HL7, X12

Responsibilities

Design and implement core platform integrations; build data infrastructure for operational intelligence; lead critical technical decisions and build vs. buy trade-offs; establish engineering practices and code standards; ensure system reliability and performance for healthcare-critical workflows.

Seniority

Staff, hands-on IC with strategic leadership

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