Software Engineer

About the role

Nex Health is seeking a Software Engineer I to join a small, senior team where you will own meaningful work from your first week. You will build production-grade features that directly serve patients and providers across tens of thousands of healthcare practices. This role emphasizes fast growth, real ownership, and mentorship from engineers who will help you solve complex infrastructure problems early in your career. You will focus on back-end development for our healthcare integration platform, working on high-throughput data pipelines and scalable data serving. This is a chance to work on foundational systems design and architectural decisions typically reserved for senior engineers at more established companies.

Key facts

What you'll do

• Build and ship features across Nex Health's core platform, including our healthcare integration API and provider-facing SaaS product, with guidance from senior engineers.
• Write clean, well-tested, production-ready code - and learn what that actually means in a fast-moving, high-stakes environment.
• Participate in code reviews, technical discussions, and architecture conversations - we want your questions and your perspective from the start.
• Debug and investigate issues in distributed systems, developing the pattern recognition that comes from working on real infrastructure.
• Contribute to indirect integrations with electronic health record (EHR) systems - one of the most technically complex and impactful parts of what we build.
• Collaborate closely with product managers, designers, and other engineers to scope, plan, and deliver projects end to end.
• Grow. We invest in our engineers - through mentorship, technical stretch assignments, and the kind of exposure you would normally have to wait years for.
• Learn how healthcare data flows across fragmented systems and contribute to the infrastructure layer that connects these systems into a modern platform.
• Take ownership of specific service components and see your changes impact thousands of healthcare providers and patients.
• Work with relational data models and API integrations that are critical to maintaining reliability in a regulated industry.

Requirements

• A degree in Computer Science, Software Engineering, or a related field - or equivalent practical experience that demonstrates strong CS fundamentals.
• 0-2 years of professional software engineering experience. Internships, co-ops, and meaningful open-source contributions count.
• Solid grasp of data structures, algorithms, and object-oriented or functional programming concepts.
• Proficiency in at least one backend language; experience with Ruby, Python, Go, or Java is a plus. We primarily use Ruby on Rails.
• Comfort working with relational databases - you understand what a query is doing and why it might be slow.
• Ability to communicate clearly in writing and in conversation. You ask good questions and can explain your thinking.
• Intellectual curiosity and a bias toward figuring things out. Healthcare infrastructure is niche and complex - we will teach you the domain, but you need to want to learn it.
• Willingness to work on problems where requirements can be ambiguous and solutions require careful trade-off analysis.

Nice to have

• Exposure to cloud platforms (AWS, GCP, or similar environments) and experience with infrastructure-as-code tools.
• Familiarity with healthcare data standards and interoperability challenges.
• Experience with asynchronous processing, message queues, and background job systems.
• Understanding of compliance and security considerations in healthcare applications.
• Exposure to testing frameworks, CI/CD pipelines, and monitoring systems in production environments.

Practical notes

This role is based in Seattle, Washington, United States, and is a full-time engagement. The position is salaried, and compensation details are not specified in the source information provided. The work is focused on back-end development for healthcare integration APIs and provider-facing products. This opportunity is open to candidates with 0-2 years of professional experience, making it suitable for recent graduates and career switchers with relevant skills. Relocation details are not specified in the source material.