Own the technical architecture for Papa Community, setting system design, technology choices, and engineering practices
Build and maintain the core backend platform integrating EHRs, care-management, billing, and patient communications
Implement robust data flows, HIPAA-compliant architectures, and scalable services to serve thousands of patients
Lead critical technical decisions, evaluate build vs. buy trade-offs, and shape the technical roadmap with the GM
Define code standards, testing strategies, deployment processes, and documentation to scale the team
Ensure production reliability, observability, incident response, and performance improvements
Collaborate with product, security, and clinical teams to align on priorities and accelerate delivery
Drive velocity without compromising quality in a startup environment

Salary & Benefits:

9+ years of software development experience
Expert-level proficiency in Ruby or Python; 2+ years hands-on Elixir
Strong background in distributed systems, API design, and building scalable architectures
Healthcare technology exposure: FHIR, HL7, X12, EHR integrations, HIPAA-compliant systems
Experience at an early-stage startup or building without an established engineering org
Nice-to-have: Elixir Phoenix LiveView; security/compliance mindset; strong cross-functional communication
Bachelor's degree in Computer Science or related field (or equivalent experience)
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Based on: Staff Backend Engineer (Elixir)

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Own the technical architecture for Papa Community, setting system design, technology choices, and engineering practices
Build and maintain the core backend platform integrating EHRs, care-management, billing, and patient communications
Implement robust data flows, HIPAA-compliant architectures, and scalable services to serve thousands of patients
Lead critical technical decisions, evaluate build vs. buy trade-offs, and shape the technical roadmap with the GM
Define code standards, testing strategies, deployment processes, and documentation to scale the team
Ensure production reliability, observability, incident response, and performance improvements
Collaborate with product, security, and clinical teams to align on priorities and accelerate delivery
Drive velocity without compromising quality in a startup environment

Salary & Benefits:

9+ years of software development experience
Expert-level proficiency in Ruby or Python; 2+ years hands-on Elixir
Strong background in distributed systems, API design, and building scalable architectures
Healthcare technology exposure: FHIR, HL7, X12, EHR integrations, HIPAA-compliant systems
Experience at an early-stage startup or building without an established engineering org
Nice-to-have: Elixir Phoenix LiveView; security/compliance mindset; strong cross-functional communication
Bachelor's degree in Computer Science or related field (or equivalent experience)
-

Track similar jobs

Get email alerts when new roles like this are posted.

Based on: Staff Backend Engineer (Elixir)

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