Senior Software Engineer, Interoperability

Axle leverages technology to connect healthcare organizations with in-home care professionals allowing more patients to be seen where and when it's convenient - at home.

Location: Santa Monica, CA
Company size: 10–20
Posted: 2mo ago
Via: Yc

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Job listing · Updated 21 AUG 2026

Senior Software Engineer, Interoperability

Axle Health· Santa Monica HQView company profile

Job title: Senior Software Engineer, Interoperability
Job location: Santa Monica HQ
Job listing URL: https://www.ycombinator.com/companies/axle-health/jobs/0cZvDZx-senior-software-engineer-interoperability
Job description: # **About Us** Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home. Some of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching. Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access. We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered. # **About You, the Role** **We're looking for a growth-stage ready Senior Software Engineer** to join our Healthcare Interoperability team, responsible for connecting our best in class logistics platform into users’ daily workflows. This role will design and implement high leverage technical processes and systems. **Our ideal candidate** can lead initiatives in different domains and is fueled by a passion for tackling complex problems head-on. You have a combination of practical experience and a strong commitment to your personal growth and the growth of those around you. Whether you've honed your expertise designing web-scale systems at large companies, or scaling startups from 0 to 1, we want to hear your story. We do not monitor YC applications, please apply directly on our website to be considered for this position: [**https://www.axlehealth.com/careers**](https://www.axlehealth.com/careers) # What you'll do: * Design and implement Electronic Health Record (EHR) integrations * Architect high volume systems that will support hundreds of thousands of patients * Develop and evolve API integrations within the Axle Heath ecosystem * Collaborate with and lead other engineers to build performant, scaleable, and secure systems * Mentor junior engineers to further their career trajectories * Write documentation to scale team knowledge within and without the interoperability team # Required skills and experience: * Bachelor's degree * 5-7+ years of software engineering experience * Strong communication skills to explain technical decisions to non-technical stakeholders * Proven ability to conduct effective code reviews * Expertise building backend systems in Node + TypeScript (1-2 years) * Hands on experience working with SQL databases * Experience working in fast paced, high growth startup environments with a desire to build * Demonstrated ability to self-learn and quickly adapt to new technologies # Nice to have: * Experience working with Electronic Health Records (EHRs) and/or healthcare interoperability (FHIR / HL7) * Working knowledge of CI/CD, DevOps, and build systems * Track record of mentoring junior engineers # Tools You May Use * ExpressJS + TypeScript * GraphQL + React + React Native * PostgresSQL * AWS * Datadog * Git / Github / Graphite * Django + Python3 # **What We Offer** In addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end… **We are committed to your Ownership:** * We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them. * All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare. **We are committed to your Wellness:** * Comprehensive Medical, Dental, Vision * 401k plan * Flexible PTO, sick days, and working hours * Santa Monica HQ with 180 degree beach views and daily catered lunches **We are committed to your Growth:** * Fast paced work environment geared towards professional growth * Get the chance to move roles within the organization to learn new skills and continue to make an impact **We are committed to building Community:** * Monthly team events, dinners, & happy hours * Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas

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