Key Facts

Remote From:

Anywhere

Category: Software Engineer

Full time

Senior (5-10 years)

English

Hard Skills

Node.js (Javascript Library) TypeScript JavaScript Libraries PostgreSQL Code Refactoring Database Design Single Page Application AWS Cloud Services Software Deployment Service Layer +15 more

Other Skills

•
Mentorship
•
Quality Control
•
Problem Solving

Roles & Responsibilities

5+ years of professional software engineering experience
Strong backend proficiency in Node.js/TypeScript/Express.js with experience using Knex for database migrations; familiarity with PHP/Laravel is a plus for legacy services
Experience building single-page applications using modern Web Components (Vanilla JS), lit-html for reactive templating, and TailwindCSS
Solid SQL skills with PostgreSQL and SQLite, including complex query design and schema architecture

Requirements:

Lead development of major features and initiatives from architecture through delivery
Collaborate cross-functionally with product, QA, and operations to solidify requirements and translate them into durable technical solutions
Write clean, well-structured code across the full stack and contribute to ongoing refactoring and technical debt reduction
Design, implement, and take ownership of critical core systems, including the eConsultWorkflow State Machine and the Multi-tenancy/Organization Scoping enforcement

Job description

We are looking for a Senior Software Engineer to join our core engineering team. You will take
ownership of significant features and initiatives, collaborate closely with product and operations
stakeholders, and help shape the architecture of our platform. This is a hands-on role for
someone who thrives in a fast-moving environment, takes pride in clean and maintainable code,
and can operate with a high degree of autonomy.

What You'll Do

Lead development of major features and initiatives from architecture through delivery
Collaborate cross-functionally with product, QA, and operations to solidify requirements and translate them into durable technical solutions
Write clean, well-structured code across the full stack and contribute to ongoing refactoring and technical debt reduction
Drive and utilize the team's newly authorized Claude Code in Action Training to accelerate sprint velocity, reduce manual code review burden, and improve code consistency
Design, implement, and take ownership of critical core systems, including the eConsult
Workflow State Machine and the Multi-tenancy/Organization Scoping enforcement
Serve as a technical mentor through rigorous code reviews, setting a high standard for quality, and enforcing the Service Layer Pattern for all business logic
Take an active role in infrastructure, deployments, and release processes

What We're Looking For

5+ years of professional software engineering experience
Strong backend proficiency in Node.js/TypeScript/Express.js (primary) with experience in database migration tools like Knex; familiarity with PHP/Laravel is a plus for legacy services
Experience building single-page applications using modern Web Components (Vanilla JS), lit-html for reactive templating, and utility-first styling with TailwindCSS
Solid SQL skills, including complex query design and schema architecture in PostgreSQL (our primary production database) and SQLite
Experience with AWS services (S3, EC2, RDS, or similar)
Comfort working in a Linux server environment
Ability to lead projects and coordinate across stakeholders without formal authority
A strong instinct for simplicity — you push back on unnecessary complexity
Healthcare technology experience is a plus, but not required

Nice to Have

Direct experience utilizing Claude Code or other LLMs for AI-Assisted Development and unit test generation
Direct experience with Epic FHIR R4/STU3 (SMART on FHIR) integration, or experience with other transactional services like Twilio and SendGrid
Familiarity with HIPAA compliance requirements in a SaaS environment
Experience with CI/CD pipelines (GitHub Actions, Jenkins)
Familiarity with our modern development ecosystem, including Vite (build system),
Cypress (E2E), and Vitest (unit testing)

About AristaMD

AristaMD is a technology-enabled clinical services organization that enables primary care providers to manage and sustainably deliver excellent specialty care, profitably. From its genesis as an eConsult provider, AristaMD built longitudinal care delivery that can be easily customized to meet your organization’s needs. Our specialty care delivery and coordination services empower primary care organizations to deliver rapid access to high-quality specialty care, enhance population health management, and reduce costs. For additional information, visit www.aristamd.com or follow AristaMD on LinkedIn and X.

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