Senior Software Engineer, Fullstack, Practice Eng

About NexHealth

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides instant meal delivery and unlimited streaming why do you still have to call to schedule a doctors appointment and fill out a clipboard in the waiting room

NexHealths mission is to accelerate innovation in healthcare by connecting patients providers and building the infrastructure layer for modern healthcare connecting thousands of fragmented on-premise and closed EHR systems into a single modern platform that powers software APIs payments and patient experiences across the ecosystem.

• Founded: 2017
• Headquarters: San Francisco CA
• Funding: $177M Series C
• Employees: 200
• Trusted by tens of thousands of providers and hundreds of health-tech developers forging the infrastructure layer that modern healthcare needs

About the Team Practice Engineering (PX) owns the parts of NexHealth that people actually touch: our customer-facing web app our iOS app and the backend APIs behind them. Our users are front desk staff office managers and patients. We judge our work by one question: did it make their day easier

Were a small distributed team with very little process. That means a lot of room to shape what we build and how. It also means nobody will hand you a perfectly scoped ticket.

What Youll Do

• Build and ship features across our React/TypeScript web app our iOS app and the backend services that power scheduling payments forms messaging and insurance verification.
• Own features end to end: define the problem shape the solution with product and design build it roll it out and keep iterating based on how its actually used.
• Bring your own point of view on what we should build. Youll look for friction in how clinics and patients use the product and youll make the case for fixing it.
• Find the problems worth solving instead of waiting for well-defined work to arrive.
• Mentor other engineers and raise the bar on how the team designs reviews and ships.
• Influence decisions beyond your own work shaping product direction and technical approach across the PX product.

What Youll Bring

• 5 years of experience as a software engineer building customer-facing products.
• Strong modern frontend skills in React and TypeScript paired with real backend depth: API design data modeling and working with production databases. Youre genuinely full-stack not a backend engineer who occasionally touches the UI.
• Experience building and shipping features on iOS alongside web.
• A track record of owning customer-facing features from problem definition through design launch and iteration.
• Experience partnering closely with product and design as a peer contributing ideas rather than just implementing specs.
• A high-ownership self-directed working style that thrives in a small remote team with little process.
• Clear written communication. On a distributed team most decisions happen in writing.

Nice to Have

• Hands-on experience building with AI or agentic systems.

Compensation

Actual salaries will vary depending on factors including but not limited to location experience and performance. The range listed is just the base salary component of NexHealths total compensation package for employees. Other benefits may include stock options an unlimited paid time off policy and up to 100% coverage on medical vision and dental insurance.

NexHealth Compensation Range

$165000 - $230000 USD

Benefits

• Full Medical Dental and Vision (up to 100% covered)
• 401K and commuter benefits
• Flexible PTO
• High-impact work that directly improves the healthcare experience for millions

Our Values

• Solve the customers problems not yours When making decisions think from the perspective of the customer. Its easy to make decisions that make our lives simpler but not the customers.
• Do the things others are not willing to do As a Nexer always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
• Take ownership
  Act like a founder. Own your roles destinies mistakes behavior and our mission. The buck stops with each of us - no blaming or excuses.
• Say whats on your mind with positive intent
  Be direct proactive transparent and frequent in your communication.
• Default trust
  As a Nexer you do not have to earn trust trust is given to you by default. If we by default trust each other our speed of communication feedback information sharing and overall improvements will be a lot faster.
• Think in first principles
  We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask why to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin sex gender expression sexual orientation age marital status veteran status or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact to request assistance.

Required Experience:

Senior IC