Senior Software Engineering - Telecommute

Passionate about precision medicine and advancing the healthcare industry?Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.About usAt Center Health, we help people with diabetes feel better every single day.You might know us for Aria, our AI coach. Aria chats with patients about their glucose, meals and medications, and people who use it lower their blood sugar twice as well as they do with a human coach.Behind Aria is something just as exciting: a remote patient monitoring (RPM) program that's growing fast with clinics all over the US. Clinics enroll their patients, and we connect to their glucose monitors. When someone starts drifting out of range, we let their care team know, instead of three months later at the next appointment. Every new clinic means hundreds to thousands more people getting better care, and you'll see that impact week by week.We're now part of Tempus, one of the biggest precision medicine platforms in healthcare. Put together, that's a brand new way to care for chronic disease, and diabetes is only the beginning.We're a small team, and every one of us has been touched by diabetes, either personally or through someone we love. Every day, a lot of systems have to work together: patient outreach, device connections, data sync, claims documentation and more. When they all run smoothly, patients get care and clinics thrive. What you'll doBuild and improve the automations behind outreach, data sync and reportingBring your own ideas for growing RPM, and ship themKeep our RPM and EHR integrations healthy, with monitoring that tells us about problems before anyone else noticesWork through our EHR integration pipeline: exports, re-exports, and the reports clinics rely onBe the quick, reassuring engineering response when clinics, patients and our support team need helpLead our EHR integrations as we take on larger clientsHow we buildWe build with AI every day, and we've put real care into doing it well. Our repo ships its own set of Claude Code agents that understand our security setup, our monitoring operations and our quality system. The result is a small team that moves quickly, ships safely, and spends its energy on the interesting problems.Our stack is TypeScript from top to bottom: Svelte on the front end, Node services behind it, MongoDB underneath, Capacitor for mobile, and LangChain with Vertex and OpenAI powering the AI. A lot of our operations run on n8n. A couple of us had never written Svelte before joining and were shipping within a day.Some of what we build counts as a medical device, and we're a HIPAA business associate, so we take quality and privacy seriously. What we're looking forA solid track record of shipping and running production systems, usually 5+ years. We care more about what you've built, and how fast you're growing, than about the number.It's the best sign we know that someone will own a problem end to end.Good monitoring, clean integrations and a calm, methodical approach when something breaks.You're AI-native. You build with AI tools every day and know how to check their work.Solid TypeScript, or the ability to pick it up fast.APIs, data pipelines, and messy third-party systems that don't always behave.Bonus points: EHR or health data standards (HL7, FHIR), workflow automation tools like n8n, healthcare billing, or mobile experience.Life at CenterWe're headquartered in San Francisco with a remote engineering team spread across London, Liverpool and Cairo, and we're hiring on the US East Coast so you'll share working hours with the clinics and patients we serve. We're flexible, and we trust you to do your best work on a schedule that suits you. Thousands of times a day, someone opens Center to understand what their blood sugar is doing, and every month more clinics join us. Tempus offers a full range of benefits, which may include incentive compensation, restricted stock units, medical and other benefits depending on the position.We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. SummaryLocation: New York CityType: Full time