Senior Software Engineer

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $140k - $150k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 0%

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Koda Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Koda Health is a company that provides digital planning solutions for serious illness, focusing on advance care planning and chronic kidney disease management. Their platform combines clinical support and digital tools to help patients create actionable medical directives and improve care coordination, particularly for high-risk groups. Koda Health's scalable and secure cloud-based technology integrates seamlessly with electronic medical records and aims to improve patient outcomes, operational efficiency, and equitable access to healthcare. By utilizing intuitive features like video explainers and personalized support, they facilitate proactive medical decision-making and ensure patient preferences are understood and executed across various healthcare stakeholders.

📋 Description

• Serve as first responder for application-level production issues during US business hours, owning them from investigation through shipped fix • Share production coverage with the CTO and infrastructure engineer, with mutual backup and no solo always-on pager • Keep releases moving through branch syncs, release shepherding, and maintaining a healthy CI pipeline • Harden fast-shipped, often AI-assisted code with error handling, retries, edge-case handling, test coverage, and security review for PHI-related changes • Review, harden, and land agent-authored pull requests after verifying them against actual system behavior • Build observability through error reporting, synthetic canaries for critical journeys, and alerting • Turn recurring incidents into runbooks and permanent fixes • Refactor, simplify, and delete code to keep the system simple as it grows • Own schemas, indexes, and consistency across related data collections • Design and run safe migrations and backfills for inconsistent historical data • Add write-time guardrails to prevent recurring data problems • Productionize and own monitoring and alerting for the ADT (HL7v2) ingestion pipeline • Investigate hospital feed issues and trace problems from feed to patient record • Partner with the infrastructure engineer on the application and data side of ADT ingestion • Work directly with the CTO on a small, fast-moving team with broad ownership • Take features from design through production and grow into full feature ownership • Use Claude Code and AI agents to investigate production issues, verify findings, and ship fixes • In the first 6–12 months, improve observability, harden the application layer, reduce incidents, and run the ADT pipeline reliably in production

🎯 Requirements

• A seasoned application engineer (roughly 5+ years, or equivalent demonstrated judgment) with real production experience • Strong TypeScript across React (frontend) and Node (backend) • Comfortable in a GraphQL API and a document database; Apollo and MongoDB experience or comparable experience • Able to read schemas, reason about indexes and query performance, and write safe migrations or backfills • Comfortable debugging event-driven systems, including queues, retries, redelivery, and idempotency • Daily experience building with AI tools such as Claude Code or similar • Able to review generated code against domain and security invariants • Security-conscious when handling PHI • Strong written communication for incident write-ups, runbooks, and decision rationale • US-based with US work authorization • Able to hold production and PHI-scoped access; background check and BAA as required • Healthcare experience, HL7v2/ADT feeds, SMART on FHIR, Redox, Epic/Cerner, HIPAA, or SOC 2 is a plus, not required • Observability experience is a plus • Basic cloud familiarity is a plus; deep AWS expertise is not required • AWS and infrastructure-as-code experience, including CDK, is a plus • Real-time and telephony integrations such as Twilio or Aircall, or production AI/LLM systems, are a plus • Early-stage startup experience is a plus

🏖️ Benefits

• Fully remote role (US-based) • Flexible, unlimited paid time off, including 8 company holidays • Comprehensive medical, dental, and vision coverage • 401(k) retirement plan options • Annual professional development budget for books, courses, trainings, and conferences • Work-from-home stipend to support your home office setup and ongoing remote work needs • Annual company and team events • Latest MacBook and enterprise-grade tooling to do your best work • Clear growth paths for both individual contributors and people managers