Axle Health builds 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 Grandcare) 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.

View and apply to jobs here: https://jobs.ashbyhq.com/axle-health We will not review applications submitted to the YC job board, please apply to our careers site.

To be considered: apply online via our Careers page at axlehealth.com

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. 

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

Healthcare is complex, healthcare in the home even more so. Part of the reason in-home care isn't widespread is because it's not economical without a heavy technological component. Providing economical in-home care is a series of optimization problems. How do you assign visits to the lowest cost health professional qualified for a visit? How do you account for different license requirements across states? How do you ensure visits that require refrigerated supplies are completed earlier in the day? Solving this 3-dimensional tradeoff between time, geography, and licensure is what we do day-in and day-out.