Join us as we make the first electronic medical record system (EMR) for digital health companies. Our EMR is also the first that is fully programmable and customizable. This allows us to enable new and exciting healthcare companies to provide amazing patient experiences.

This isn't about improving billing efficiency by 5%. This is about enabling completely new clinical and business models that are not possible with today's legacy vendors. Join a YC backed company at the earliest stage and actually be able to make real improvements to healthcare.

I personally know how this industry can positively and negatively affect people. After being diagnosed with cancer in 2015 and spending 9 months in the hospital I came to truly appreciate the amazing science and medical innovation. However, the lack of innovation in the user facing software and doctor/patient experience was painfully obvious. I know what it will take to help reshape the industry for the better and that's what we are doing at Akute Health.

Akute Health is a modern, fast-growing EMR platform built for direct care, digital health, and specialty practices. We’re a small but ambitious team redefining how clinicians and patients interact with their data — combining thoughtful design, interoperability, and speed in a space that has lacked all three.

We’re looking for our first Support Engineer — someone who’s equally excited to help customers succeed and dive deep into complex systems to understand why something broke. You’ll be the bridge between our customer support team and our engineering team, investigating issues, fixing bugs, and making small improvements that keep our users delighted and confident in the product.

What You’ll Do

• Triage and resolve technical issues raised by our support team — ranging from front-end quirks to backend data or infrastructure bugs.
• Debug and fix bugs in production and staging environments (Node.js, React, MongoDB, AWS, GCP).
• Write scripts and queries (MongoDB, analytics, etc.) to investigate user reports or data inconsistencies.
• Collaborate with engineers to document, reproduce, and fix higher-complexity issues.
• Monitor system health across tools like PostHog, Sentry, Elastic APM, and AWS logs to identify root causes.
• Implement small product improvements that come directly from customer feedback (e.g., UI tweaks, workflow refinements, automation scripts).
• Own the support engineering process — help define how bugs are logged, investigated, and resolved as we scale.

What We’re Looking For

• 2–5+ years of experience in a software engineering or support engineering role.
• Strong familiarity with Node.js / Express, MongoDB, and React (you’ll be hands-on).
• Comfortable navigating logs and observability tools (PostHog, Sentry, Elastic, AWS CloudWatch).
• Excellent debugging skills — you’re energized by tracking down a root cause.
• A clear, concise communicator who can translate complex issues into simple language.
• Comfortable in a fast-moving startup with little red tape and lots of autonomy.
• Able to work independently with little direction, ability to understand & debug a large existing code base with several different applications, and minimal tools to help narrow down issues.
• Bonus: experience in healthcare, EMR/EHR systems, or HIPAA-regulated environments.

Why Akute Health

• You’ll join a small, mission-driven team building a product clinicians love using.
• You’ll work directly with the CEO (who currently handles most support engineering) to design and own this function from the ground up.
• You’ll have visibility across the entire stack and impact every user’s experience.
• We move fast, ship often, and value curiosity, empathy, and craftsmanship.
• This role provides significant upward mobility as it could grow into eventual management of a support engineering team.

To apply:

Send your resume, your github if you have any public repos that show recent commits, and a short note about a memorable bug or production issue you’ve debugged — and how you found the root cause.

JavaScript, React, Redux, Node, Express, FHIR, AWS, Mongo, Postgres, Netlify, Firebase Auth, Tailwind CSS, Material UI

Data visualizations with disparate types of data Client & API for all data types Custom data queries & automations Custom Twilio integrations (built-in texting/calling) much more