Staff Software Engineer, Thoughtful AI
Epic
$190-250k
+ Employee Stock Options
AI operating system for healthcare RCM teams
Be an early applicant
AI operating system for healthcare RCM teams
21-100 employees
Be an early applicant
$190-250k
+ Employee Stock Options
21-100 employees
Company mission
Tto fix the U.S. healthcare system.
Role
Who you are
- Software Engineer Experience: 8-10+ years of relevant experience
- Epic Experience: Hands-on experience integrating with Epic via FHIR APIs, HL7v2, Interconnect, or Bridges. Comfortable debugging workflows involving ADT, Orders, or Scheduling
- Backend Systems Expertise: Proficient in Python (FastAPI preferred), Node.js, or Go. Strong API design skills including idempotency, pagination, error handling, and versioning
- Security and Compliance Mindset: Deep understanding of HIPAA, audit logging, and OAuth2 authorization flows (including Epic’s App Orchard or vendor sandbox patterns)
- Cloud and Infra: Experience deploying and scaling microservices in cloud environments (preferably AWS), with infrastructure-as-code (Terraform a plus)
- Data Storage & Pipelines: Comfortable designing schemas and queries across PostgreSQL and/or DynamoDB. Familiar with processing batch and streaming data securely and efficiently
- Testing & CI/CD: Builds with quality from the start - writes unit, integration, and smoke tests and contributes to CI/CD pipelines
Desirable
- You’ve built production systems that exchange data with EHRs and understand the quirks and edge cases of real-world healthcare data
- You bring strong systems thinking and can design for failure, latency, and observability from day one
- You’ve worked in fast-paced, highly regulated environments and are pragmatic about trade-offs between velocity and stability
- You know that good documentation and clean interfaces are just as critical as performant code
- You’re motivated by impact, not titles, and you bring others along for the ride
What the job involves
- We’re looking for an exceptional Staff Software Engineer to join our Core Platform Engineering team, with a specific focus on integrating with Epic’s APIs and other healthcare interoperability standards
- As a Staff Engineer, you’ll drive the architecture and implementation of robust, secure, and scalable systems that directly integrate with Epic. You’ll work closely with our product and engineering teams to enable high-fidelity data exchange, real-time automations, and mission-critical workflows in healthcare environments
- Your work will help power AI-driven solutions that reduce administrative burden and improve patient outcomes
- Build Healthcare-Grade Integrations: Lead the development of scalable backend services that interface with Epic using FHIR, HL7v2, and Epic’s proprietary APIs. Ensure compliance with security, privacy, and interoperability standards
- Own the Backend Stack: Design and implement modular services that support data pipelines, job orchestration, real-time event handling, and long-running workflows, all tuned for the realities of healthcare data
- Drive Infrastructure and Observability: Contribute to the design of our AWS-based infrastructure. Champion monitoring, alerting, and traceability to ensure reliability and fast issue resolution for critical integrations
- Collaborate Cross-Functionally: Work alongside product managers, clinical operations, and other engineers to deeply understand customer workflows and translate them into robust system behaviors
- Mentor and Unblock: Provide architectural guidance and technical leadership to other engineers, particularly around integration patterns, authentication strategies, and system reliability
Application process
- Please spend no more than 20 minutes completing a quick coding exercise by following the instructions
Our take
Staffing is one of the most expensive contributors to business operation expenses, leading OpEx teams to minimize workforce sizes to cut costs. However, this often results in unfilled roles leading to larger workloads for employees, a sacrifice that can lead to lower-quality work and expensive errors.
Thoughtful develops bespoke back office automation bots, allowing businesses to hire bots that are specifically designed to automate their tasks and workflows. After onboarding, the company monitors and provides reports on the performance of each bot, allowing clients to see the value of each bot and whether adjustments are needed.
Whilst back office automation tools are nothing new, these generally work as integrations within other platforms, whereas Thoughtul’s bots are uniquely designed to emulate a position that would otherwise be staffed by a human. The company claims that its bots can help OpEx teams minimize staffing costs and optimize workflows whilst preventing any risk associated with cost cutting.
Freddie
Company Specialist at Welcome to the Jungle
Insights
12% employee growth in 12 months
Company
Funding (last 2 of 4 rounds)
Jul 2024
$20m
SERIES A
Mar 2022
$10m
SEED
Total funding: $35.9m
Company benefits
- Robust Medical/Dental/Vision plans with Employer supported premiums
- Quarterly Company get-togethers
- Gym/Health Perks
- Early employee equity
- Getting your hands dirty at the ground level
- PTO (Sabbatical after 4 years)
Company values
- Experiment always - Don’t let the fear of failure hold you back from doing incredible, original work. We don’t expect perfection on the first swing, just the willingness to keep going until we get it right. It takes grit, a lot of experimentation, and failing fast to optimize learnings
- Do less, deliver more - We focus on doing the right things, not all things. Focus on work that creates an outsized impact for our customers and team. We practice ruthless prioritization and intentionally make trade-offs that best serve our customers and mission
- We are givers - We put our customers and our team ahead of our personal ambitions. We intentionally give without condition in the spirit of advancing our mission. We won’t succeed with a “gimme” culture, but we will win as a team of endless baton-passers who support each other until the race is won
- Be ALL in - We make outsized bets to earn outsized returns for our customers, fellow colleagues, investors and stakeholders. If something critical is broken, we work relentlessly to not only fix it but solve the core issue using first-principles thinking. We obsess everyday to advance the mission and plan on building a durable, resilient 100+ year old company
- Expect to WIN - Winning is the outcome of compounding wins every moment, day, month and year. We are disciplined executors that strive to achieve mastery in everything we do. We win with grace and help elevate everyone around us. We are market makers and leaders
Company HQ
Congress Avenue Historic District, Austin, TX
Articles
Leadership
Alex Zekoff
(CEO)Co-founder and CEO of Like Wallet from 2017 to 2018. Experience as Lead Process Automation Engineer for Deloitte Consulting.
Dan Parsons
(CPO)Experience as CEO of ORA Interactive. Co-founder and CEO of DRYV from 2014 to 2018.
Salary benchmarks
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