Senior Software Engineer, Health Note
AI/ML
AI chatbot for patient intake notes
Be an early applicant
AI chatbot for patient intake notes
21-100 employees
Be an early applicant
21-100 employees
Company mission
To empower patients to partake in their own health records and in turn enable our doctors have up-to-date, clinical-grade, patient generated health records at the right place and time.
Role
Who you are
- 5+ years of experience building robust, scalable full-stack applications and developer tools
- Hands-on experience with LLMs or AI services (e.g., OpenAI, Anthropic, Vertex AI, Llama)
- Significant experience designing, building, deploying, and maintaining production applications at scale
- Proficiency with Javascript/Typescript, React, NodeJS (NestJS), and PostgresQL
- Familiarity with modern web technologies (HTTP2, WebSockets, gRPC, GraphQL)
- Strong engineering craft: able to architect solutions to ambiguous problems and leave the codebase better than you found it
- A product-oriented approach: you consider usability, outcomes, and business impact alongside technical design
Desirable
- Experience designing evaluation frameworks for AI-enabled features (e.g., measuring accuracy and reliability of LLM outputs)
- Familiarity with RAG, embedding algorithms, or intent classification
- Experience with DevOps and reliability tooling (Langfuse, Datadog, Grafana, Sentry, Cloudwatch, infrastructure-as-code, containers/Kubernetes)
- Background in healthcare, regulated industries, or EHR/EMR integration
- Experience debugging distributed systems
What the job involves
- As a Senior Software Engineer, you will be responsible for developing and maintaining mission-critical systems that power healthcare operations and interoperability for over 60 clinics and health systems
- At Health Note, we’re not building new AI models — we’re integrating LLMs and AI services into our products to deliver digital assistants that grow new skills over time and transform healthcare operations into a continuous improvement process
- The result is automation that is both reliable and human-centered, giving patients and providers an experience they can trust
- You’ll work as part of a cross-functional team to design AI-enabled solutions, shape architectural decisions, and ensure AI is thoughtfully incorporated into our platform
- We look for engineers who bring a product mindset — considering usability, speed-to-market, and long-term impact alongside technical execution
- We’re a fully distributed, remote-first startup
- We recommend core working hours of ET 12–4pm and rely heavily on clear asynchronous communication
- Occasionally, you’ll need to flex to sync with teammates across time zones
- Our stack is full-stack Typescript (NestJS, React, Remix, Tailwind, GraphQL, PostgreSQL, Redis, Pulumi), all on AWS, in a service-oriented Monorepo architecture
- Design, implement, and maintain scalable, high-performance services and applications
- Integrate LLMs and AI services into production systems with attention to safety, observability, performance, and cost-effectiveness
- Build abstractions, APIs, and tooling that make it easier for engineers and product teams to use AI responsibly
- Approach problems with a product engineer mindset: balance technical tradeoffs with user experience, speed-to-market, and long-term maintainability
- Improve code quality through refactoring, automated testing, CI/CD, and strong developer productivity practices
- Mentor engineers and contribute to shared standards, ensuring long-term maintainability
- Collaborate with cross-functional teams to design AI-enabled product experiences that meet client needs
Our take
Health Note has developed an AI chatbot to streamline and error-proof the patient intake process for medical providers. Instead of traditional intake forms, patients are directed to the Health Note chatbot, which uses clinical decision trees to home in on the clinical reason for the visit - and medical details relevant to it. This information is compiled into a concise note for the physician and the patient file.
This saves physicians substantial administrative time and reduces costs for providers - and it tends to work, too, with Health Note reporting patient participation rates that range from 84% - 100%.
So Health Note’s solution is a simple and highly effective way of helping address the looming healthcare crisis of overburdened and understaffed facilities - and ease the risk of staff burnout. Whilst the company has a relatively modest 50 customers across 200 locations, the highly valuable and scaleable service could prove increasingly popular as pressures continue to mount in healthcare.
Steph
Company Specialist at Welcome to the Jungle
Company
Funding (last 2 of 3 rounds)
Jul 2022
$17m
SERIES A
Sep 2020
$5m
SEED
Total funding: $22.1m
Company benefits
- Wonderful company culture – frequent remote company events (Lunch & Learns, trivia, etc.) and daily fun brought to you by many innovative Slack channels
- Continuous Learning – frequent events and tools available to help our team
- Professional Development– we promote from within and have opportunities for employees to transfer between teams
- Company perks and benefits – Laptop provided, generous PTO, and full health benefits (medical, dental, and vision)
Leadership
Joshua Reischer
(CEO)Held various physician roles at Carondelet Health Network and Iora Health, then pivoted to work as a biodesign and innovation fellow at TMC Innovation. Subsequently served four years as an NSF SBIR panel reviewer at the National Science Foundation.
Aaron Rau
(CTO)Worked on systems at Design within Reach, then founded Vergence Media. After that, worked in senior developer and engineering roles at Goldman Sachs and Ticker.com/Infomotor, and ultimately founded mental health platform FRAME.care.
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