Senior Software Engineer
NexHealthJobsCloseBy Editorial Insights
NexHealth seeks a Senior Software Engineer in Toronto or Vancouver with a hybrid model to build the real-time healthcare integration API that connects dozens of EHRs. You’ll be among Canada’s early engineers scaling data pipelines toward petabytes and delivering end-to-end projects while shaping culture. Bring 5+ years in scalable back-end systems, cloud-native stacks Kubernetes, AWS, PostgreSQL, DevOps, security, and a clear focus on quality. Success hinges on systems thinking, strong communication, and customer-focused decisions. To apply: tailor your resume to real-time integration, data lake work, leadership, and healthcare experience; show collaboration with product and management and comfort with hybrid environments. AI may be used in screening.
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.
This role will be based out of Toronto or Vancouver and embraces a hybrid working model that balances remote and onsite work (the specifics of which are at the discretion of NexHealth management). You’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.
What You’ll Do
- You'll one of NexHealth's first engineers based in Canada — setting the technical and cultural tone for what will become a larger team as we expand our footprint north of the border
- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.
What You’ll Bring
- 5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
NexHealth is committed to employment equity and creating an inclusive environment for all employees. We welcome applications from all qualified candidates. We are committed to providing accessible employment practices in compliance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodation during the hiring process, please let us know.
Artificial Intelligence Notice
Artificial intelligence may be used in the recruitment process for this position to assist in screening, assessing, and/or selecting applicants.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
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Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. -
Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. -
Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. -
Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. -
Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. -
Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact [email protected] to request assistance.